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.

CraigGrant

I was having orgasms 8 months ago but I was watching erotic videos to help with this. As I explored this further i really need to experience an erection and dry orgasm without porn because using porn doesnt help in the long run. so i have been slowly reconnecting with my body again without it and I can tell a difference. I see people differently. I feel stronger emotions and i am more spiritual because of this and because I gave up porn. I send prayers out to the men who are going through this because it is the most difficult recovery I have had in my life. God bless you guys

lesjanes

Very interesting approach and I agree 100%. I've pulled back from the porn as well and recently had wonderful sex with my wife, though no penetration. Orgasm is slightly different but still feels great.

Thanks for sharing your experience and approach.