I'm 2 months post robotic-prostatectomy. All went very well regarding surgery as is, my continued recovery. The one thing which I can't understand or work out is masturbation incontinence. 90% now I'm dry, just wearing a small dry pad. Doing my Kegel exercises every day, 3 times a day.
On trying a little gentle masturbation, with only semi erect penis, as soon as I start, I'm constantly leaking a lot of urine, despite emptying my bladder well before I start.. I can virtually soak through a small towel beneath me during the time Im attempting to masturbate. On the masturbation front, I'm still really struggling to get even a semi erection yet, but it's early days I suppose. I'm taking my 5mg of cialis every day as prescribed by my consultant. Ive got my first PSA next week following the surgery.
Any hints or tips guys please on the above problem.
Thanks Neil
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Wakeyguy63
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it’s a problem I dealt with a lot. Even worse when I had an orgasm. I ejaculated urine. Now that I’m doing the ADT I can’t even get aroused so the urine leaking during masturbation is no long a problem . I’m sorry brother I feel you
Thank you so much for your reply. I'm sorry to hear of your continuing fight against this disease. I totally agree, its quality of life that has to count, not filling us full of horrible drugs with foul side effects.
8 years out. Get pretty hard but not enough to penetrate. Leaking with sex has been a consistent problem. Draining bladder and limiting fluids helps a lot. I also found a playmate who enjoys it. Adds some nice spice.
Thank you for the feedback, Wish I could find a mate who enjoys my constant masturbation urine leaking. I find it distressing and annoying whilst constantly being constantly wet will trying to get anything resembling an erection and then trying to masterbate. Hoping it improves with time and exercises.
For me it has gotten much better. I also decided to embrace it. Always have a towel handy. With an orgasm, it does feel like ejaculation which I very much miss. I have embraced and learned to catch that shooting piss…and on occasion plan for it. I also have my playmate who enjoys it and I feed him with abundance.
I'm no way near orgasm yet after just a few weeks since my robotic-prostatectomy, but I'll keep persevering!. For now, I'll remain happy getting semi hard, and leak loads of urine.
Hello, I do have a medical pump thanks. That's working all fine, it's just as soon as I start trying to masturbate I'm just leaking urine constantly despite emptying my bladder and reducing fluid intake beforehand. I can really wet a small towel on each attempt?. Hey Ho!!
This is part of post prostatectomy that the NHS surgeons never tell you about. It does improve as your body heals and Kegels over time will help that. I found that it eased a lot after about a year but I would still suddenly let go during foreplay even though my incontinence otherwise was under control. Unless I had been consuming alcohol, when it would be difficult to get under any sort of control. Brings a whole new meaning to a piss-up eh?
I have accepted it now and just prepare for the occurrence with towels and waterproof mats so as not to soak the bed clothes. As time progresses Neil you will adapt and things like cock rings do help.
I have just made it part of my sexual life now and to be honest I find shooting a stream of urine more satisfying than a dry orgasm. Still miss the feeling of something coming out of the end of my cock. However it does help if you have a partner that does not freak at the sight of urine instead of cum.
Take it slow and just let your body heal and experiment with some of the solutions mentioned here.
Thanks Brian, this information is so helpful. For now, and only a few weeks post robotic-prostatectomy, I'll persevere with a gentle wank, lots of leaking pee. I'm doing Kegel exercises 3 times a day. Pee control on a normal level is getting very good. Just when I try to play with "him", downstairs I'm leaking!!!.
Remember it can take up to two years for your erectile function to return, so if you are getting even a partial erection at just two months you are way ahead of the curve. My understanding is that on average most of us don't start to see any return of function until the 1 year mark. That has been my experience. I am at 1 year and with a snug cockring I can actually get an almost close to normal erection as I get close to orgasm. I am doing all the rehab in addition to intracavernosal injections in the interim, but it was a thrill to see some wood return. I have also started to wake up to erections at night, another sign of some return. Bottom line, just hang in there, mate. It is early.
One option for dealing with urine leakage is a cockring made by Firmtech. One part of it constricts the base of the penis, so not only does it help with erection maintenance it constricts the urethra to help avoid urine leak.
Thank you. Tom. Appreciate the guidance. I'm full aware 7 weeks is not long, so will be patience and let the healing process continue. My partial erection is obviously still only around 20%, but at least it's obvious a few nerves down in that ex, prostate area, must be starting to recover a little. I think it will be as you say, probably at least a year, before I get any kind of decent enough erection, allowing me to dry orgasm. Thanks again.
how long has it been since your surgery? I was the same, leaking and couldn’t get very hard. My urologist said I was not giving myself enough time to heal… I did much better after 6 months.. I now don’t leak as much, only a few drops if I’m tired, and I get relitively hard..
