No orgasm after radical prostatectomy Davinci Robotic sugery

CraigGrant

Hello, I had the radical prostatectomy surgery in August of 2024 so it's been a year since the surgery. I experienced a handful of orgasms which contained regular spasms with the orgasm in the first 6 months that had 40% feeling compared to before surgery. So I was hopeful. Now a year later I don't have only have only spasms which releases some urine along with it. No feeling goes with these, 0%.

I still a have a little incontinence, so i am wearing incontinence underwear along with a woman's mini pad, small and thin. I replace the pad once through out the day to avoid the smell.

I am extremely disappointed with this,

If you don't have a prostate after a radical prostatectomy and you don't have an orgasm, is that similar to being celibate I asked? I know Nerve-sparing surgery may preserve erections, but many men experience reduced erectile function. If someone has had a radical prostatectomy, they can approach their new reality as a form of involuntary celibacy. With awareness, they can transform sexual energy into, creativity, devotion, or intimacy in non-sexual ways — very much like a yogi does through chosen celibacy.

Through yoga and meditation I have been experiencing a more spiritual flow. I have probably lost 70% of the people who were reading this. IT'S A VERY POSITIVE THING TO NOTE IF YOU ARE HAVING DIFFICULTY WITH HAVING ORGASMS! I feel extremely blessed to be able to experience these divine moments.

Craig

Josephg

Very nice that you found a satisfying alternate to losing the ability to have full orgasms. I am happy that you found a higher level and broader outlook on your situation now, and going forward, as a PCa survivor. This has been a recurring topic on this Discussion Board for well over the decade that I've been a member, and it will serve as good advice for folks who take the time to pause their self pity and read it through.

IMO, any man who says he's not a man, or his life is worthless, simply because he can't achieve an orgasm, has a very narrow, and may I say a distorted, view on what makes a man a man.

Marlon

Yes it's a struggle and it just doesnt feel the same. The work it takes tends to kill the desire.

CraigGrant

CraigGrant

• Thank you so much—I truly appreciate your response

LuckyKYGuy

I’ll be a year removed from surgery on Oct 22.

Certainly an interesting take on things . I can achieve orgasm, although not much of an erection and it results in quite a bit of urine leakage. What makes it difficult is that my desire/drive is still there but as someone else stated the extra work and end result of urine everywhere takes a lot of the fun out of it.

I’ve tried Cialis and Viagra but neither helped at all. My Dr has offered the implant but I don’t think I’m really that interested in it for various reasons.

I still use a men’s Depend shield (same as a women’s pants liner) daily just because sometimes if I sneeze or cough I have leakage but certainly the incontinence is better than it was 11 months ago!

Marlon

TENA makes a shield for men that I think is better. It's wider at the top.

CraigGrant

If you have true love in your life that helps tremendously, and as I listen to podcasts on post radical prostatectomy and orgasms fantasies should be explored. This is the most difficult experience I have been through. It is also is about living your best life. If your retired like I am you can find things you love to do, be open to truly knowing what you believe. Like I said in the first post, through yoga and meditation I experience spiritual flow not associated with sexuality, it's associated with a universal oneness. It's the most powerful thing I have experienced in my life. Be kind to others and don't forget the most important thing be kind to yourself.

lesjanes

I had my RASP July 2024 and was 68. Incontinence ended after 2 1/2 months. So feel a bit fortunate compared to others. I still have not acheived an erection firm enough for intercourse, even with Viagra. But i keep trying.

But, I feel my orgasms are just as strong as ever. They feel great! There is an occasional urine leakage on orgasm. But if I empty my bladder before sex, that mostly eliminates that issue.

Every once in a while I will wake up with an old fashioned erection . Not quite firm enough , but really close. So I find that encouraging.

Best of luck on your continued recovery.

KittySlayer

https://csn.cancer.org/discussion/comment/1724980#Comment_1724980

Very similar experiences for me 9 months out from RARP. However I would say my orgasm experience is maybe 60% of pre-surgery. But every 60% orgasm is one more than I would have if I were dead from cancer.