Can a dry orgasm after prostatectomy still be pleasurable?

@jime51

ADT ended 10 months ago after 44 radiation treatments. No erections or libido and my 82-year-old wife is still beautiful to me. ED meds and vacuum pump have not been adequate. I have read that Trimix will not work well if there is little libido. An implant might work but I am not ready for that. My wife has vaginal atrophy even with Estradiol creme so sex is painful for her and may not be possible even with a firm erection. I believe testosterone replacement treatment would help more than anything especially since I still have major side effects from Lupron that make hot flashes look like fun. However, my urologist will not even consider raising my 100-level testosterone. I have no detectable PSA. Have I missed anything?

Still get that feeling of fullness before orgasm. If I am semi-erect, it’s often the bumper that pumps me up a bit.

Yes, orgasms post-surgery can be great, even without an erection. If you were someone who mainly depended on a vagina for sexual satisfaction, I would urge you to get reacquainted with your body. After my surgery, I got no instructions for rehab and wasn’t generally getting a decent erection, but always able to get a good orgasm. I started Trimix this year (7 years post-surgery) and it has been really effective at giving me a hard erection that often lasts for about an hour.

@stevebritt006 yes, it’s clear and will start to appear after a stretch of stimulation. It doesn’t require an orgasm. Its main job is to act as a lubricant and get the urethra ph ready for ejaculation.

My experience...

Yes.

Sex is different after surgery albeit experiences may vary.

My surgery was nerve sparing

Erections took about a year to return to "normal."

Initially I had some urine leakage, went away with time.

Achieving an erection required greater physical and mental stimulation

I do still have some cowpers fluid

Orgasms were dry but intense.

I have been on 5mg Cialis daily since my surgery.

My PRT consisted of use it or lose it, aka, masturbation.

Again, my experience.

Kevin

@jayhall What is Cowper’s fluid? Is it clear cum? I have that when pulling it out of her vagina.

You guys are giving me hope! I haven't had an adequate erection or climax since starting ADT 17 months ago. I go off med at the end of June and am crossing my fingers (and uncrossing my legs!) that the ability will return. I've been taking 5mg Cialis for blood flow and using a vacuum device after showers to stretch the tissue. I tried Trimix but there was either no erection or one with lots of pain, so I discontinued and haven't experimented otherwise. If not, my wife and I had a consult regarding an implant but I'm not sure she's on board for that as the alternative, yet. I'll know better in September, after some recovery time.

I get dry orgasms, but I still make Cowper's fluid and ejaculate that instead of Semen. My Orgasms are pleasurable and intense. 🙂

@folmajt Hello I also get dry orgasm's but in thr beginning My penis gets a lot of pre cum if excited. Better than using lubricant.for intercourse.

@dickynee
I do but I still leak. A urologist in NYC, Dr. Eid, that I consulted with regarding a penile implant told me a lot of guys will leak prior to sex just thinking about it. Same with me. If my lady gives me a hug, a little squeeze down there or talks sexy, I leak some.

I was married when I had my RP, triple therapy and radiation. Great sex life before the cancer and treatments. Not so much afterwards. I had some incontinence (really started months after my pelvic radiation, not surgery) but also the urine ejaculation with climax. I don't think she liked that. Had to wear a condom. Ended up with a divorce (other issues as well).

Met a wonderful, understanding woman. She doesn't care at all about the leakage during sex-"just another bodily fluid, what's the big deal?". Truth is, the climaturia (urine ejaculation) feels good and kind of like ejaculating semen. No condoms for intercourse or oral. Wonderful.

I'm scheduled for a penile implant in a month. The oral meds never worked after surgery 5 years ago. (I had complete ED). Vacuum device with rings weren't acceptable. I have been using the Trimix and now Quadmix for several years. Worked great in the beginning but increasingly ineffective. I have read extensively about the penile implant and satisfaction rate is >90%. Looking forward to more spontaneous sex without needles. My partner is the one that suggested it. Told her "careful what you wish for". Can stay erect as long as you want. I'll be chasing her around the house! Got to laugh sometimes with everything we have been through.

Best of luck to you all!