Notification

Error

Orgasm return date post Prostatectomy?

Email this conversation Print this conversation
User
Posted 05 Dec 2025 at 16:17

At 6 am this morning I awoke with a firm erection - the first since my operation. What a minor victory, I was pleased but held back from waking my wife to show her - it faded rather quickly anyway! I am 16 weeks since Prostatectomy (apparently nerve sparing) and I am on Tadalafil 5mg/day and pump regularly with my vacuum erection device (SomaErect) for rehabilitation. My question to the group is this- how long till any sort of orgasm returns and will I recognise it when it comes? Thanks kindly. 

User
Posted 05 Dec 2025 at 16:35
How long is a piece of string? Like so much else with PCa, it can vary considerably from man to man but be patient. The stirrings are a good sign.
Barry
User
Posted 05 Dec 2025 at 17:55

Hello,

You seem to be making excellent progress.

Three years ago I had non-nerve sparing RARP. I was told that I would never be able to have a natural erection again, and unfortunately up to now that has been the case. However, I can still get erections if I use Invicorp penile injections.

Very recently, I've noticed that during the night I've started to get 'pee proud' again. I'm taking that as a positive omen. 

Your can still have an orgasm without an erection. Some men say, whether erect or not, that their orgasms are less good than pre-surgery. Others say their orgasms are more intense post-surgery.

Personally, mine are about the same as pre-surgery. Too infrequent and nothing to write home about. My wife concurs. 🙂

Edited by member 05 Dec 2025 at 18:11  | Reason: Typo

User
Posted 05 Dec 2025 at 18:27

Hi Calluna

From my personal experience and that of others who write here and in other forums, the quality of orgasms following prostatectomy are on a spectrum from nothing much to absolutely amazing, often better than pre-surgery. They can be dry or some ejaculate urine; some also leak urine during foreplay or any erotic experience. You may have some pre-ejaculate (pre-cum) lubrication around the glans (head) of the penis, if the surgeon has not removed the Cowper’s glands - under the prostate - which produces lubricant to protect sperms and help during penetrative sex. Of course you don't need an erection to masturbate which helps the rehabilitation process greatly. You appear to be doing all the right things to achieve maximum possible rehabilitation. During this early period you must be imaginative and just have fun, solo or with your wife/partner for mutual benefit. All this will help re re-establih your sex life after the onslaught of surgery.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 07 Dec 2025 at 15:42

You are in a really good place. I had full nerve sparring but it literally took years to get back to similar place I was pre op. I have been taking Tadalafil for a while but now just getting to the point where I think I no longer need it for maintenance purposes. Its oft said that you are unlikely to see improvement post op 2 years but on anecdotal evidence 3 years on then I have definitely seen improvements.

However I was able achieve orgasm within weeks of my op with some imagination. It's a bit of a lottery though.

 

Show Most Thanked Posts
User
Posted 05 Dec 2025 at 16:35
How long is a piece of string? Like so much else with PCa, it can vary considerably from man to man but be patient. The stirrings are a good sign.
Barry
User
Posted 05 Dec 2025 at 17:55

Hello,

You seem to be making excellent progress.

Three years ago I had non-nerve sparing RARP. I was told that I would never be able to have a natural erection again, and unfortunately up to now that has been the case. However, I can still get erections if I use Invicorp penile injections.

Very recently, I've noticed that during the night I've started to get 'pee proud' again. I'm taking that as a positive omen. 

Your can still have an orgasm without an erection. Some men say, whether erect or not, that their orgasms are less good than pre-surgery. Others say their orgasms are more intense post-surgery.

Personally, mine are about the same as pre-surgery. Too infrequent and nothing to write home about. My wife concurs. 🙂

Edited by member 05 Dec 2025 at 18:11  | Reason: Typo

User
Posted 05 Dec 2025 at 18:27

Hi Calluna

From my personal experience and that of others who write here and in other forums, the quality of orgasms following prostatectomy are on a spectrum from nothing much to absolutely amazing, often better than pre-surgery. They can be dry or some ejaculate urine; some also leak urine during foreplay or any erotic experience. You may have some pre-ejaculate (pre-cum) lubrication around the glans (head) of the penis, if the surgeon has not removed the Cowper’s glands - under the prostate - which produces lubricant to protect sperms and help during penetrative sex. Of course you don't need an erection to masturbate which helps the rehabilitation process greatly. You appear to be doing all the right things to achieve maximum possible rehabilitation. During this early period you must be imaginative and just have fun, solo or with your wife/partner for mutual benefit. All this will help re re-establih your sex life after the onslaught of surgery.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate

 

 

User
Posted 07 Dec 2025 at 15:42

You are in a really good place. I had full nerve sparring but it literally took years to get back to similar place I was pre op. I have been taking Tadalafil for a while but now just getting to the point where I think I no longer need it for maintenance purposes. Its oft said that you are unlikely to see improvement post op 2 years but on anecdotal evidence 3 years on then I have definitely seen improvements.

However I was able achieve orgasm within weeks of my op with some imagination. It's a bit of a lottery though.

 

User
Posted 07 Dec 2025 at 21:49

Thanks Jim. It's a long journey eh? While I'm seeing some partial erections, they only occur during the night, in the early hours, and never when I want them with my wife! 

 
Forum Jump  
Email this conversation Print this conversation

Join the online community now.

Click through to become a member and gain access to support, information and real time replies.




MenuTop ▲
©2026 Prostate Cancer UK