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Medical Forum / Diseases and Disorders / Prostate Cancer / June 2005question about post RP orgasms
When I delurked under a separate heading I noted I had a couple of questions. This is the first. A rather delicate subject but if this disease does one thing it is to remove inhibitions about discussing bodily functions. Anyhow. When my erectile function started to reappear a few weeks after my RP-i.e. when I started to get an erection, I began to see if I could bring myself to orgasm. When that finally happened, after much trying, I ended spraying urine all over the place. I thought that this was just a one off, but it happened again the second time-an inadvertent golden shower. I have not tried again since the results were so, how should I put it, messy. I have not bothered my urologist with this, since I was taking so much of his time up with other issues and I don't seem him again for 4 weeks. Is this normal? Does it stop? Is there a way to prevent it? I couldn't find any info on this in the literature or on the need. Thanks in advance for any guidance. chris m Because there's no cutoff valve, that will happen unless you completely drain the bladder first, that's all. jimhoney Yep, completely drain yourself just before.. AND, possibly let your mindset get more comfortable with the fact that urine isn't quite as "messy" as we used to think it was... What used to be "yuck" just might have become "Hey, whatta guy!" (pounding on one's chest... lol) Whatever works... Besides, it's the only thing that's going to be coming out of old Charley ever again - we might want to learn to enjoy it. (I'm real envious over your erections so soon after RP, though... I'd kill for a natural hardon and it's been over 6 months for me... However, I understand that we all recover at different times.) Paul Age: 63 10/04: PSA = 10.4, T1C, Gleason 7 (“in a few samples”) 11/04: RP “looks like we got it” - sparing one and a half bundles of nerves 05/05: PSA = less than 0.1 05/24/05: Good bladder control - no erections (yet) - soreness “inside” belly finally subsided for the most part - but, still sore to the touch along the incision > Yep, completely drain yourself just before.. > > (I'm real envious over your erections so soon after RP, though... I'd > kill > for a natural hardon and it's been over 6 months for me... Do yer sex thing, whether solo or duet, sitting up. Adds a lot of size and firmness to the task. And I find that draining my bladder just lessens, but by no way stops, the urine squirts. I.P. > When I delurked under a separate heading I noted I had a couple of > questions. This is the first. A rather delicate subject but if this [quoted text clipped - 10 lines] > > Is this normal? Does it stop? Is there a way to prevent it? It is quite normal. It does help if you empty your bladder first. Also, it does improve with time for most men, I believe. It certainly did in my case. This issue is discussed in several places, including, if I remember correctly, Walsh's book. Walsh and other urologists, including mine, point out that unless you have a bladder infection, fresh urine is sterile. They used to use it on the battlefield to cleanse wounds. So aside from any mental associations it, there is no particular reason to be concerned about it during sex. Also, although in a man with a prostate, during and erection the bladder is more or less shut off from the pathway, nothing is foolproof. It would be amazing if during a long history of sexual relations, some urine weren't mixed with your semen. If I were you, I would definitely talk to my urologist about it. It certainly shouldn't be a reason for avoiding sex. > I couldn't find any info on this in the literature or on the need. > > Thanks in advance for any guidance. > > chris m > Is this normal? Yep. Does it stop? Nope. Is there a way to prevent it? Nope. You just block it with a towel. > I couldn't find any info on this in the literature It's in the books. I.P. > Is this normal? > Yep. Mega dittos. >> Does it stop? > Nope. Yep, it can stop. >> Is there a way to prevent it? > Nope. You just block it with a towel. Yep. Empty your bladder and firm and tighten the sphincter muscles. One can have an orgasm and still keep those muscles tightened down on the urethra so that any urine in the bladder doesn't come out. Not everyone who has had treatment for prostate cancer ejaculates or loses urine when they orgasm. I have had a couple of orgasms and I wouldn't say my bladder was completly empty and I didn't spray or leak. I was a little nervous about the first one because I expected to leak or spray and didn't. OCL I haven't reseached the topic that deeply, but I wouldn't WANT to stifle an orgasm any more than I would a sneeze, a belch, or a good backwoods fart on a hunting trip. I want every muscle I can train, from my knees to my abs, to get involved in every convulsion, and I do NOT want to reduce an orgasm to a technical procedure. Squirting whatever's available through the center of the system adds to both partners' sensation, up to the point that it gets too messy. It's NOT like urinating; it's like an orgasm that produces ounces, rather than ccs, of semen. I'm gonna drain my bladder thoroughly ahead of time, and from that point on I'm takin' the E ride. Hoo, hah! I.P. >>> Is there a way to prevent it? > [quoted text clipped - 13 lines] > a little nervous about the first one because > I expected to leak or spray and didn't. >I haven't reseached the topic that deeply, but I wouldn't WANT to stifle an >orgasm any more than I would a sneeze, a belch, or a good backwoods fart on [quoted text clipped - 5 lines] >ounces, rather than ccs, of semen. I'm gonna drain my bladder thoroughly >ahead of time, and from that point on I'm takin' the E ride. Hoo, hah! I.P. I hear you. And I can see why what I wrote could be understood to suggest that I was talking about somehow contracting your urinary sphincters during an orgasm - and that dog just won't hunt! No man is going to be able to do that. But, what I'm saying is that with time the sphincter muscles will retain their tautness without conscious control even during orgasm. There does seem to be at least an anecdotal correlation between continence and retaining urine during orgasm. I'm only suggesting that the stronger those muscles, the better their tone, the better you handle ordinary continence then the better the chances that you will not squirt or leak during an orgasm. Of course I could be all wet..... so to speak ;-) OCL Chris M, Same for me. Pee first. It went away by about 3 months. Steve U My RRP was 12/1/04, with nerves spared on one side. Had the same problem for some time. Then, magically, I noticed it had virtually stopped, with only an occasional surprise. Shortly after this, my incontinence improved dramatically to only using 1 pad in 24 hours. That was about 4.5 months post-op. Still no erections, even with ED meds. Chris, It is normal. I think it disappears in most cases. I know it did in mine. Basically, my ejaculation of urine subsided in proportion to my incontinence.  SignaturePSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05 PSA .07 .05 .06 .05 non Illegitimi carborundum > When I delurked under a separate heading I noted I had a couple of > questions. This is the first. A rather delicate subject but if this [quoted text clipped - 16 lines] > > chris m We're talking about urinating during sex, not normal incontinence. I'm almost 3 years post RP. I am totally dry. I get erections and have sex, but although I still cannot get a visually caused erection, I will suddenly pee when I see or think about something sexy. I need to empty my bladder right before sex, but will need to do it again during just to make sure. It's a real annoyance, but it eventually works and stays dry until we are done. I don't think this will ever improve, but who knows? SignatureJK Sinrod Sinrod Stained Glass Studios www.sinrodstudios.com Coney Island Memories www.sinrodstudios.com/coneymemories Hi Chris, Be glad you're getting erections and don't worry about spraying. Just be sure you empty your bladder fully before you go for the orgasm and everything should be o.k. After all, you can't spray much if there isn't anything in there to spray. Bill RRP 1998 > When I delurked under a separate heading I noted I had a couple of > questions. This is the first. A rather delicate subject but if this [quoted text clipped - 16 lines] > > chris m Never ever thought I would suggest this to anyone in this newsgroup but, well ... I suppose you COULD try using a condom. > When I delurked under a separate heading I noted I had a couple of > questions. This is the first. A rather delicate subject but if this [quoted text clipped - 16 lines] > > chris m |
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