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Prostate stimulation after RT

User
Posted 04 Apr 2020 at 12:16

Ok I know this is going to make some folk here wince at the very thought but has anyone tried prostate stimulation after having RT? My girlfriend and I still have a varied and fulfilling sex life (lots of cialis and pump maintenance atm mind!) except that she used to enjoy stimulating my prostate and I'm abit wary of having anything near it atm ( 2 weeks post 37 Fractions RT). Other than a little pain on orgasm I'm side effect free, I'm up for it but realise my prostate is a bit of a mess down there and wondered if anyone had given it a go, what time frame and does it still stimulate like before?

 

User
Posted 04 Apr 2020 at 13:05
Sounds a little soon tbh re radiation burn etc. I had my prostate removed but enjoyed a bit of this beforehand. Yes you can still really enjoy anal play and penetration but obviously in my case it’s not quite the same. Hope it is in your case but give it time :-))
User
Posted 04 Apr 2020 at 13:53

The area will be inflamed for a while. Additionally, the rectal wall in contact with the prostate will have received pretty much the full radiation dose (unless you had a rectal spacer installed). You also have the blood vessels supplying the penis just behind there, and these are liable to late-onset damage from the radiation which will impact erections, so you might want to give then time to heal too, although I've no idea if this would increase the chance of late-onset damage.

I think I would suggest holding fire for some time, and using plenty of lube when you do, because rectal wall at that point may be damaged and more fragile (radiation proctitis).

Also, refrain from this for many days before any PSA test, just like you would for a DRE.

The question is absolutely fine to ask, but I think you'll struggle to find the expertise to answer it. You should have been given a number to call to ask questions, and you might consider asking a consultant via that. One thing you might look at is the PCUK Guide for Gay and Bisexual Men which although not your case, does cover anal sex after radiotherapy treatment which is closely relevant.

User
Posted 04 Apr 2020 at 15:18

Thanks for trying to answer guys  I have looked at the gay and bisexual guide but it didnt give me an answer nor did internet searches so just grasping a straws for an answer here. I have a consultant update in two weeks so cannot wait to ask her 🤣

User
Posted 04 Apr 2020 at 16:11

Ooooh your right it did make me wince lol :) 

Some days you just have to create your own sunshine...... 

User
Posted 04 Apr 2020 at 18:18

Medics never tell a man post-RT not to allow anything large to leave the body via the rectum so I guess that physically speaking, there is no reason not to engage in prostate stimulation post-RT if you don't have many local side effects - perhaps a good idea to enjoy it now as over time your prostate will lose sensitivity and it probably won't work anymore.

The rectum doesn't always get large doses of radiotherapy which is why not all men have bowel symptoms.

Rather than the gay & bi guide, did you look through the GBM conversations?

https://community.prostatecanceruk.org/topics/48-Gay

Your best bet may be to call PCUK and ask to speak to Sean (if he is still there) on Monday.

Edited by member 04 Apr 2020 at 18:22  | Reason: to add hyperlink

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 04 Apr 2020 at 20:56

Thanks Lynn very helpful 👍

User
Posted 05 Apr 2020 at 09:25
Hello. Just a thought - I had my bowel cancer screening last year, which was three years on from RT. The camera operator told me that the rectum walls looks sensitive, and she could see the damage that the RT had done so went to get the smaller camera. Not sure why they didn't use that anyway! It may be just me, but is seems that RT can leave damage to the rectum for some time.
 
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