Men worry about erectile dysfunction after radical prostatectomy, the operation that involves removing the prostate gland as a way to treat prostate cancer. Men, their spouses and partners, and their surgeons should talk about erectile dysfunction before and after the surgery. But orgasm after radical prostatectomy? Ravi Kacker thinks that should change.
Kacker starts by pointing out a common misconception that erections are necessary for male orgasm. Men can have experience orgasm without an erection. The converse is also true, of course: First, secretions from the testicles, the prostate, and the seminal vesicles—small, slender glands near the prostate—flow into the urethra, the tube-like structure that carries semen through the penis and out the body.
The emission of those fluids creates a feeling of fullness and a sensation of inevitability. The first two parts of orgasm are affected by radical prostatectomy, explains Dr. Removal of the seminal vesicles and Prostate removal and sexual health gland during the operation means no fluid can come in from the testicles or the prostate.
Some men also report that the operation affects their pelvic floor and its contractions. The missing sensation of fullness and the lack of ejaculate are big changes. But there are some things you can do to correct the problem, according to Dr.
Men can achieve an orgasm on their own with manual stimulation
Prostate removal and sexual health with a partner through manual or oral stimulation. remember that an erection is not needed. Using a vibrator on the head of penis is often helpful. Vibration can stimulate the nerves in the penis and increase the signals being sent to the brain.
Sometimes hormone levels contribute to orgasmic problem. Many men with low testosterone have problems with orgasm, but treating prostate cancer patients with testosterone is still very controversial. Other hormones can also play a role. For example, a low thyroid hormone level or a high prolactin level can make it more difficult to reach orgasm.
Even if you have a normal hormone levels, there are a few hormonal medications that may be able to help. Another hormone that plays a role in orgasm is oxytocin. The level of oxytocin increases in both men and women during sexual arousal. Cabergoline is another medication that can help with orgasm problems. Many men are, unknowingly, taking medications that suppress orgasm.