Some straight medics may not realise that an erection sufficiently hard for vaginal penetration is not going to be hard enough for anal - you may have to spell it out to them. I think this was covered at one of the support group meetings for GB(MSM) men with PCa.
Research is still in its early days but there is sufficient data to indicate that men who have anal sex will have higher PSA and might be more at risk of prostate cancer. I am not aware that anyone has done any research yet on the impact of anal stimulation on a prostate that is already cancerous - but PCUK has recently stepped up a gear in this area so perhaps will be able to direct you to useful stats on the links with BPH?
The only impact for you in the short term might be to remember not to engage in sexual activity in the 48 hours before each PSA test or you may get a falsely high result :-)
"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard
Thanks for the response. Will take the info on board.
Great to have posts on this subject.
I can think of no reason not to bottom because of BPH. Go ahead and enjoy yourself!
There is plenty of space in the rectum behind your prostate, so I would suggest that you are just guided by what your pain receptors tell you: stop if it hurts.
My husband and I have ended up enjoying all sorts of things we never did prior to my post-prostatectomy-ED. I used to be almost exclusively active and the initiator, but he is now more dominant than he was, and it has been lovely!
MacMillan are getting interested in LGBT people's issues with health services, if you share the concerns others mention here.
I have found Metro Walnut support group in Greenwich very useful, and the is a Manchester-based PCa group for men who have sex with men.