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Self Pleasure good or bad?

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Posted 3/15/2017 11:45 AM (GMT 0)
I am 4 weeks post robotic surgery, incontinence at 2-3 pads a day, not taking any meds, and no erection at this time. As with most at this point sex is not possible. Wife and I engaged in non erect (Self Pleasure) a couple times that does provide me with dry orgasms however for that day and into the day after there is signs of blood in my urine. Should I put this on hold or is the blood just residual from surgery? Any thoughts.
Posted 3/15/2017 12:08 PM (GMT 0)
Do you have pain or discomfort after? How long were you on a catheter? Blood in the urine so soon after surgery is not uncommon and usually not serious. If it were me, I would continue.

Good luck,
Tom
Posted 3/15/2017 12:13 PM (GMT 0)
First of all get it straight, we like to refer to it righteously as "rehab" here, not the hedonistic "self pleasure." If you're gonna be in the club, ya gotta learn the lingo.

Secondly, pills are a key part of successful rehab. Certainly your surgeon prescribed them, right? They aren't just for fun, they serve an important medical function. Why aren't you following doctor orders?

Lastly, you should NOT be having blood in urine 4-weeks post-RP...rehab or no rehab. One week, yes, maybe; 4 weeks, no. I would strongly encourage a call to the surgeon's office to discuss this problem.

Post Edited (JackH) : 3/15/2017 6:26:05 AM (GMT-6)

Posted 3/15/2017 12:23 PM (GMT 0)
My urine is blood free always, it is only after "rehab" that I notice any at all then it is gone. My Dr did not prescribe me with any performance pills. I saw him post op at 10 days to have catheter removed it has now been 4 weeks post op and not scheduled to see him again till the 3 month mark. Note: No pain or discomfort after.
Posted 3/15/2017 12:34 PM (GMT 0)
So when you say "always," you mean "almost always."

Call. He may want you to come in earlier than your next scheduled appointment. Four weeks after surgery, blood = bad.

No perscription? I'm absolutely baffled. There's gotta be some explanation for this...either related to you, or the urologist. This is, otherwise, largely unheard of.

Seeing your signature info makes me wonder if it's related to your doc? Did he talk you into aggressively treating your very low risk case? Most today are not recommending aggressive treatment unless and until things progress to the stage that treatment is needed and potentially beneficial...unless they've got a kid to send to college.

Post Edited (JackH) : 3/15/2017 6:55:41 AM (GMT-6)

Posted 3/15/2017 1:09 PM (GMT 0)
Blood, a month after surgery, isn't what you want. (It tells me, as a patient, something isn't healed). Think you can take it easy 'till you hear from him? Give your doc a call and ask him what's goin' on.

You wanna rehab but not at the expense of aggravating whatever's bleeding. you may have to use a bit of discipline for a bit? Ask him. about the pills too
Posted 3/15/2017 2:28 PM (GMT 0)
Rehab is important, but proceed at your own pace. Sounds like that's what you're doing, but the blood in the urine might indicate something. Perhaps you just need to give it a rest for a little while before trying again.

As others have said, the use of ED drugs post surgery is commonly prescribed. I'd say it is an accepted standard in the urological world. Ask you doctor, and if you meet resistance, then change doctors.
Posted 3/15/2017 2:32 PM (GMT 0)
JackH -
You said
"Seeing your signature info makes me wonder if it's related to your doc? Did he talk you into aggressively treating your very low risk case? Most today are not recommending aggressive treatment unless and until things progress to the stage that treatment is needed and potentially beneficial...unless they've got a kid to send to college."

That's a bit harsh for a new guy who is past the useful point for those comments. Dial it back a bit. Rule 3 looms in your future.
Posted 3/15/2017 2:41 PM (GMT 0)
Something is amiss...
Posted 3/15/2017 2:42 PM (GMT 0)
snoshoe,

First, the time to be thinking of as the healing window would start with the day they removed the cath, as the cath itself can be rough on the bladder.

Even with nerve-sparing surgery, it can take weeks or months to see "life" down there.

That said, you should be staying in touch with your surgeon for ANY questions you have. ASK about rehab meds. Your insurance may balk at first (as mine did, denying them outright), but my pharmacist used a logic they could not refuse - because I had no issues before surgery, and the insurance company paid for the surgery, they should cover the side effects of the surgery. It worked.
Posted 3/15/2017 4:13 PM (GMT 0)
JackH -- that ship done sailed. give it a rest.

ed
Posted 3/15/2017 4:14 PM (GMT 0)
I continue to wish there were some way to "Like" a comment here on HW as one can on Facebook. Since we cannot, I was glad to see 142's comment suggesting dialing it back a bit.

My comment to Snoshoe is this: congratulations on doing what you deemed necessary and appropriate to deal with your diagnosis of prostate cancer. That being said, it would be a good idea to call your uro/surgeon and tell him or her you would like to try rehab with Cialis or one of the other ED drugs, and that you want some reassurance in regard to the blood in your urine.

I was shocked months after my surgery when I looked in the bowl after a BM and saw that I had urinated some really bloody urine. A call to my uro resulted in an office visit that same day, a cystoscopy, and an analysis of the urine to look for abnormalities. The diagnosis was that I perhaps had passed a small kidney stone. I felt much better knowing that, and the problem hasn't recurred.

