TER General Board

Probably with doctors like Samadi that have done thousands that figure is high. E
Timbow 259 reads
posted

Posted By: Dr. joe
That its true, but the long term results tend to be better with the non surgical approach.  And, iff you have surgery and no longer have control of your urine or can no longer get an erection, that is permanent as well.  Some of the best data I have seen suggest there is a 50% chance of incontinence or impotence or both.And dat on long term results do show a slight edge to non surgical treatment for long term cure

-- Modified on 11/25/2015 12:27:17 AM

SoodoNym1079 reads

Sorry for posting from an alias but when you read you will probably understand the desire for some additional privacy.

Before the end of the year I'll be going in for radical prostatectomy in order to eradicate a recent prostate cancer diagnosis.  I've been doing a lot of reading and studying.  Based upon my age, my doctor, my health there's a very good likelyhood that I will continue to have 'sexual functionality' post-surgery.  The one thing that will definitely no longer exist is the ability to 'blow a load'.  It appears that the ability to reach an orgasm will still be there (though it will be interesting to see how that actually works) but without a prostate there's no fluid to be ejaculated.

I have a question for both sides of the audience:
Men: Have any of you had this surgery and if so what are your experiences with hobbying post-surgery?  If you continued hobbying how did you explain to your provider the lack of a 'big bang' finish, how did they react, etc.?
Ladies" Have you had any experience with men/clients in this situation and what was YOUR experience?

Thanks in advance for any feedback.

Who had that done and they both had significant issues post surgery. The Dr's told them that "performance" issues were largely a thing of the past, but both had issues. The Dr's just said "everyone is different .. Blah,blah, blah" , but both guys had issues with getting wood and one had to wear adult diapers because he kept pissing himself.  Do your research by finding forums online and talking to guys who had the surgery.  Ask them if they felt it was the right thing to do.

LasVegan392 reads

Sounds like you are getting pretty good advice here..........a mentor of mine.........had the surgery and regretted it.  He now wears a bag..........and believes he would have been better off without the surgery.

Of course he had his surgery done several years ago............and overall the results of this surgery may be better now.

Good luck!



-- Modified on 11/24/2015 2:22:48 PM

GaGambler373 reads

You know the one where you had your sense of humor surgically removed.

LasVegan311 reads

kiss up to me..........but I still think you would be better served..........if you reflected BEFORE you clicked the "post message" button.

You do post a lot..........and all too often.........the tone is totally negative...........am guessing you could do better.

Maybe you are a good guy..........and don't mean to be so negative.........but the way you attacked that provider.........and the venom you threw at her..........was truly regrettable.  A true gentleman would never behave that way.

We can have differences of opinion..........but when a hobbyist gangs up on a provider...........that fits into a category all its own.

If you have a difference of opinion with one...........PMs are much more appropriate.

A client in his late 50s early 60s who had undergone a similar procedure, though I don't know how invasive it was. He was completely upfront about it at the beginning of the session, after exchanging pleasantries of course. My experience was exactly the same as with men who have not had this surgery, except for the aforementioned difference.  

Fun times were had by all ;-) !

As with all surgery, get a second opinion. A lot depends on whether the cancer is aggressive or not.
Your performance depends on how extensive the surgery becomes because there are two nerve bundles with the prostate. One is for the erection and the other is for orgasm. You want to keep both if at all possible.  
The leaking urine has to do with kegel exercises and muscle control, you have to practice a lot. These are the muscles that help you stop the pee mid stream.  
Again, ask your Dr. every imaginable question you can think of. Make a list ahead of time.
Keep in mind, it is better to live cancer free than to die of cancer!

Good luck!

I have a couple of friends who had the surgery.  From what they told me it took some experimenting to see what works for them. They can orgasm but both need a pump to get an erection.  They both explained the situation to me beforehand so I knew what to expect.  We usually pause after a litle while to pump up. It seems hard to orgasm w the cock ring on so a different method is needed to finish. The only hiccup I've ran into is knowing exactly what's going on. If your the quiet type, or you don't get more expressive during the finish you have to communicate when you are done.  
I wouldn't worry too much, as long as you tell them any pro should be understanding and willing to work with you.

And it did not turn out well. This was a few years ago. Robotic surgery, state of the art. But....they had a problem. He now wears a diaper and needs to use a med injected with a hypodermic needle into his penis to get hard enough to have sex. He would NEVER have gotten the surgery if he could go back. Like the others, even though you think you know everything, keep looking and get a second and maybe a third opinion. Good luck whatever you decide.

Here's a Men's Health article on it. Cliff Notes: 1/2 the men who had the surgery said life was worse after ... a friend who had it told me to NEVER allow Dr's to talk you into it. I refuse the "finger wave" and PSA tests because Prostate Cancer is a slippery slope. Most men will die with it, NOT from it.

