Sex After Surgery: What can I expect?

I am pretty sure dry orgasms will be the norm for you. Prostate and seminal vesicle removal take away all the fluids necessary to carry the sperm from the testicles.
It’s not a big deal - unless you are a porn star 😂
I will say, however, that your orgasms may even be more intense than before - more of a whole body experience.

Well, the surgery itself wasn't bad. No incision pain. The catheter was by far the worst part of the entire surgery and recovery. I did my research before the surgery... so I knew all the potential struggles. But, when I read about incontinence, I assumed it was going to be a lot of urine. For me, so far it has been minor, teaspoon to tablespoon of urine when it happens. And it has only happened 5 or 6 times in four weeks.

I was very worried about erections and dry orgasm. Erections have been better than expected. But it takes some work. Again, from everything I have read this improves over time. I am still hopeful that is the case.

Its been really hit and miss with the dry orgasm. First one was terrible. Next one better. Third wasnt that great. Sort of been the pattern. Again, hopefully something that improves over time.

When I first met with the surgeon... they focused on helping me deal with the side effects. But I havent from them since the surgery.

@bdc1677, I augmented the title of this discussion to help others who will be having surgery to find the helpful tips members shared with you. And to post your follow-up discussion:
- Dry Orgasm after surgery: Does it get better with time? https://connect.mayoclinic.org/discussion/dry-orgasm-1/

@bdc1677, now that you are post surgery, what tip would you share to members awaiting surgery? What do you wish you had known?

With respect to the Blue Pill and other RXs, wondering if there is a sweet spot for efficacy on dosage amounts? Increasing the milligrams also raises flushing, stuffiness as many of us know. I'm figuring each to his own ability when dealing with PC.

For most guys - it comes back ,,,it just takes time . So give it some time . Learn what pills work for you and pump can be very effective post surgery with Dr's OK . Let us know how surgery went and biopsy !

My experience, study of one.

I had surgery in March 2014, nerve sparing.

My urologist had me on daily cialis, 5 mg. It was probably 6-12 months before I began to regain erectile function. By 12-18 months I was more or less fully functional albeit:

Getting an erection was no longer "spontaneous", required physical, visual and mental stimulation.

As we all know, no ejaculation.

Early on I had to ensure the bladder was empty but that went away.

Recovery from surgery can also be a function of baseline abilities.

The use it or lose it rule applies, whether that masturbation, a VED....you can experience orgasm without a full erection...!

It does cause you (and your partner, hopefully!) to rethink sex, foreplay.... vice a focus on penetrative intercourse

UCSF has a pretty in depth guide - https://urology.ucsf.edu/sites/urology.ucsf.edu/files/uploaded-files/attachments/sduro0095_managing_erectile_dysfunction-a_patient_guide_.pdf

When I had SRT for BCR my radiologist warned me it could cause ED, nope (to my wife's dismay)

Having a partner who is all in on the recovery, patient, understanding and a participant in the process is a big plus.

Alas, mine was a solo effort.

Kevin

I had surgery about 7months ago had Gleason 3+4 so far so good my PSA has been no detectable so far

I'll echo @robertmizek. This is a scary thing, but you're going to be alright. I am 54 and on week 5 post RALP. Like you, I had 3+4; my cancer was aggressive. In my opinion, the catheter sucked. The day I got it out was a wonderful day. Each week has gotten better. I'll note that I've had some bladder issues - need to go more often and very painful when it fills up. But those issues seem to be improving weekly. Good luck. You're going to be fine.

Returning to "normal activities" took some time for me. My nerves weren't able to be spared during my RP at the end of October. Erections slowly came back and are a work in progress. Daily Cialis, no penile rehab, but slowly I am on the right track. I suggest lots of communication with your partner, experimentation and (obviously) keeping your "eye on the prize", meaning: you're alive & cancer free. Much better than the alternative in my opinion. Wishing you the best!!!

Forget sex but be glad you are alive!