orgasms after prostate surgery

I've never experienced that but have read of others here who experience that on a regular basis. Best piece of advice I read here about that is to reintroduce the shower into the sexual routine.

Do you empty your bladder before sex?

I think when I do not empty my bladder before intercourse, I am more likely to have an orgasm, but if I do pee first, it is more likely that I will not have an orgasm. I guess, I will just have to make sure that I have a towel next time.

I am 5 years post op and have no ED issues and can get rock solid erections without problems, but every time I have an orgasm,  I ejeculate urine with such force I can hit the ceiling.  Matter of fact, I ejeculate urine with more force now without my prostate,  than I ejeculated semen when I had my prostate.  Figure that one out!!!! 

 I have had this problem since day one, and my uro says it will not get better over time and you just  have to learn to live with it so get use to it.  I asked him if at leat I am going to ejeculate urine, is there a pill I can take that will change my urine color to white? Well as long as I am going to ejeculate fluid, at least let it look like semen. No such pill so far.

 Worst than than the ejeculation problem, is the constant dripping as soon as I get aroused. I am dry other wise, but as soon as I get aroused I can feel my splinkter muscle relax and I will start to drip like a leaky faucet.  This really puts a damper on sex because now I have to put towels on the bed and be careful no to drip on my partner. My uro says if you ejeculate urine into your partner not to worry because urine is steril and it can't hurt her.  Just try telling that to a woman!

Some people suggest using a condom, but then I loose all stimulation and there goes the erection.  The only thing I have found that helps is using the position with the woman on top. In that way gravity keeps the urine from dripping and from ejeculating.  Also ddrink a lot of water an hour or so before sex helps dilute the urine thus reducing odor. 

 

Never had the urine issue, but can see how that would be frustrating. I got use real quick to the "dry" ejaculations. I get a good amount of pre-semen from the cowpen's gland, so it's almost like before, in a sense.

The big "O" for me, is so much more intense and longer lasting than anything I experienced in Pre-PC days, I am at the point, where I like this much better, and no mess or restrictions to deal with.

Good luck on that

David in SC

Try having sex without having an orgasm.  If the whole urine thing is a distraction, you may find that sex is more enjoyable for everyone if you take that distraction off the table.

My post surgery orgasms haven't been great.  They were so disappointing I quit going for them because the tradeoff for my libido leaving the room was no longer worth it.

It works for me.

I think you've gotten your answers, but thought I'd throw in my experience. I've had only one REALLY intense orgasm post-op (4 mos now), and it was while standing. I noticed that I had some extra pressure in the area where the prostate used to be (internal muscles bearing down--kegel style). Apparently I was "tweaking" some sensitive tissue left over next to where the prostate was. That particular orgasm was also wet. Urine ejaculated in spurts, just like a pre-op orgasm.

Since then, I've usually been sure to empty my bladder twice, if I don't want to deal with urine. I should note that I'm still slightly incontinent (2-3 pads/day). My Uro told me it's common for most men to retain urine after a single trip to the toilet. I found I usually retain at least another 5-15 ccs. I can get rid of most of that by waiting about 2 mins after going the first time and trying again. Since then, my orgasms are almost always completely dry, particularly if I'm on my back and depending on how long the "act" took (if I was actually making more urine in the meantime). (Being on your back should cause the least strain on the bladder and therefore the external urinary sphincter, as well.... I'm pretty sure "gut size" also has some bearing on the physics here, as well as overall core strength).

I will note that in my case I am certain there is some left over enervated tissue remaining after the prostatectomy. I'm 100% ED right now. I was able to achieve stronger orgasms pre-op by repeatedly/rhythmically bearing down around the prostate area with muscles (kegel), prior to orgasm... also using those muscle to stave off orgasm, if I wanted to prolong sex. I've noted that on occasion, post-op, I have been able to have a similar sensation be rhythmically contracting the pelvic floor muscles in that area. It increases the intensity of the orgasm considerably. I'm about 40% right now on whether I get ANY of those intense, uncontrollable internal contractions at orgasm. They happen way more frequently however if I concentrate on this rhythmic floor muscle activity. Otherwise, the orgasm/contractions seem to be much more externally focused... tending to involve only or mostly the penis (with maybe very weak or almost non-existent contractions internally).

