Does anyone have leakage during sex?

[LBbeachbum]

I am 52 had RP 10 months ago. Everything is great. No pads and sex is getting better all the time.

So while having sex or masturbating I sometimes get leakage of urine before orgasm. Is this normal or will get better?

Any insight would be great.

[Tall_Allen]

It's called climacturia. Here are some suggestions for it:

• Restricting fluids for a few hours before sex, especially coffee, tea, Coke, alcohol and fruit juices

• peeing before sex (sit down and rock around or in the shower - whatever it takes to fully empty the bladder)

• a constriction band around the base of the penis (also helps maintain erection)

• lay down on your back and don't change position

• use a condom

• get rubber sheets, and just enjoy water sports

Unfortunately, I suspect that ED meds (like Cialis) may make it worse.

[Currumpaw]

Hey LBbeachbum!

Climacturia! Didn't your uro inform that it was a common side effect after RP? Few uros do!

When a patient experiences climacturia many think there is something "wrong"--and they are correct! The stock answer is that "this usually resolves itself within a year". Should I have added "for most men"? Yes, that is part of the stock answer.

I attended a meeting for men who had or had in the past had and been treated for prostate cancer. The topic was continence. A talk was given by a therapist who had been very helpful in helping some of the men present achieve continence or improve it. The speaker was quite good and covered the subject well except I felt that something significant had been overlooked as the speaker prepared to leave. Climacturia! I mentioned this and the speaker to their credit resumed speaking and informing those in attendance on this "sensitive" subject that for some reason is rarely spoken of.

One man posted his experience on a prostate cancer thread that was quite eye opening when I read it. No one had said anything to me about climacturia being a likely side effect of RP. The fellow that posted his experience had good results with the RP and was continent within a day or so after the catheter was removed. In a week or so he decided to "practice". He stated that when he had orgasm the urine nearly hit the ceiling. His solution was that when having sex, he pulls out just before orgasm and puts a towel over his penis to absorb the urine.

I feel that a part of the discussion about treatments and their side effects such as this should be covered by a uro. The fact is uros specialize in whatever be it RP, radiation, and or brachy therapy.

When therapists avoid or don't include the subject of climacturia when speaking about continence and I see a post such as your post it shows that this is a subject that needs discussion prior to the patient choosing a treatment. This is just how it has been and it needs to change. Get that info out there! How many men have been shocked or concerned thinking that their procedure was faulty? Just what a guy needs--more stress shortly after an operation for cancer that he knows will have life long consequences for his sexual abilities.

The fellow that posted his experience ended his post with this and I paraphrase, "Women don't like to be urinated on. Isn't prostate cancer wonderful".

Does anyone think that a uro should also discuss remedies for incontinence that one can't control such as the AUS 800? It would be a good idea!

In defense of urologists those that work for a group or whatever are watching the clock and many would like to not be in that situation. They are expected to produce income.

Currumpaw

[CHPA]

Not much to add. Just avoid large amounts of liquid for a few hours prior. Also don't forget your pelvic floor exercises. It that doesn't work talk with your doc.

[dadzone43]

"climacturia" is fairly common after this surgery.

[Steve507]

I have had climacturia or peegasms since my RP 18 months ago. If my bladder is somewhat full, I shoot a bit of urine. The peegasms are more intense and pleasurable than the dry ones. With a partner, I try to remember to drain the vein prior. I'm just fine with it.

[LBbeachbum]

Thanks for all the input.

Little more Info. Seems it happens during actual intercourse way before orgasm. All of a sudden the sheets are wet. Kinda almost just like the old days. I don't even realize I'm leaking.

I have been not drinking much liquids before, emptying myself right before, and doing kerala religiously since surgery.

Not sure what else I can do except just deal.

Its definitely little weird for my wife who is a trooper it i still feel bad.

[michael42301]

I got over it, for the most part, after a couple of years. But I mentioned the issue to someone I know, and he said, "That's when you find out who your friends are."