Sex after Holep?

Posted by cent66 @cent66, Mar 15 3:09pm

Sex following Hotep procedure. Been 5 months since Hotep...everything much, much better. However, sexual activity I have noted I do not discarge any fluid , although i have the "feeling" of orgasm. Not quite as intense as having sex and a ejaculation. Any way to improve on this? Miss the good ole days.

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hbp | @hbp | Mar 15 3:35pm

what is Hotep? I had Robo RP and after that dry organisms ( not too often ) and severe ED. That’s life for an old guy!

cent66 | @cent66 | Mar 16 8:28am

In reply to @hbp "what is Hotep? I had Robo RP and after that dry organisms ( not too often..." + (show)

I guess it is called HOLEP, my fault.

Dana, Volunteer Mentor | @danab | Mar 17 12:52am

Ive noticed that as we get older our fluid itself decreases. I'm 65 and pretty much dry but the feeling is about the same. So when I asked my doctor, he said that's pretty normal as we get older. I figure I don't plan on any kids so i just did not worry about it. I do take medicines for a slightly enlarged prostate so that may have something to do with it but I have not had the procedure you mentioned.

nabulldog | @nabulldog | Mar 24 11:15am

Small Prostate HoLEP - Log
Age 63, 55 gram, large median lobe, high bladder neck, 26 grams removed.

February 8th, 2024: HoLEP Performed.

March 7th 9:00 p.m.
1st experience with retrograde ejaculation.
Forceful ejaculation; burning, throbbing, and cramping from my scrotum back to my rectum.
I could feel the semen shooting back into my bladder.
No blood following the experience.

March 10th 2:00 p.m.
2nd Experience with retrograde ejaculation.
Confirmed retrograde (dry), although it didn't feel like it. No pain, no blood
Orgasm Intensity is about 70-75% of pre-op

March 15th
3rd sexual experience ejaculated about a teaspoon of Semen

March 23
Retrograde:
Partial - more than 50% antegrade, did a hard kegel during orgasm. Close to pre-op intensity.
A couple of globs with some trace blood came out when urinating.

lamarjimmerson | @lamarjimmerson | Apr 12 2:24pm

nabulldog, thank you for your comment - it gives me something to, uh, shoot for. (Maybe I just should say it gives me hope.) I'm 60, had Holep a month ago, high bladder neck, very small prostate (40 grams), and apparently had hundreds of prostate stones removed. (Which is unusual.) I was prepared for the retrograde ejaculation, as my surgeon had explained it would happen, but not for the exact experience you describe on your first ejaculation. It felt like someone trying to force toothpaste back into a tube. "Burning, throbbing and cramping" is just what happened. I reported it to my surgeon, who seemed to not have heard of such a thing before, so a) I'm glad to know it's happened to other people and b) that you have improved.

nabulldog | @nabulldog | Apr 12 4:58pm

In reply to @lamarjimmerson "nabulldog, thank you for your comment - it gives me something to, uh, shoot for. (Maybe..." + (show)

Give it time. I just past week 9 and my orgasms are mostly dry, but the intensity is close to post op level. I say close because I always feel like somethings missing. It most likely is psychological -- it always came out the other way. The sensation of semen shooting back into the bladder is gone. I believe, and may be the same for you, that the semen never reaches the bladder and ends up being contained within the urethra. I've never noticed cloudy urine, but I have urinated it out, usually in small globs.

I didn't stop noticing faint blood drops until around week 8. So I've been blood free for a week. I'm also on blood thinners, which extends my time to clot.

I still occasionally get sharp shooting pains from my rectum to the end of my penis. I also noticed that if I push to hard to urinate I will cramp.

Also, if I ingest too much salt before bed ---2 -3 hours, the salt will delay my ability to start a stream quickly. Instead of 5-10 seconds, its more like 30 seconds. That pattern continues thru out the night until the next day when I drink plenty of water to flush it out.

I am still getting up 2-4 time a night for bathroom breaks, which I'm not complaining about since I was getting up 8- 30 time per night post op.

nabulldog | @nabulldog | Apr 12 5:10pm

In reply to @nabulldog "Give it time. I just past week 9 and my orgasms are mostly dry, but the..." + (show)

If your interested in how I progressed, I started a blog called "HoLEP Log; What was your Pre and post op experience" . I cover a brief before surgery and log my experiences since surgery.

kswf62 | @kswf62 | Oct 28 9:47am

In reply to @danab "Ive noticed that as we get older our fluid itself decreases. I'm 65 and pretty much..." + (show)

I noticed that as well before my HoLEP. Semen seemed to leak out slowly after my orgasm had subsided as opposed to during my orgasm and as a result they weren't as intense. There may not be much of a difference for me post HoLEP.

cent66 | @cent66 | Oct 28 11:45am

In reply to @kswf62 "I noticed that as well before my HoLEP. Semen seemed to leak out slowly after my..." + (show)

Yes, I noted a release of semen during the final stages of orgasm, and some leakage as sex ended. This was my reaction PRE HOLEP.....now, it's the orgasm with non release visual of semen, disappointed but had no choice . Holep ...was a blessing releaving my urinary poblems, but I had to select this, and it had a price.