 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate Cancer / September 2006degraded intensity of orgasm after robotic surgery?
an acquaintenance revealed that his intensity of orgasm degraded and caused him problems after conventional open surgery to remove his prostate. this occured a number of years ago, before robotic surgery was available. is this to be expected today as a possible se of robotic surgery? gary On September 11, gary: > an acquaintenance revealed that his intensity of orgasm degraded and > caused him problems after conventional open surgery to remove his > prostate. this occured a number of years ago, before robotic surgery > was available. > is this to be expected today as a possible se of robotic surgery? > Others have reported that their orgasms are *better* As I have said to Gary elsewhere: "Understandably, Gary is seeking certainty. But there is no such thing when dealing with PCa, except the certainty that it will not get better if left untreated. And the certainty that all txs have SEs. One of the choices the patient (pt) must make is which SEs are least objectionable. And even then, he cannot be certain that all or any of the SEs on the list will be experienced *by him* and to what degree." Sorry, but there are no certainties. There are only two choices: 1. Submit to the medic's choices, or 2. Study, Learn, Take Charge! It is hard, but there is no other choice. Regards, Steve J "Empowerment: taking responsibility for and authority over one's own outcomes based on education and knowledge of the consequences and contingencies involved in one's own decisions. This focus provides the uplifting energy that can sustain in the face of crisis." --Donna Pogliano, co-author of _A Primer on Prostate Cancer_, subtitled "The Empowered Patient's Guide." > gary i have just returned from a prostate support group meeting and asked this same question and got the same response from 3 others that had the conventional open surgery that their intensity of orgasam has degraded. it doesn't feel the same. are there any other post surgery participants that can help by responding to my question? gary > On > September 11, gary: [quoted text clipped - 36 lines] > > > gary > i have just returned from a prostate support group meeting and asked > this same question and got the same response from 3 others that had the > conventional open surgery that their intensity of orgasam has degraded. > it doesn't feel the same. are there any other post surgery > participants that can help by responding to my question? I found this to be the case after surgery, but with time, the intensity of orgasms has been increasing. This is true even after 5 years. Also, since the intensity of orgasms probably decreases with age anyway, it is sometimes hard to separate out causes. One important factor for some men is that ejaculation is a strong indication of having reached climax and without it a man's response may be confused. Also, worrying about whether or not one can maintain an erection can certainly dampen one's response. As urologists like to point out, orgasm occurs in the brain, so a certain amount of 'recalibration' may be necessary. In any case, for me at least, the whole experience is well worth the effort, and that has been true since the beginning, so I am not complaining. > gary > [quoted text clipped - 39 lines] >> >>>gary > i have just returned from a prostate support group meeting and asked > this same question and got the same response from 3 others that had the > conventional open surgery that their intensity of orgasam has degraded. > it doesn't feel the same. are there any other post surgery > participants that can help by responding to my question? My RRP was about 22 months ago, and I'd say my orgasm intensity is increased compared to pre-op. But there are four factors that fuzz up the picture: 1. Because it takes longer with my impaired erections, I probably reach a higher state of overall arousal. 2. I often squirt a hefty dose of urine even though I empty my bladder ahead of time, which adds to the intensity of orgasm -- and renders much of my fun to the bathtub. Does anyone know where I can find an anatomically correct rubber ducky? '-) 3. Because I get essentially ZERO erection lying down, my sex, such as it is, is sitting up now. This pretty much precludes the involvement of all the muscles I used to employ when lying down, especially my thighs. 4. But maybe the bottom line is that I breathe harder now with climax than I ever did before. I'd guess that says my orgasms are more intense, which is my overall impression. I.P. i am interpreting the responses to my question so far that the orgasm intensity degrades after surgery due to psychological reasons. could there be any physiological causes such as a drop in testosterone? is the intensity of the orgasm purely based in the brain? if so, then it seems that working with a psychotherapist should make a big improvement. has anyone worked on this that can give me some experience info or facts? gary > > i have just returned from a prostate support group meeting and asked > > this same question and got the same response from 3 others that had the [quoted text clipped - 19 lines] > > I.P. > i am interpreting the responses to my question so far that the orgasm > intensity degrades after surgery due to psychological reasons. could > there be any physiological causes such as a drop in testosterone? I don't believe there is normally any drop in testosterone following surgery, but I can't quote any studies on the subject. In my case, my urologist assured me there was no change in testosterone levels. > is > the intensity of the orgasm purely based in the brain? The orgasm takes place in the brain, but clearly the anatomy must have some effect. It has got to feel somewhat different without ejaculation from a prostate and with it, for example. I doubt if you can separate the brain from the rest of the body in this respect. > if so, then it > seems that working with a psychotherapist should make a big > improvement. has anyone worked on this that can give me some > experience info or facts? I doubt if a general psychotherapist could help much, but one who specializes in treating sexual problems might. But time and experimentation might do just as well. If depression is diagnosed, one might try antidepressant drugs, but unfortunately one side effect of such drugs is decreased sexual desire. Still, in extreme cases lifting the depression might do more good than damping libido from the drug does harm. > gary |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.