It is a bleak thought for most people when they consider life after prostatectomy. No longer much of a secret at this time, most men in the United States are fully aware that their sexual life is compromised by the surgical procedure to remove the prostate gland, during which the nerves that control erection are damaged in some way, most times irreparably. A concern that they generally have also is if they would ever again be able to father a child…
For the record, after a radical prostatectomy, the entire prostate is gone, meaning that no more prostate fluid is being produced. The prostate fluid is the substance produced by this organ which makes up most of the liquid part of the semen that is discharged during sexual orgasm. The sensory neurons in the region are still intact, as a matter of fact, so that penile sensation has not gone anywhere; contrary to certain popular beliefs, the ability to achieve an orgasm has not gone anywhere either. What has suffered is the ability to achieve an erection, and yes, painfully the ability to ejaculate. With the prostate fluid out of the way, there isn’t much to carry the sperm on their way out from the testicles – if the testicles are still in position and not removed for some form of hormonal therapy…
Post prostate cancer surgery orgasms, according to reports by those who have experienced it – and still are experiencing it – are some of the most intense experiences that a man may ever go through. The strength and concentration of the experience may fade with frequency after the first occurrence, but they generally seem to remain a lot more forceful than previous ones before the operation, if reports are to be believed.
Most men certainly desire the pleasure of the seeing the creamy white ejaculate springing out of the penis at the time that they orgasm, but that is not likely to be. There of course is the lubrication fluid from the cowper’s glands that generally comes before the act of sexual intercourse, and may in certain cases be sustained through to the end of the copulation, but it generally is nowhere near the quality of good old fashioned semen.
In order to achieve an erection in this phase of a man’s life, he may have to rely heavily on little blue pills Viagra, of Levitra, or Cialis. VED vacuum pumps also help a great deal, although they will have to be helped by a cord to band tied around the base of the penis to keep the blood from flowing back out. Otherwise, the man may go with the penile injections option to achieve a semblance of potency. But as for the ejaculate at orgasm, if it is prolonged or anything of that sort, it is likely just urine from the bladder.
One of the most debilitating side effects of prostate cancer treatment such as surgery is the loss of the ability to achieve an erection, which most patients suffer during the course of therapy. It is because of the proximity of the nerves that control erection in males to the prostate gland, being so close that it is hardly possibly to touch one without touching the other. Particularly in prostate cancer surgery, irreparable damage can be done to these nerves such that erection may become impossible.
Perhaps the most frustrating reality of it all is the fact that penile sensation and the ability to achieve orgasm remain intact and only ejaculation and erectile functions are impaired. To deal with this complication, various efforts are contemplated and attempted.
The use of Viagra, for instance, generally returns some semblance of potency; the use of VED vacuum pumps is gaining popularity even though a lot of people think it is a lot of trouble to expect one’s partner to have to deal with; and the use of injections into the side of the penis is a third option that a lot of men aren’t too excited about.
Electric stimulation for impotence after prostate surgery is a fourth effort that folks contemplate as a remedy after damage done to the blood vessels and nerves controlling erection after a radical prostatectomy. It is however done mostly in the process of the surgery as part of a nerve sparring procedure, more than as an effort used in the treatment of correction of the problem once it has occurred.
For prostatectomy nerve-sparing surgery, the surgeon applies a mild electrical stimulation near the Cavernous nerves of the penis to verify their locations and avoid operative trauma. Damage to these elusive but critical nerves causes the erectile dysfunction outcomes that everyone is so concerned about.
By the time the procedure is complete (at the end of the radical prostatectomy), the electrical stimulation penile plethysmograph result is a prognostic element then, which helps to manage the erectile function outcomes earlier than the many months required for recovery.
Some vacuum pumps make use of electrical power and may sometimes be construed as electric stimulation for impotence after prostate surgery. However, according to one Dr. Karen Pape, two further different types of electric stimulation may be used to help rehabilitate the muscles of the penis in the wake of the damage done to its nerves by the surgery.
One of these procedures is threshold electrical stimulation (TES), and the other is neuromuscular electrical stimulation (NMES). The procedure is described online on her personal page, where her ebook may also be obtained.
Prostate Cancer Surgery and Orgasm – Is It Still Possible To Have Sex And Achieve Orgasm After Surgery?
The answer to the above question is an emphatic “yes!” it is totally possible to achieve an orgasm after a prostate cancer surgery. A radical prostatectomy may do a lot of harm to a man, many things he could consider against his choice to go ahead with the treatment and sometimes wonder if he made the right one. However, in spite of all of that, penile sensation remains intact after the procedure, as does the ability to achieve a healthy orgasm.
It has been seen in fact that orgasm after a prostate cancer surgery could hardly have been any more intense when all was well before the prostatectomy. One man in fact said that he was afraid he could have done some serious harm to himself when he had and orgasm only a few months after the surgery had been completed…
No, what happens to the man’s sexual function and performance after a prostate surgery is an impairment of his ability to ejaculate or achieve an erection. Professionals call it erectile dysfunction or impotence. It occurs when the body is unable to draw blood into the penis, perhaps due to some psychological impairment, or some damage to the nerves that control erection. With respect to prostatectomy for prostate cancer, the problem is the nerves that control erection.
Anatomically, they are so close to the prostate gland that they are hard to pry apart. The said nerves run along the side of the organ and make it difficult for a surgeon to reach the gland without doing some kind of damage.
With never sparring it is better, but if the tumor is too close to the nerves, nothing can be done – not if the procedure is meant to get rid of the entire tumor and leave no pieces behind. A surgical robot also tries to make it easier in some way, but even with that it’s still almost impossible to not compromise the nerves.
Several men after the procedure take time to get back on their feet and watch their faculties return. Control of their bladder fluid and gas from a bloated stomach is passed out, and very soon, they can move around as easily as ever before, certain that for a while at least they can live in peace that the cancer is not coming back.
But as for sex, they may be needing help from the little blue pill (Viagra) or a VED pump in order to achieve an erection. An injection to the side of the penis should work too, making the penis large enough for entry and intercourse.
As for the ability to achieve orgasm, that remains intact; what the man should worry about is if he can achieve an erection unaided or ejaculate ever again.