Timbow296 reads

http://www.franktalk.org/phpBB3/viewtopic.php?f=3&t=2492

http://www.medhelp.org/posts/Prostate-Cancer/ejaculation-after-radical-prostatectomy/show/336211

Posted By: SoodoNym
Sorry for posting from an alias but when you read you will probably understand the desire for some additional privacy.  
   
 Before the end of the year I'll be going in for radical prostatectomy in order to eradicate a recent prostate cancer diagnosis.  I've been doing a lot of reading and studying.  Based upon my age, my doctor, my health there's a very good likelyhood that I will continue to have 'sexual functionality' post-surgery.  The one thing that will definitely no longer exist is the ability to 'blow a load'.  It appears that the ability to reach an orgasm will still be there (though it will be interesting to see how that actually works) but without a prostate there's no fluid to be ejaculated.  
   
 I have a question for both sides of the audience:  
 Men: Have any of you had this surgery and if so what are your experiences with hobbying post-surgery?  If you continued hobbying how did you explain to your provider the lack of a 'big bang' finish, how did they react, etc.?  
 Ladies" Have you had any experience with men/clients in this situation and what was YOUR experience?  
   
 Thanks in advance for any feedback.
-- Modified on 11/24/2015 9:02:26 AM

rollaxroll291 reads

From what I have learned and heard from several urologists, prostatectomy will most likely hurt you sexual functionality.  Very likey you will not enjoy your sex life after surgery.  There are exceptions, and how much you can still enjoy your sex life is very hard to predict, and varies from case by case.  Most people who lost their function won't come to this board.  You can only hear from people who still maintain somewhat sex function, and the opinion you get from this board is heavily biased.  If I were you, I will be fully prepared to say farewell to this bobby if I decided to receive the surgery.  Good luck, brother.

Yes, most men die with it than from it, but certain factors come into play, such as,,,,

1. your age, the younger you are diagnosed the more proactive you need to be.

2. How aggressive the cancer is growing.  Mine was aggressive and I was diagnosed mid 50's. I have a friend who had radiation pellets years ago and now at 64, has bladder cancer.

Roll the dice, but be aware of the results.

1. I had prostate Ca 15 or so years ago and after careful research decided to have radioactive seeds implanted.  My prostate shrank to a tiny dot.  I am in my 70s and still have good erections and climax.  I usually have one or two small climaxes and if all goes well one biggie at the end during which small amounts of fluid comes out. I explain all this the first time I am with someone, and there is never a problem.  

2. You might want to research your choice a bit more.  The data show that surgery carries the highest rates of complications including incontinence and the inability to get an erection.  Seeds and combinations of external beam radiation and seeds have cure rates as good if not slightly better than surgery but with fewer complications.  A lot depends on the aggressiveness of your cancer (one indication is the ps level, an other is the Gleeson score.)  
Your age also come into play.  
Feel free to write me if you want to share information.  It is a big decision with life long implications and I have no dog in the fight so can be helpful.
Whatever you do I wish you the best and assure you that most cancers of the prostate are curable.

That its true, but the long term results tend to be better with the non surgical approach.  And, iff you have surgery and no longer have control of your urine or can no longer get an erection, that is permanent as well.  Some of the best data I have seen suggest there is a 50% chance of incontinence or impotence or both.And dat on long term results do show a slight edge to non surgical treatment for long term cure

Timbow260 reads

Posted By: Dr. joe
That its true, but the long term results tend to be better with the non surgical approach.  And, iff you have surgery and no longer have control of your urine or can no longer get an erection, that is permanent as well.  Some of the best data I have seen suggest there is a 50% chance of incontinence or impotence or both.And dat on long term results do show a slight edge to non surgical treatment for long term cure

-- Modified on 11/25/2015 12:27:17 AM

we'll have a fine time :)  

Time, patience and attitude are important. Kind of like body buildng - it won't happen over night but you keep working on it.  

If it seems like it will never happen, then there are other things to do.

I opted for seeding by a doc who had a patented approach with a template and a CT scan machine.  My results are excellent almost 9 years later.  My volume is very small, a few drops or a tiny stream.  But erections are just fine.  The only other side effect relates to urgency of urination.  Previously, when I had to go, I could put it off for an hour or more.  Now it's limited to 15 minutes.

This is one case where the treatment can be worse than the disease.  If your PSA is low (4 or so) or increasing slowly and your Gleason score is low (6 or under), consider watchful waiting.  Some technology--maybe nano--may come along that will have effective treatment without the side effects.

If you have a family history of this, your PSA is high or changing quickly, and your Gleason is 8+, you need to act soon.  

As my doc explained, radical removal works fine IF the cancer is contained within the prostate capsule.  If some stray cells have gotten out, the surgery does NOTHING.  The usual approach with cancer is to remove the tumor and adjacent tissue to be safe.  Given where the prostate is--adjacent to the urethra and rectum--it's impossible to take adjacent tissue.

Best wishes!

And he was chasing ass when he was ninety.  

It's all in the mind.

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