Can a dry orgasm after prostatectomy still be pleasurable?

@scottbeammeup

I always get a smile as your post are do entertaining with your wording. Were you a writer in your career?

It sound like you are doing so much better as your journey continues. I am glad to hear you are improving.

I had radiation but have the same side effect and, after I finished with ADT and started getting horny, it was disconcerting to say the least and initially made me hesitant to even bother. But as my T keeps returning it feels like I'm going through a "second puberty" (body hair coming back, I have to shave again, get erections at inappropriate times, having sex dreams at night and, of course, being horny almost every day). At first I was asked if I "faked it" because there was nothing to show but that was my partner's insecurity and we've moved past it. Pelvic floor exercises will REALLY help improve orgasms. I've been doing them for a couple months now and notice a definite change for the better.

I had the same reaction 29 years ago after an RPA. The orgasm is different, but I learned to adjust. Over time we evolved from intercourse to using a vibrator to arrive at an orgasm. I have an American Medical Systems implant and can produce adequate orgasms through the use of the vibrator within the scope of intimacy. Good luck on your “new normal”.

yes!

Short answer, yes...

I am one of the fortunate ones, nerve sparing surgery in March 2014. It took 12 -18 months to regain a usable erection with the assistance of a daily Cialis, 5mg and "exercise." SRT did not fry the nerves either.

I will venture that other than the stimulation, physical and mental, required to achieve an erection and orgasm, they are just as intense and delightful now as they were prior to my surgery, accounting for age of course.

I "learned" that even in the absence of an erection I could achieve an orgasm.

The University of California San Francisco has a decent penile rehabilitation therapy program - https://urology.ucsf.edu/patient-care/adult-non-cancer/male-sexual-and-reproductive-health/erectile-dysfunction

Kevin

I had NS RARP surgery 6 months ago. Yes, the dry orgasm can be very pleasurable although it might take a little getting used to. Initially I had a little pain shortly after having an orgasm (similar to a lightly strained muscle or something), but that pain gradually went away after a month or so and I guess most guys don't feel any discomfort at all. I read the following document from UCSF (a cancer center of excellence) and it has a nice section on sexual function recovery after prostate cancer surgery: https://urology.ucsf.edu/sites/urology.ucsf.edu/files/uploaded-files/attachments/sduro0095_managing_erectile_dysfunction-a_patient_guide_.pdf
I asked my provider about penile rehab and she put me on a low dose generic Cialis. It seems to help me, but that's just my opinion and I'm not a medical professional. You should definitely ask your provider about what they recommend for penile rehab. And as Jeffmarc said above, don't wait too long to ask. Strangely enough, I had to ask about penile rehab rather than it just being an automatic part of the post-surgery discussion. But when I brought up the topic the doctor was immediately very supportive. So don't hesitate to ask about it.

Yes, it is. Different, but definitely pleasurable. And it's a bit of a compensation not having the mess any more.

Research "penile rehabilitation after prostate cancer surgery". I found this site particularly helpful: https://melissahadleybarrett.com/penile-rehabilitation-program/

Absolutely you can and will have fantastic dry orgasms.

@buffalo1
I did not have my prostate removed. I had 30 rounds of proton radiation. But I did and do suffer from dry orgasms.

I don't remember being told it could happen, so I checked with my R/O. I can do this via their portal. R/O stated yes since treated all of prostate radiation can damage the seminal vessels and thus dry orgasms.

Now the question of can you enjoy orgasms, YES. But I speak for me. It was a very different feeling and the thrush of no ejaculation was at first shocking. But it was very pleasureable. I am hoping the seminal vessels improve like the prostate did from radiation damage but if it dose not I had to sign a form that I would not try to have children after my treatments. I am 77 so that was not a problem.

Just know we are all different and what one will experience may not be what you experience. I don't have the experience of having my prostate removed so just can comment on my experience with radiation.
Good luck!