Can a dry orgasm after prostatectomy still be pleasurable?

Posted by buffalo1 @buffalo1, Dec 30, 2024

Hi all,
I had my prostate removed and was told that my orgasm would be dry due to the removal of the seminal vesicles. Is it still pleasurable to have sex without that feeling of fullness when you are about to orgasm?

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

folmajt | @folmajt | Jan 31 12:31pm

RARP Oct 25. Getting good solid erections, but can't reach orgasm. Still hammering away. LOL. Got on daily low dose cialis and can't really tell a difference. Urologist recommended adding viagra. Haven't tried it yet. I've always been a spontaneous type, and haven't worked in the planning aspect of 1 hr onset.

phayes | @phayes | Jan 30 7:23pm

Sixty year old with nerve-sparing RALP in August 2025. Like many others, my orgasms are more intense than before. I also produce much more “pre cum” due to over active Cowper’s glands - an effect of the nerve sparing, I assume.

That being said, it took me a while to come to terms with the loss of ejaculation. My fixed mindset had me believing that was the goal of intimacy. I just retired from a career as a therapist, so I was able to overcome that quickly, but if it’s an issue for you, talking to someone might help.

I’m on daily Cialis and Viagra as needed with frequent penile rehab (aka masturbation) to keep the blood flowing and to encourage “muscle memory”. I’m also fortunate to have a wife who is still as interested in sex as before and has been willing to adjust to the new normal. Again, if that is a barrier, a few sessions with a sex therapist might be a consideration to help redefine “pleasurable”.

billybwbf2 | @billybwbf2 | Jan 29 9:39am

In reply to @buffalo1 "Yes dry orgasm can be very pleasurable. It’s not as intense as before but still feels..." + (show)

@buffalo1 Hello, I had my prostatectomy on October 22, 2025 and hoping for recovery! Glad to get rid of the cancer but sad it caused loss of function. How long has it been for you and have you regained function?

harvey44 | @harvey44 | Jan 28 8:15am

In reply to @lvondie23 "@readandlearn It can TEMPORARILY raise your PSA levels for a couple days but then it goes..." + (show)

@lvondie23 not if your prostate is removed!

lvondie23 | @lvondie23 | Jan 28 3:03am

In reply to @readandlearn "@firespooks Why would they? Your PSA level is a function of hormones, not of orgasms." + (show)

@readandlearn It can TEMPORARILY raise your PSA levels for a couple days but then it goes back down. Same as if you rode a bike or we're doing vigorous exercise

billybwbf2 | @billybwbf2 | Jan 27 3:46pm

In reply to @billybwbf2 "Yes, after healing from my prostatectomy I was surprised that my pleasure is more intense than..." + (show)

@billybwbf2 yes a little good news for a change

billybwbf2 | @billybwbf2 | Jan 27 1:27pm

Yes, after healing from my prostatectomy I was surprised that my pleasure is more intense than before surgery!

buffalo1 | @buffalo1 | Jan 27 11:31am

Yes dry orgasm can be very pleasurable. It’s not as intense as before but still feels good.

Read & learn & live! | @readandlearn | Jan 26 5:48pm

In reply to @firespooks "@readandlearn Because, if you have an orgasm and ejaculation with a prostate , your PSA level..." + (show)

@firespooks
1. What is your source for this claim?
2. Even if so, the prostate gland as a whole is physically involved with an ejaculation. I wouldn't think residual prostate cancer cells would be affected by an orgasm, but I could be wrong.