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Experiences with prostate stimulation and orgasm: Surgery vs Radiaton?

Posted by londonbill @londonbill, Dec 7, 2025

New diagnosis prostate cancer Gleason 7 Group 2.
Deciding surgery vs. radiation.
Questions about whether any of you (gay or straight, although I suspect this is largely of interest to gay men) have experience with prostate orgasm after your treatment.
I can find no data about this other than discussion of dry ejaculation or ED. What about direct stimulation of prostate? This has been very pleasurable for me especially as I get older, and I don’t want to give it up. Logically one might anticipate that removal of the prostate would ruin the possibility of direct prostate stimulation and orgasm, however my understanding is that this sensation is mostly somatic and therefore likely preserved after prostatectomy.
Does anyone know what I’m talking about and can tell me your experience post treatment? At the moment I’m leaning toward surgery, but will have to commit in the next two weeks.

Interested in more discussions like this? Go to the Prostate Cancer Support Group.

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jeff Marchi | @jeffmarc | Dec 18, 2025
In reply to @mouser26 "I was a Gleason 8 and had external beam radiation and brachytherapy followed by eighteen months..." + (show)
Profile picture for mouser26 @mouser26

I was a Gleason 8 and had external beam radiation and brachytherapy followed by eighteen months of ADT. The ADT kills your sex life, period. I finally came off it this past October. I am able to get erections on my own, but nothing like I used to. I have not tried any ED meds. I am unable to ejaculate, which honestly makes me unwilling to attempt sexual relations. Prostate cancer, simply put, has ruined my sex life. I went from extremely active to nothing. It has changed my whole outlook on life and left me quite bitter. No one told me this was coming. Oncologists should at least prepare their patients for the bleakness that follows "successful" treatment.

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@mouser26
Get your testosterone level checked in the next PSA test. Once it gets past about 250 you probably can start having relations again and being able to climax. Don’t expect ejaculation, In some cases, it could be urine, The radiation has eliminated the Ability to produce sperm.

What other drugs are you taking besides ADT? That could be a factor in the inability to climax.

Some of the drugs people take for Mood issues can affect the ability to climax.

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mouser26 | @mouser26 | Dec 23, 2025

Thanks I'm done with "relations".

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heavyphil | @heavyphil | Dec 24, 2025
In reply to @mouser26 "I was a Gleason 8 and had external beam radiation and brachytherapy followed by eighteen months..." + (show)
Profile picture for mouser26 @mouser26

I was a Gleason 8 and had external beam radiation and brachytherapy followed by eighteen months of ADT. The ADT kills your sex life, period. I finally came off it this past October. I am able to get erections on my own, but nothing like I used to. I have not tried any ED meds. I am unable to ejaculate, which honestly makes me unwilling to attempt sexual relations. Prostate cancer, simply put, has ruined my sex life. I went from extremely active to nothing. It has changed my whole outlook on life and left me quite bitter. No one told me this was coming. Oncologists should at least prepare their patients for the bleakness that follows "successful" treatment.

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@mouser26 How does the lack of ejaculation turn you off to having relations? Buddy, I’d trade places with you in a heartbeat if I could get it up…the money shot is only important in porn!
Phil

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