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Medical Forum / Diseases and Disorders / Prostate Cancer / September 2003

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Post prostatectomy embarassment

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Lilly - 27 Sep 2003 13:50 GMT
Maybe someone out there can help with some advise on
contenance/control during sex!
I'm 4 weeks post surgery, using 4-5 pads per day.  What can I expect
to happen regarding control of urine, when I'm able to have
intercourse?  What about oral sex?  What kind of control will I most
liekly have here?  I'm 48yrs. old and I had a the nerve sparing
surgery done at Hopkins.  THANKS !
jimhoney - 27 Sep 2003 16:13 GMT
Hey, another Hopkins veteran!

That's a good question.  The textbook answer is that the urinary tract no
longer has a shutoff valve, and you can't stop the flow when in that
condition.

But I have found that not to be true.  When the Kegels have strengthened the
pelvic floor muscles enough for daily life, they also seem to work well
enough during intercourse.

Anyway, the simplest solution is, be sure the bladder is completely empty
before you get started, and you'll have no problem.

jimhoney

> Maybe someone out there can help with some advise on
> contenance/control during sex!
[quoted text clipped - 3 lines]
> liekly have here?  I'm 48yrs. old and I had a the nerve sparing
> surgery done at Hopkins.  THANKS !
Leonard Evens - 27 Sep 2003 20:31 GMT
> Hey, another Hopkins veteran!
>
[quoted text clipped - 8 lines]
> Anyway, the simplest solution is, be sure the bladder is completely empty
> before you get started, and you'll have no problem.

Let me add to that that urine is sterile if you don't have a bladder
infection and doesn't pose a health problem for your partner.   Chances
are that a small amount of urine was mixed in with the semen in your
previous sexual encounters.   Also, it would not be surprised if your
partner regularly leaked a little urine on you from time to time.

I suggest emptying your bladder beforehand and not worrying about it.
Your partner can take a bath afterwards.   My wife never found it a
problem, and she has been taking a bath afterwards in any case for
years.   If you have a particularly fussy partner, try using a condom.

> jimhoney
>
[quoted text clipped - 5 lines]
>>liekly have here?  I'm 48yrs. old and I had a the nerve sparing
>>surgery done at Hopkins.  THANKS !

Signature

Leonard Evens      len@math.northwestern.edu      847-491-5537
Dept. of Mathematics, Northwestern Univ., Evanston, IL 60208

jk - 27 Sep 2003 22:25 GMT
> Maybe someone out there can help with some advise on
> contenance/control during sex!
[quoted text clipped - 3 lines]
> liekly have here?  I'm 48yrs. old and I had a the nerve sparing
> surgery done at Hopkins.  THANKS !

 One thing at a time. First get as dry as you can. It took me 6 months.
Next try to get erections. It may take longer, or may happen quickly, no way
to tell. I had orgasms regularly even when completely limp. When you can get
erect try penetration. I urinate before..... then go back because as soon as
I get aroused, I may squirt a bit again. Here's the weird part. You may find
it's much easier to get erect standing up, and impossible while lying down
for a long time. You may also find that you don't leak at all lying down,
but do standing up! Somewhere in between with a willing partner, you'll
figure it out.... hopefully. It's been a year and I am dry, get erections,
have sex, and still pee on my wife a bit. Hey.... it's better than having
cancer, right?

Signature

JK Sinrod NY
Sinrod Stained Glass
www.sinrodstudios.com
Coney Island Memories
www.sinrodstudios.com/coneymemories

John Loomis - 28 Sep 2003 02:50 GMT
Takes time,  don't get in a tizzy.  Walk, ........drink lots of
water......Urine and sex.......well, it all comes from the same source, and
shold not cause a problem.
Trust your wife, and or partner.....experiment....Do not use oral sex if pee
is a trouble....
You will finally be continent, and have all the same sex you originally did
have, except for ejacualation.  That is not something to be missed.  You can
have orgasm, and please your mate.
John Loomis
> Maybe someone out there can help with some advise on
> contenance/control during sex!
[quoted text clipped - 3 lines]
> liekly have here?  I'm 48yrs. old and I had a the nerve sparing
> surgery done at Hopkins.  THANKS !
Steve Kramer - 28 Sep 2003 20:04 GMT
You won't have any control during orgasm, much like you have no control of
anything else during orgasm.  The good news is it's non-toxic and
eventually, for some reason, stops after a time.  In my case, it was over a
year and seemed to have no corelation to my continence.

Signature

Steve Kramer
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000
PSA  .1  .1  .1  .3  .4  .8
EBRT 05-07/2002 @ 47
PSA  .3 .2  .2  .2 .3
Erection 05/12/2003 @ 48
HT 07/21&09/04/2003 @ 48

> Maybe someone out there can help with some advise on
> contenance/control during sex!
[quoted text clipped - 3 lines]
> liekly have here?  I'm 48yrs. old and I had a the nerve sparing
> surgery done at Hopkins.  THANKS !
Robert Austin - 29 Sep 2003 03:59 GMT
<Snip>
>Maybe someone out there can help with some advise on
>contenance/control during sex!
>I'm 4 weeks post surgery, using 4-5 pads per day.  What can I expect
>to happen regarding control of urine, when I'm able to have
>intercourse?  What about oral sex?  What kind of control will I most
>liekly have here?
<Snip>

I used a condom until everything had cleared up, and that took several
weeks.  The same method was used after the two rounds of biopsies. It
took what seemed like forever before the ejaculate cleared up after
these.  What a mess!

I'll wager that you will be more at ease and your partner will love
you for respecting her.

If you take this approach you will know when and what to expect.

Bob Austin
 
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