Hello, thank you for the message. Appreciated. It's just 8 weeks since my robotic-prostatectomy 5th February.
I'm not expecting too much yet to be honest. I'm trying not to be impatient.
Just experience with trying to get hard without the vacuum pump the hospital gave me. I'm not keen on it at all. Feels so unnatural.
But I do realise it supposed to help prevent penis shrinkage. I really must start giving it a go to retain my average size length.
On trying to masturbate now, with a fairly flaccid penis, I'm just constantly leaking urine. It gets everywhere, runs down my testicles, on my hands , and towel I put between my legs.. So after a while I just lose interest and clean up.. Neil
It's been a while since I've posted. I had RP by DaVinci in 2008. Never got to 0 and through an insurance shafu and a gap in testing it went back up to 13 by 2014. We did SBRT Cyberknife to a seminal Vessicle that seemed to be the extent of it. They put me on Leuprolide which dropped my libido and made me a little tired. PSA went up again and they did a repeat. in the spring of 2022 I began experiencing visual and perception deficits on my left side. Walking into things and people--sideswiped two cars.
The opthalmologist sent me for an MRI and CT scan. Part way through the tech came over and took my hand and said they'd had a preliminary look and he was to walk me down to the ER. 17 hrs later I had an Appt' with a neurosurgeon and 19 days after that they opened the back of my skull and took out a 6 x 4 x 2 cm cystic tumor that was pressing on the occipital lobe and causing all the weirdness. They showed me a video of the thing spilling yellow fluid all over. They determined that it was PC that had metastasized to the cranium and took it out. At this point they added Xtandi (enzalutamide) as it's the only one that crosses the blood/brain barrier. I've lost all my body hair, I get tired easily and grew a belly since the surgery. Libido has totally gone.
I'm into the 2nd yr now and the scans and PSA are all good. It sounds pretty grim, but I feel blessed in that PC doesn't go to the brain until it has pretty much spread through the rest of the body. Not so with me. Body scans were and remain clear. ("1 in a million" per the hot Venezuelan oncologist. I can't get it up and have to make an appointment to remind me to have a wank, but doesn't change how I react to good looking men. ) I'm 81 and haven't had a regular sex partner for some time.
That's the long story. I have not used pads since a few months after surgery. I was able to get a decent erection masturbating and got in 4-6 wanks a week until now. I irregularly shot varying amounts of pee. The most disconcerting thing was leaking during arousal or just the thought of sex. I'm stubborn about not using pads since leaking is usually light and irregular, but on occasion I have leaked enough to show. When I make a point to of masturbating I get enough of an erection to hold onto and do shoot pee.
I've had several sweet liaisons up until this last thing when I just don't think of it, to tell the truth. Thanks, bill
Firstly, congratulations on your progress so far and your commitment to your recovery! It's great to hear that the surgery went well and that you're diligently doing your Kegel exercises.
Masturbation incontinence is a fairly common issue post-prostatectomy and can be quite frustrating. Since you mentioned that you're consistently doing your Kegels, it’s important to keep in mind that these exercises can take several months to significantly improve urinary control. Persistence is key, so continue with them as recommended by your healthcare provider.
One thing you might find helpful is adjusting the timing of your masturbation. Make sure your bladder is as empty as possible, but also try to relax and not rush the process. Sometimes, stress and tension can exacerbate incontinence. Additionally, experimenting with different positions might reduce the pressure on your bladder. Some men find that standing or lying down helps minimize leakage compared to sitting.
Since you're taking Cialis, it's good to give it some time, as it can aid in achieving erections but might take a while to show its full effect. By the way, the most important thing is to use high-quality Cialis only, for the best results, I buy Cialis only here health-delivery24.com/buy-c... , the effect is always great, suggest! If the struggle with erections continues, discussing this with your consultant might lead to additional therapies or adjustments in your treatment plan.
Lastly, it's great that you have a PSA test coming up. It will give your consultant more information about your recovery, and they can provide more personalized advice based on those results.
Hang in there, Neil, and keep communicating with your healthcare team about any concerns. Best of luck with your recovery!
Hello TrueloverThanks for your comments and suggestions. Much appreciated.
I am still doing my Kegel exercises and ny incontinence is slowly improving.
When attempting masturbation, I always ensure that I try and fully empty my bladder first. It doesn't seem to make any difference at all.
I normally masturbate in the kneeling position, positioning myself over a large towel. I take it steady, and calm. I'm still not getting an erection at all despite taking the prescribed 5mg of Cialis every day now for 3 months. So have to do the act with a very flacid penis. The towel always ends up wet through.
I try to casually masturbate for up to 1 hour, but literally start squirting spurts of pee almost constantly throughout the session. I have, now managed a dry orgasm twice, since my surgery on 5th February.
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