Did your surgeon discuss impact of prostate removal on orgasm?

@madpuppy74 I'm no fan of needles, either.
Have a look at https://injectneedlefree.com or similar places.
I think it's called Comfort-in

"A needle-free injection occurs when the injectable medicine (eg. insulin, hormones, local anaesthesia and more) is pushed into the body through the skin, using a combination of pressure, high velocity and a syringe/nozzle that has been specially designed for this purpose. “The liquid becomes the needle”.

Sounds like it kinda water-blasts it right through the skin.

Might be worth looking into.
Trimix gets rave reviews 'round here.

Thanks for sharing your info. Just turned 75 although everybody says I look like 60. Two years post RP plus "node removal" (3+4=7 Gleason; Adenocarcinoma; "nerve sparing" maybe, not confident of anything; CT Pet Scan indicated cancer was local to prostate with a slight outside exposure near the bladder connection) so I had wondered about the length issue as things didn't seem right... again, Dr never discussed it, pre or post). That include a measured, very brief commentary on my chances for a resurrected sex life. I don't feel much arousal sensation and have not experimented with any aids. Celibate as a monk and my wife is 15 yrs my junior. Just sad.
Reading about Trimex and seeing the word "INJECTIONS" scares the hell out of me. Never been a needle person.
I don't even know where to start. Thanks. rlm

Thanks for sharing your info. Just turned 75 although everybody says I look like 60. Two years post RP plus "node removal" (3+4=7 Gleason; Adenocarcinoma; "nerve sparing" maybe, not confident of anything; CT Pet Scan indicated cancer was local to prostate with a slight outside exposure near the bladder connection) so I had wondered about the length issue as things didn't seem right... again, Dr never discussed it, pre or post). That include a measured, very brief commentary on my chances for a resurrected sex life. I don't feel much arousal sensation and have not experimented with any aids. Celibate as a monk and my wife is 15 yrs my junior. Just sad.
Reading about Trimex and seeing the word "INJECTIONS" scares the hell out of me. Never been a needle person.
I don't even know where to start. Thanks. rlm

@peterj116 Not sure I can be much help. My urologist is at Mayo. He had his tech show me how to do the injection and I was told to start at 5 units and experiment up to 40 units for the right length of time for the results. Less than 2 hrs. He ordered through a compounding pharmacy in my area. (Strive Pharmacy) and said he ordered medium strength. (?) He also gave me the little bit of the bottle left from the office visit. I am not sure how much in ml is the 5 units? The small bottle does not say on the side how much is in it. It does say 30ml of one drug - 10ml of another - 1ml of the last. Strive charged me $95 for the bottle. The 5 unit injection lasts me about 3 hours. I have not experimented with more or less. The day I picked up the medication I drew about 10 syringes from the Doctors bottle and 10 from the new bottle and put in the freezer. The drug says it has a shelf life in the refrigerator. Ten syringes has barely used any of the bottle. I would say I could get another 15-20 syringes out of this bottle. I would say not bad return on investment. At least 20 party nights for $95. It costs me $10 for a crown and soda water.

Out of curiosity, how much is Trimix?
All I can see online here is 300 bucks for 10ml

@robertcukor sad but glad to read that I’m not alone in that as a result of the RP there is a loss of some of the length. Coming up to my 2 year anniversary of the surgery. To the comments over the Dr. mentioning the possible side effects. He repeatedly said that I would not be having any more children. But having had a vasectomy in my early 30’s that was the last of my concern. Did want to still continue having erections but except for Trimix it’s the only way. Daily Cialis for several months after surgery did nothing. Lucky are those whose nerves were spared and erections came back on its own.

The more important question would be: When, if ever, will I be able to have an erection? I asked, and my doctor said, "most men will regain their ability to have an erection between 3 - 6 months. I call "B.S." on that one. I am starting month "9", and I am still absolutely DEAD down there, DESPITE my urologist saying that he "preserved the neuromuscular bundles" that are necessary for an erection. Now at 9 months post-op he is saying, "It can take some men between 9-12 months to have erections return." I quoted the numerous accounts from this blog, of men who have never had a post-op erection, going on between 2-5 years. My urologist said, "yes, that can and does happen." I asked, "so what about me?" He just raised his eyebrows, shrugged his shoulders, and said "everyone is different...you are still recovering from the surgery...nerves are still regenerating or regaining their function." I said, "yes, but you told me that you preserved my neuromuscular bundles, so I should be having erections now right?" He again said, "everyone is different...you are still healing", and then he smiled and gave me an encouraging pat on the knee like a school boy who just did well on a quiz. Yet another example of why they say physicians "practice" medicine...there is no perfect or "always works" surgery, procedure or treatment. We're just finally part of the fortunate group or the unfortunate group, depending on the permanence of our outcome. We just don't know when to "call it"...when to say "I'm cured and restored as well as I'll be", or "I'll never be cured and restored to full function." Good luck to you.

@tdabbotts Totally agree with the mental aspect of recovery. I’m 60 years old and 6 months out from nerve sparing RARP. I resumed sexual activity at 6 weeks, but it wasn’t until I got past my fixed mindset that ejaculation was the goal of masturbation and intercourse that I was able to enjoy both.

Also at 6 weeks, my urologist asked if I was waking up with erections. I wasn’t, so he prescribed daily Cialis 5mg (in addition to Viagra as needed) and said to “coax it if necessary for daily penile rehab.” Between that and changing my mindset, I’ve been experiencing very intense and pleasurable orgasms with lots of fluid from my Cowper’s glands.