Cumming After Prostate Surgery

I had laser surgery to open up my enlarged prostate and it worked quite well in that regard, I can pee like a teenager. One side effect was that I make almost no semen. I'm not sure if it's related but my orgasms are much more intense and exciting now than ever even though I don't have the sensation of pumping semen out my penis. I'm not complaining, just wondering what other guys experienced. I did not have my prostate completely like guys who get prostate cancer.

 

Have had that same procedure and everything you said is true. Changed my entire life for the better with bo ill effects other than I do not come outward. My friend has turf and he is still miserable plus the surgery was terrible., had to be taken back to surgery twice to stop the bleeding. None of that with the laser.

 

TURP, not turf!

 

When you don't have any semen coming out it's because it's going backwards and up into your bladder. It's what I have all the time, so although I do get some liquid coming out, it's very little in comparison with what I used to get. It even has its own medical term, it's called 'retrograde ejaculation'.

To explain: I had acute prostatitis from riding a motorcycle 10 hrs a day 5 days a week for 10 years when I worked as a motorcycle courier in London for the whole of the 1980s. It's also sometimes referred to as jogger's prostatitis because they get the same thing. What happens is that when you have a full bladder, you do some physical thing that causes your body to jig up and down a lot. This forces a small amount of urine through the sphincter at the base of the bladder and into the centre of the prostate. If you happen to have any germs in that urine then they infect the thousands of tiny tubes that form the prostate, and once that starts happening then the prostate enlarges (and I do mean enlarges!). Mine went from the normal walnut size to the size of a large grapefruit in a little over a week.

It normally takes around 2 years for the infection to be burnt out with antibiotics, but I was lucky and mine burnt out in a year. However, for the whole of that year I couldn't sit down, I could stand up, or lie down, but I couldn't sit down. This did horrible things to my back, and I now have chronic back problems. Also, the prostate stays a bit bigger than normal, and the bladder sphincter never fully recovers from the stretching it got when the prostate was enlarged. As a result, when your prostate fires, the semen goes backwards and up into the bladder rather than flowing down and out of the penis. I've got used to it now, and the missus is pleased that there's lots less mess involved than there used to be, but like the poster, I miss that feeling of release when the semen pumps out of the penis.

 

nice thread.. back when I was 24 my nuts hurt.. my fiancé - now wife of 49 years - (ICU RN) had me go to a urologist the hospital gang all knew.. exam disclosed large prostate (not ENlarged.. just large.. like a heavily-exercised bicep is large, not swollen).. anyway, no prostate/testicular inflammation issues, just impacted seminal ducts.. in exit meeting he advised my wife and I 'pick up the we 'pick up the pace I'd been accustomed to''.. my wife to be asked how much extra I'd paid him for that..

so my entire life (75 next month) has been explaining to doctors I'd always had a large prostate.. Most believed me; two referred to urologists, who performed biopsies (NEG), even though I've never had trouble urinating; usually 3-4 qts daily (I live in mountains and love spring water)/exercising/yardwork..

but two years ago I mentioned to my doctor of almost 30 years I found it difficult to hold in urine when I felt urge in aircraft/public places.. The urologist's office did sonograms showing I completely vacated bladder so no issue there, but since my doctor had me on testosterone therapy since he noted I just completely lost my aggressive approach at gym at age 67 and tested my T level at 105 and my PSA jumped from 2.25 to 5.42 then down to 4.20 AND she learned I was getting Dutasteride for two years to prevent hair loss.. she said protocol is to double PSA.. so it's 8.4.. she said she'd wager I had prostate cancer, and a biopsy was performed..

she was correct, though only one if twelve core samples showed abnormal cells and Gleason score was 6.. but - of course - I was ordered to stop testosterone.. so T level fell to 70 and PSA fell to 0.73.... everyone was happy but me.. no reason to get out of bed.. needed 500-600 mg of caffeine pills to feel elated enough to justify staying awake.. read a book? maybe 4-5 pages (10 years ago I'd read two 1,000 page novels a week).. draw/paint? not interested..

because of a non-diabetic toe ulceration resulting from a botched callus reduction by podiatrist (with a scalpel???), I had to offload weight from foot and just sit.. gained 35 lbs.. can't get foot wet.. my inherited venous stasis prevents healing (AND collagen isn't properly processed by males without testosterone).. plus my inherited peripheral neuropathy makes life (and even standing/trying to sleep) difficult and painful..

