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Ejaculation after radicale prostatectomy

I'm pretty young and in great sex right now but just diagnosed with prostate cancer. I will undergo a radical prostatectomy in the next few months, it should be assisted by robot with preservation of the nerves. I am well informed of the risks for erection and incontinence and I was informed that during this surgery he did not have the choice to remove the 2 seminal vesicles and the vas deferens because there is no possibility of reconnecting all that and I will no longer be able to ejaculate.

Is all this true? Is it really the case for all men who have their prostate removed, there is no more ejaculation?

Currently I have no symptom and my ejaculation is very good, it's a big part of my sexual pleasure like many men and I can hardly imagine not being able anymore. I know it's very intimate anyway but can you describe to me how it is for you the loss of ejaculation, do you have any pleasant feeling even if there is no more semen?
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Avatar universal
The difference is night and day!  There are minimal muscle contractions and you may "ejaculate" a small amount of urine.  Minimum feeling of pleasure.
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Thank you for your comment, it's been more than a year now that I had my surgery and indeed it is less intense to have an orgasm without the semen that spurts. In my case the contractions remain strong but the fact of no longer feeling and seeing my semen greatly reduces pleasure. I did not have this problem with the urine
My partner tells me that she prefers that though. So, there is the upside to it. PierQc
For that yes and there is no problem with the big gooey mess
Avatar universal
I’m a prostate cancer patient, had exactly the same procedure you’re talking about. They are correct - in a radical prostatectomy, the seminal vesicles are removed & you will no longer ejaculate. Maybe at some point in the future, they’ll find a way to preserve ejaculation, but it’s not possible now w/ this type of procedure. Also, quite often these other structures are cancerous as well so would need to be removed anyway.

I’m like you - always enjoyed the feeling of ejaculating, and without that now, I do experience orgasm, but for me personally, it’s lacking smthg without it. Some guys say they don’t miss it & say it feels the same, but not for me. Maybe you’ll be one of the lucky ones who still gets the same degree of satisfaction w/ out ejaculation.

Anyway, good luck to you, hope the procedure goes well & that above all, once you’re done, the cancer’s gone.
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I am not often on the site but I can give you news, it's been 1 year that I was operated and it went very well. At date I am really satisfied and they could remove cancer and I did not have any other treatment but I cross my fingers.  For urinary control it's perfect and my erections have returned as before after a few months.

As a result of removing everything, my urologist told me all about that and that's exactly what you describe to me, there is no risk to take because cancer can be present in seminal vesicles and they removed the deferens vas too and we no longer have "baby maker" system.

Even though I was warned, it's very weird at the beginning to coming and no longer seeing my semen spurts.  At least I have orgasm and the sensations of muscle contractions but it's like you and I miss my ejaculation very much and feels less good too.
Wow, what a great update. Thanks for coming back and letting us know how you are.

What is your prognosis now? Hope you're doing well. :)
Indeed and it feels good to hear good news, it encourages. I have no regret despite having chosen surgery and when analyzing my prostate in the laboratory, everything was contained inside. I have a surveillance of my PSA rate and it's at 0 for there, I cross my fingers
Oh that's great news! Keep us updated, and my fingers are crossed, too. :)
Avatar universal
Even with. No semen you will still have the pleasure
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