Postprostatectomy, is there any sexual release like nocturnal emission

Posted by bwjb @bwjb, 16 hours ago

I had a prostatectomy and was impotent even before the prostatectomy. I have never successfully reached orgasm by masturbation while flaccid, even before the prostatectomy. Injections don’t work for me due to venous leak. I sometimes wonder whether I could still reach orgasm from oral sex, but have never tried since I am also incontinent. As a result, I am preoccupied by sex all of the time without any release. Rightly or wrongly, I always assumed that nocturnal emissions in my youth were caused by the prostate being swollen with semen due to sexual inactivity. My radical prostatectomy removed not only my prostate but both neurovascular bundles and the right and left seminal vesicles, so of course there is no longer any buildup of semen. I have had sex dreams post prostatectomy but of course never woke up with wet underpants due to no longer ejaculating. I am wondering whether the buildup of sperm in the testicles causes any sexual release comparable to nocturnal emissions to relieve sexual tension for prostatectomy patients.

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Being unable to reach climax with a Flaccid penis could be because you didn’t have enough stimulation. Having your wife or girlfriend, massage your testicles while you are masturbating can make the difference. Not squeezing them because that can hurt after.

Put a towel under your penis So any urine that comes out is not a real concern. Make sure to pee before you even start.

Getting an Implant will allow you to get an erection again. They are very popular, Over 85% of men with them are real satisfied. One guy in this forum got that installed at the same time as an AUS (artificial urinary sphincter) So they are no longer incontinent and can get an erection. All of this is covered by insurance.

Your surgery has ended the buildup of sperm, There is none anymore.

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I am one year post RARP with only partial erectionson Cialis/Viagra and full ones with injections. I have started to look into implants. Depending on the degree of your incontinence, there apoears to be also an option to insert a sling with the implant.

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