My GP got into it with urologist and he started me back on T-therapy, but I decided to stop after 5 weeks and see what next biopsy revealed.. well, that was in Aug '25 and there were three cores positive.. two were Gleason Score of 6.. one was 7 ((3+4) Intermediate favorable)

urologist said she could remove prostate and I could do all the testosterone I wanted.. I said no and opted for radiation ASAP BEFORE the 3+4 became 4+4 or another 7 was found of 4+3

that would mean Medicare would not pay unless I was chemically castrated first (Alan Turing??) and then did another biopsy to see if cancer grew.. if it had 4+4 or greater), prostate removal AND radiology would be covered because presumption is metastatic..

but, since I live in snow country where 16'+ of snow is common in winter and roads are closed and 27-45 daily radiation treatments are 65 miles away, I needed to set thing up to start in March.. and I did.. it is scheduled to begin in two weeks..

but (there's always the but), my foot? the ulcer got worse and it's now osteomyelitis..

they're amputating toe for sure (possibly more) in 4 days..
which is delaying my cancer treatment, which could lead to never - EVER - having an orgasm again should cancer grow and prostate be removed..

I don't normally feel too sorry for myself but a male not having a reasonable testosterone level really whacks a guy out..

I have to admit that - these past few days - despite a lifetime of athletics, employment as lifeguard, LA Co FD wildfire hotshot, combat vet with 101st Airborne Division, lumber industry, I'm feeling pretty messed up..

so start getting PSA tests & biopsies of prostate at age 45-50 whether or not you have 'peeing issues'

AMA stopped recommending routine PSA tests after age 70 and Medicare stopped paying for them (no statistical difference between guys living to age 80 with/without PSA testing after age 70, they claimed)

but peer reviews found flaws and almost 40,000 more guys died needlessly between ages of 70-75 these past three years because testing wasn't done to catch cancer..

 

A PSA test, simply checks the level of prostate specific antigen in your blood. It is a guide to the likelihood of malignant cells, but a bacterial infection can also vary it. When high, it is normal to carry out a second test after 6 months, BUT if you are showing other worrying signs of cancer, your doctor may go directly to biopsy.

Routine testing over 70 was thought to be the answer, but research is now suggesting that a low level of malignant cells may exist in the prostate from birth. There is much hypothesis on this subject, much of which suggests not destroying them. As we all know, cancer cells are not foreign bodies, but our own cells responding to a real or assumed threat and destroying everything in their path. More than 60 years of research has helped in both destroying and controlling these cells, but we cannot destroy the cell structure on parts or the body that we cannot live without. Throat and Pancreatic cancers are among the worst.

We are all frightened of cancers and quite rightly so, but scaremongering rarely tells us the full truth, asbestos being a prime example.
Cape Asbestos had mines in South Africa and hundreds of people were dying, but what we were not told was that the processing plant was producing hundreds of tons of dust that covered entire landscapes and villages. People were were sweeping it off their cars every morning with brooms.
If that asbestos dust had been ordinary flour, more than ten times that number of people would have died. Inhaled into the lungs, organic matter is the food for bacteria. At that level, pneumonia would have been quickly followed by septicemia.
Until about a decade ago, all vehicle brake were asbestos. Around 6 tons a year was ground to that black dust that we all saw on the London Underground. Records show that their has not been a single case of asbestosis among London train drivers.

Back to prostates.
Since progression leads to cancer more as we turn 70, I agree with annual PSA blood tests. Luckily here in the UK the NHS owns the pathology labs, so a small addition to their workload will have minimal (if any) additional cost.

Turp procedures are horrible, bypassing the path of urine through the prostate and dumping everything into the bladder. This can lead to regular bacterial infection, since all siemen is dumped into the bladder.
These procedures also allow bacterial infection where the urethra has been reamed out of the prostate.
My friend, a senior consultant at the Royal Marsden, agrees with my fully and the urodynamics tests that lead to Turp are now being revised.

I wonder why most doctors just call it Turp, rather than frightening he pants off you. Transurethral resection of the prostate