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Dry Orgasm after surgery: Does it get better with time?
So, I asked about sex before I had the surgery and I didnt get a good answer on dry orgasm.
Two weeks after the catheter came out my wife and I decided to have sex... erection between 80% and 90%.
My best analogy for my first experience for dry orgasm, if I was shooting a .357 before surgery I was expecting a .22 and hoping for a .38. I got a BB gun. So a little frustrating. No real build-up. Wasn't sure if what I was feeling was an orgasm, then it was over FAST.
I hope this gets better over time. But can't find anything that discusses this process.
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Yes, finding discussion on this topic is difficult. Anecdotes aside, even the most authoritative treatments seem mostly...anecdotal :-). So I'll spare you mine :-).
Here are things I think I know at this point:
1) Orgasms happen in the brain, not in the erection.
2) Trauma is a big deterrent to orgasm, and perhaps surgery is more traumatic than radiation, but maybe catheters are more traumatic than surgeries? I guess only the first of these three is something I actually know or think I know.
3) Erections have a lot to do with blood flow, valves, and nerves. PC treatments all affect blood flow and nerves, somewhat unpredictably. Valves deteriorate with age.
4) Surgery is especially traumatic to the nerves, but there is often some recovery over time, maybe up to two years or even longer.
5) Radiation is progressive, so initial experience after radiation does not tell the whole story of the ultimate level of damage.
6) The brain can be retrained. (See 1.)
7) Erections can be preserved or strenthened via increased blood flow, either muscle tensioning or vacuum erection (mechanical) or sildenafil/taladafil/etc. (changes nitrous oxide levels, I think) or trimix etc. (chemically triggered erections.
8) Surgeons ultimately promote penile implants even if they are ostensibly educating about other strategies. Boston Scientific sponsors education because they are the biggest supplier of penile implants in the US.
9) Yes, it's true. Post prostatectomy erections are always dry because the tubes carrying seminal fluid have been severed.
[Feel free to disagree with any or all of these things I think I know, and I'd love to hear why.]
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6 ReactionsI believe that you're quite luck and should be happy to have a 90% and have sex after your surgery. There are more of us that have ED after surgery. Yes, you're going to have dry orgasms but that isn't a issue. They are the same thing except without fluids. So, be happy!
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5 Reactions4 weeks after surgery and having an erection, and BBs?!?! I'd say you're very, very blessed.
I had a RALP last Dec.
My experience: I'm amazed how much of my drive is simply 'gone'. Like I've been gelded.
I suspect this may be unique to me, or played down b/c many wouldn't opt for RALP? IDK.
Life is full of compromises, appreciating what we have seems to be best.
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9 ReactionsNo ADT drugs.
I'm 70 YO and 4 months after bilateral NS RALP. I have had some orgasms and for me they've definitely improved compared to the first orgasm after surgery, which was so mild I wasn't entirely sure if it had happened or I had imagined it. Now, when I have one it's much more satisfying. I just wish my erections were improving as quickly as the orgasms, but for me progress there has been much much slower. Best wishes on your recovery.
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5 ReactionsAfter surgery, you will have dry orgasms. There is no reason they shouldn’t be just as intense as before surgery. it may just take a while for you to be adjusted to the new situation and then intensity will come back
If you are on any ADT drugs, they can interfere with the intensity, even the ability to reach climax.
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