AGAIN, THANKS EVERYBODY FOR YOUR COMMENTS. I JUST TURNED 72, AND LOVE SEX AS MUCH AS I EVER DID. I HAD THE PROSTATECTOMY WHEN I WAS 58. KAGELING WAS A BIG HELP IN RECOVERING MY ERECTION CAPABILITY. SOMETIMES WHEN I JUST CAN'T SEEM TO "GET OFF," DURING INTERCOURSE, I WILL USE A VIBRATOR, AND WHEN I CUM USING THE VIBRATOR, I SHOOT LIKE I WAS 18 YEARS OLD AGAIN.

I went 4 years with this problem after RRP.  It became even worse after salvage radiation.  I finally opted for an Artificial Urinary Sphincter. No more urine during sex at all.  Not even during orgasm.  Works like a charm for me.  Kind of gave me my life back.  I would try everything first (kegels, etc.) before making any decisions.

I'm nearly 2 yr post-op followed by RT and HT. I still have some urine dribble but mostly before now when i'm getting excited. Early on i would spurt some during orgasm. But that has faded. Thankfully it doesnt bother my girlfriend. (One of many reasons she's a keeper)

When i had my RP the surgeon had to take about half the nerve bundle on each side, but i also had a bilateral nerve graft performed that day as well. My urologist,Catalona, wasnt sold on grafts but he does have a plastic surgeon he teams up with to do that if a patient makes that request. That doc, Dr Kim, was studying in Texas when these grafts were being pioneered about 10-12 years ago and he performs them occasionally. He told me that there are no guarantees if it works it would take about 18 months to see results. When i had to have RT i didnt hold out any expectations, figuring the grafts and remaining nerves were fried, but at 20 months i started seeing some response. There is still some slow improvement and now I'm at about 80% or so, and a decent amount of that is possible on a good day even without pills.

Jazzman, if you're talking about the nerve graft, it's anything but common. I'd wager a number of urologists aren't even aware of it, or maybe only in passing from medical literature and they likely discount it as unproven. Before I had my surgery it occurred to me that nerve grafts can be done elsewhere on the body, so why not here? I started doing a little digging and about the time I decided to drive to Chicago for Catalona to do the cutting, I asked him if it was possible to have a graft. He mentioned that he isn't convinced of the effectiveness, but there is a doctor he collaborates with who can do that when requested. As I understand it, the graft doesn't transmit signals, it just serves as a bridge for the fibers to regrow. Keep in mind that the original nerves are an array of tiny hair-like fibers spanned out on each side of the prostate, while a graft is a single, thicker fiber. I have no idea how he made the connection, but apparently it is possible. It spans a gap of about 3" on each side. My graft was taken from the sural nerve on the side of my left foot. Since I needed a bilateral graft, he took about 6" from my foot and since he had to take that much, most likely I'll always have a loss of sensation there. For me, it's well worth that price. The nurses didn't seem to quite know what to make of me during post-op recovery. You're supposed to have patients walk almost immediately, but I wasn't supposed to put any weight on my foot. One of them brought me a walker but it was built for someone about a foot shorter than me, so I had to request a pair of crutches for me to hobble around. IIRC, at the time of my surgery, during a span of about 10 years Dr Kim had done a few dozen grafts during prostate surgery, with only about 5 prior to me needing a bilateral graft. Considering that I had radiation afterwards, I can't help but think that my choice of finding a facility with a RapidArc machine helped deliver the treatment accurately enough that my nerves have survived as well as they have. Even before I knew I'd need radiation I knew it was a gamble to try a graft procedure, but I'm glad I did.

Do your best to empty your bladder... If there isn't any urine in your bladder there won't be any during sex... Now if you have difficulty emptying your bladder well all bets are off!
I have no issue with urine during orgasm but I always pee before sex.

It has a fancy name - "climacturia" and is one of the things Uros seldom mention. Restricting fluids, peeing before sex, and a constriction band around the base of the penis may help. It may help if you lay down on your back and don't change position. Or you can just enjoy water sports in imitatio Presidentio - a little urine never hurt anyone.

The Cowper's glands (responsible for pre-cum) may continue to produce a little clear fluid too.

Unfortunately, I suspect that ED meds (like Cialis) may make it worse.