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Post prostatectomy, any sexual release like nocturnal emission?
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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1 ReactionI 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.
@topf
A sling may or may not work for you. I’ve heard the recovery is not pleasant. If you’ve had radiation, a sling is probably not going to work.
You can’t get an AUS at the same time. Not sure all doctors will do it.
If you had a nerve-sparing procedure, you may notice some discharge due to the Cowper’s gland (the producer of “pre-cum”) still being intact. Other than that, the only thing expelled is urine.
While stimulation is important to sexual satisfaction, much of it is also psychological. Your mindset about the goal of sexual activity may be getting in your way. Once I came to terms with my new “normal”, my sex life has improved immensely. Having a supportive and equally motivated partner is also a plus!
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1 Reaction@jeffmarc Thanks! I did not get RT. My problem is climacturia. I have seen some articles that there is a sling-like device called a “Mini-Jupette” that is attached to the penile implant. It apparently can help with stress incontinence and shuts the uretha down completely when the implant is inflated.
@topf
If you have minimal Incontinence, this can work to do exactly what you’re looking for.
If you have serious stress Incontinence it apparently does not work well.
@jeffmarc Jeff, I know that there is no longer a build up of semen since my prostatectomy. I am wondering whether the build up of sperm in the epididymus also results in a release of sexual tension like a nocturnal emission. Thanks
@bwjb
I’m a little puzzled by your question. Sperm and semen are the same thing. After prostate cancer treatment, there is none produced so there is no build up.
Jeff, there has been no change to my testicles. I still produce sperm and testosterone. I know that I don’t produce semen. I wonder whether the build up of sperm in my epididymus will cause some sort of release like a nocturnal emission like I used to when I had a prostate.
@bwjb
Well, you got me. You are able to produce sperm, but the answer to your question is …..Yes, the testicles continue to produce sperm after a prostatectomy. However, because the prostate and seminal vesicles—which produce semen—are removed, sperm cannot physically leave the body and is instead safely reabsorbed