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Question about retrograde ejaculation after prostatectomy

Green Lantern
Posts: 11
Joined: Dec 2008

I have just been scheduled for a robotic prostatectomy. I was told by my urologist that some men may have retrograde ejaculations (where the semen backflows into the bladder) after they resume sexual activity.

Have any of you had this issue? Is it only occasionally, or is it every time you ejaculate? Does it hurt? Does it cause other issues?

Thanks for your sharing information.

Posts: 77
Joined: Sep 2008

Green Lantern..
Truth of the matter is, the prostate is what creates the semen during ejaculation.
If you are having a true entire robotic removal of your prostate, there will be no more semen to ejaculate.
There may be a small trace amount of ejaculate that could come from the calpers gland, but it is usually of a minuscule amount.
Take a look at my experience's (http://csn.cancer.org/node/163769)
Also, feel free to email me, I'd be happy to share more with you including the recovery from the surgery as well as sexual and urinary recovery and issues associated with them.
All the best,

Posts: 26
Joined: Jul 2009

The entire prostate and attached seminal vesicles are removed. The vas deferens is cut and clamped. You will no longer produce semen, but it will still feel like you are.

Here is a good simulation to explain what is going to happen.


The nerve bundles that you have heard about are for erections. The ones for sensation are in a different location. The actual orgasm is a brain sensation. The orgasm will still be there even though the semen will not.

Tom D Orlando Five month post op PSA Friday came back undetectable!

Good Luck Green Lantern! You will find people here that will help. Ask questions.

randy_in_indy's picture
Posts: 493
Joined: Oct 2009

I must say this so no one will be misled...the orgasm will not feel the same...at least for me it does not...not as intense...even though the nerves for this are not disturbed with the da vinci surgery.

I have heard it will get better with time...Day 64 post surgery.

Randy in Indy

txbarton's picture
Posts: 85
Joined: Aug 2009

Maybe not as intense but for me they last a lot longer.


lewvino's picture
Posts: 1007
Joined: May 2009

They are definetly different. I suppose it veries for each individual.

Larry age 55

randy_in_indy's picture
Posts: 493
Joined: Oct 2009

Had first full night and day today without pad....I am continent!!!! and had first actual intercourse quite successful a lunch today....same length of orgasm but not as intense...I feel this will improve over time..heck its only 65 days since they sliced and diced me.

I am one very happy man...LIFE IS SO GOOD!!!

Randy in Indy

mrshisname's picture
Posts: 186
Joined: Feb 2010

I'm so glad that you guys are ok with posting this stuff, its hearing these wonderful successes that give my hubbie and me hope! Bless you all!

lewvino's picture
Posts: 1007
Joined: May 2009

Sex at Lunch Today? Gee and I'm stuck at the office!


randy_in_indy's picture
Posts: 493
Joined: Oct 2009

Not only is my recovery something to be very happy about...I work for a very good company that allows me to work from home....I do put in my time more than someone working an 8-5 job...but... it's very stress free!

luckyman2's picture
Posts: 54
Joined: Sep 2009

This is a part of the journey no one really wanted to face or talk about... until now.

We have all faced this cross-roads, no matter what procedure we chose to fight the cancer. A man's reality during ejaculation is an integral part of his sex life and is therefore one of the main reasons he will shy away from certain treatments that have even the slightest hint of any sexual problems.

Yes, surgery and all the other procedures will have a risk of ED... and it may never be the same feeling,... depending on the ability to save the vascular/nerve bundles. If you can get beyond that point, you now have the issue of getting to know your body all over again... kind of like being a teen-ager again!

It took three months for me to have an erection capable of penetration and a somewhat "satisfactory" orgasm after having a prostatectomy. Two years later and counting... uhh, the orgasms are extremely intense, because (in my mind anyway) the ejaculations are internalized. Something to look forward to... but, it just might be different for each man.

shane59's picture
Posts: 86
Joined: Jan 2010

congrates mate that must be such good news and lunch as well Indy must be happy for you as well .90 days for me now no pads at night just 1 for the day but I have to visit peoples homes so its a precaution i guess almost there . I may catch up to you soon I hope, gives a new meaning just going home for lunch mmm Take care and best of luck .Shane59

randy_in_indy's picture
Posts: 493
Joined: Oct 2009

once you are dry at night I went about 1-2 weeks and then would just continue wearing the 1/2 pad I had on at night and find it was only small leaks ...so I just said..hey I am home and I think I will just go without and see what happens. I only have small leaks when farting or late in the afternoon early evening...seems common...I was on the phone with my older brother and was telling him and mom the good news....and said I leak once in a while a little spot...my brother chimmed in and said..hey thats normal now for me....I laughed and didn't feel so bad about the small leaks I get...I can live with those. I predict in several weeks you will be without needing pads.

Randy in Indy

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