Some on this forum work AS into every response and take a dim view of anyone who seeks treatment over low volume Gleason 6. I'm lukewarm to that position at best. I talked my own brother into a year of AS with his low-volume Gleason 6 biopsy results, only to have surgery year later reveal Gleason 7 with cancer at the margin and a somewhat worrisome prognosis. You made a personal decision, and I'm sure you had legitimate reasons. We all can second guess our choices (I know I can...maybe I should have opted for radiation?) but that's a pointless exercise. Again, congratulations. Now call your uro and keep him or her engaged in your current and future health concerns.
Posted 3/15/2017 4:18 PM (GMT 0)

clocknut said...


Some on this forum work AS into every response...


You came back for...this?




Most people want the truth, not "alternative facts" which pander to fantasies. Your desperation is showing; let it go.

Post Edited (JackH) : 3/15/2017 12:24:52 PM (GMT-6)

Posted 3/15/2017 5:00 PM (GMT 0)
The threader has some responsibility in the brouhaha...the thread title was intentionally meant to provoke...tease...bait and switch...from "self pleasure" to having sex relations with his partner...The threader maybe new...but the snow has already started to melt and lose any "purity" it may have had in the first place...newbies...are not babies fresh from the womb...far from it...lets be real here... imo... the fact that he parenthised {selfpleasure}in the text was no accident he knows the difference and in effect owned the title as being misleading
Posted 3/15/2017 6:49 PM (GMT 0)
Snoshoe..... WELCOME to the club !! .......I don`t have any answers ....I`m still dealing with my own ED( thought it was ending , but just a flash in the pan).....anyway , sorry to hear of your problems . Hopefully there will be some more post of "useful" information for you ......David
Posted 3/15/2017 7:35 PM (GMT 0)
Fl drifter...did not mean to dis-please you...or for that matter to please you...trust me...you exist...

so now it least...we know what sarcasm is...ne's cest pas? boo who!
Posted 3/15/2017 9:27 PM (GMT 0)
Snoshoe,

When you call your doctor one of the options you will probably be offered is to speak to his nurse. That's usually what you want to do with issues such as yours. The nurse can tell you the rules for when you should worry about things and when it is something you just have to put up with for a while. The nurse can also leave a note on the doctor's desk for more difficult questions. So, call your doctor's office and ask about your little bit of bleeding. Also ask when you should start with pills as part of your "rehab".

Now that I have the whole "call your doctor" thing out of the way I will offer a few discouraging facts to encourage you. First, the sutures used to sew your urethra back onto your bladder take a while to be absorbed and until they are completely gone it's not that unusual to see a few drops of blood leak out at a stitch when it is tugged or jostled. That's probably what you are seeing. But call you doctor.

Also, like I said you should ask you doctor when you should add some sort of pills to your rehab -- Viagra, Cialis, Levitra, etc.. Four weeks is a little bit early, I think. But six weeks is about right so pretty soon now. The important thing is not to expect them to work very well at first. Often ED problems get worse and worse for the first two or three months after surgery. The nerves are annoyed by the surgery and they tend to spend several months sulking before they start to recover. Try to manage your expectations about what to expect with the first few pills. It may take a while.
Posted 3/15/2017 9:38 PM (GMT 0)
Pleasure is good, whether "self" or otherwise.
Posted 3/15/2017 10:57 PM (GMT 0)
I like "rehab" . Makes us Catholics feel less guilty. Sigh
Bob
Posted 3/16/2017 1:39 AM (GMT 0)
JackH,
I also was not prescribed ED meds until 10weeks post op. Had my RP on November 2nd and started Cialis on January 10, 2017. It was prescribed when I asked for something for penile rehabilitation. My urologist surgeon and his practice does not penile rehab protocol in place. From my experience with him, he did not show much interest in the surgery aftermath.
MK
Posted 3/16/2017 10:40 AM (GMT 0)
2 points here:

1) "perineural invasion" was present. Question - were the nerves then removed during surgery? If so, his ED will be mucho worse.

2) You have about 6 weeks after surgery until you need to use a pump daily or start to accumulate scar tissue where you do not want scar tissue.


(Parenthetically "a year of AS with his low-volume Gleason 6 biopsy results, only to have surgery year later reveal Gleason 7 with cancer at the margin and a somewhat worrisome prognosis." Me too....been there, done that. sad )
Posted 3/16/2017 5:18 PM (GMT 0)
Snoshoe, are you still hanging around? I probably wouldn't be coming back if my first post produced results criticizing my decision-making and accusing my doctor of performing a needless surgery to send his kid to college. How JackH's comments are not roundly condemned on this supposedly patient-support forum are a mystery to me and, frankly, probably the main reason I seldom post here any longer.

Did you call your doc?
Posted 3/16/2017 7:01 PM (GMT 0)
If I was a Gleason 2-2 and they said Cancer, I still would have it taken out. To me waiting its like teasing a caged Lion. Some are fine with that approach and in many cases its a better way, but no question, I would have done what he did. Good Luck to him!
Posted 3/16/2017 8:26 PM (GMT 0)
My surgeon said "Don't even look at it for 6 weeks". He just completed his 10,000 Da Vinci surgery 3 weeks ago, more than any other doctor in the world.

You just had major plumbing surgery, let it heal first.

Bill from Florida cool
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