Maintaining A Healthy Sexual Quality Of Life After RadicalProstatectomy

Literature about effects of a radical prostatectomy on male sexuality
generally emphasizes erectile function. Since an erection is
anatomically obvious, its strength relatively easy to measure, and is
pretty much functionally necessary for penetrative sexual intercourse,
it is not surprising that genital vascular engorgement and ability to
remain erect long enough to consummate the desired act would be common
outcome measurements for degree of sexual health following prostate
removal.

Many writers emphasize that orgasms are possible without ejaculation,
or even without an erection. In The Sexual Male: Problems and
Solutions, Richard Milsten and Julian Slowinski (Norton & Co., 1999)
state, "Orgasm and ejaculation are so closely related that men tend to
use the term 'orgasm' to describe the overall experience and
sensation, although the two can be desynchronized (i.e., there can be
ejaculation without orgasm and orgasm without ejaculation)."

Because the seminal vesicles are typically removed along with the
prostate, and because the prostate is involved with the distribution
of semen, men who have had their prostates removed do not ejaculate,
but can still experience pleasurable orgasms.

Usually omitted from discussion, however, is the qualitative
difference in the nature, or feeling, of orgasms that occur following
surgery.

* * *

Complete article is posted at http://prostate.bounceme.net/?q=qol
Post-Prostate Rehab Support: Information and Peer Support for Prostate
Cancer Survivors

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"PCa Rehab" <pca.rehab@gmail.com> wrote in message
news:916953ac-0152-41bd-8323-46ef7618853f@e24g2000vbe.googlegroups.com...

: Literature about effects of a radical prostatectomy on male sexuality
: generally emphasizes erectile function. Since an erection is
: anatomically obvious, its strength relatively easy to measure, and is
: pretty much functionally necessary for penetrative sexual intercourse,
: it is not surprising that genital vascular engorgement and ability to
: remain erect long enough to consummate the desired act would be common
: outcome measurements for degree of sexual health following prostate
: removal.
:
: Many writers emphasize that orgasms are possible without ejaculation,
: or even without an erection. In The Sexual Male: Problems and
: Solutions, Richard Milsten and Julian Slowinski (Norton & Co., 1999)
: state, "Orgasm and ejaculation are so closely related that men tend to
: use the term 'orgasm' to describe the overall experience and
: sensation, although the two can be desynchronized (i.e., there can be
: ejaculation without orgasm and orgasm without ejaculation)."
:
: Because the seminal vesicles are typically removed along with the
: prostate, and because the prostate is involved with the distribution
: of semen, men who have had their prostates removed do not ejaculate,
: but can still experience pleasurable orgasms.

It's been a long time since we discussed herein the possibilities of sex
after prostate termination. I did not click on the hypertext (I never do),
but it should be noted for those recently diagnosed that the above
paragraphs appear to be true and accurate.


--
PSA 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 PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32 PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA .07 .05 .06 .09 .08 .132 .145 PSAD 1.4 years
Casodex added daily 07/06
PSA undetectable since, < 0.04 on 10/09/08
Illegitimati non carborundum

> "PCa Rehab" <pca.rehab@gmail.com> wrote in message
> men who have had their prostates removed do not ejaculate,

Many, maybe most, of us not only ejaculate, but ejaculate greater
quantity than we did 40 years ago. OK, it's urine, but who's looking,
and the extra quantity often enhances the experience.

I.P.

On Thu, 28 May 2009 13:42:44 -0700, "I.P. Freely"
<fuhgheddaboutit@noway.nohow> wrote:

>
>> "PCa Rehab" <pca.rehab@gmail.com> wrote in message
>> men who have had their prostates removed do not ejaculate,
>
>Many, maybe most, of us not only ejaculate, but ejaculate greater
>quantity than we did 40 years ago. OK, it's urine, but who's looking,
>and the extra quantity often enhances the experience.
>
Unless you have blowback (like me)

-Please reply to group as my email addr is fake!

-Regards CC