Uncomfortable situations after a prostatectomy

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This is a strange topic but one I am curious about having had a prostatectomy this year! 
Have other men who underwent a prostatectomy had questions about “side effects”?

It comes  mostly from other men who knew you were receiving prostate treatment but after you say the word “prostatectomy” the questions start being asked!  Some from people you don’t even know very well.  
I guess I shouldn’t be surprised since it deals with a man losing the ability to get an erection which is every man’s biggest fear!

My thought when I first told someone, was a feeling that they were thinking “ poor guy he is no longer a man”!   That’s an embarrassing and humiliating feeling for most guys, it was for me!

As if that were not bad enough, then you have the bold guys who actually say “ can you still have sex?”   Very personal but usually you both know the answer…”No”.

On top of that, I have had some guys jokingly offer to “help out”!  They are usually close buddy’s who you have talked smack with before, but who don’t understand how this situation is troubling you.  It makes you wonder if they are really joking. 

Lastly, does your inability to have sex with your wife make you feel guilty?  Do you keep thinking about her physical needs and if so what you should you do about it?

I have discovered that men who have had prostate problems, especially those who have had a prostatectomy, tend to console each other and become a counselor to other guys going through these same feelings and looking for answers.

  • I have recently had surgery and friends who I have spoke to are relived I am fine after it and have never mentioned the fact it can affect your sex life    ED can affect men at any time once you get older and I believe shouldn’t cloud your judgement about having surgery. I go to a prostate support group where wives attend and I can tell you they are more concerned with their husbands health than the fact their sex lives might suffer     I am post op 4 months now and am able to achieve an erection albeit with tadefil    My mates would never consider ( I’ll help you out ) as I think they have more respect for me.    I am not at all embarrassed that I need help to get an erection as there as millions of men in the same postion who’ve not had surgery and are just older.   I’d hate to think that a man is discouraged from having surgery  due to  possible insensitivity from his “ mates” after it.     Thanks.  Simon 

  • I had my prostatectomy in June 2024 and I do not feel any lesser man despite my op being non-nerve sparing and the certainty that I will never have a 'natural' erection again.  

    My answer to 'can you still have sex?' would be 'yes!'  

    If anyone offered to 'help out' I would tell them they could never match me and I wouldn't want them to be embarrassed when they find out they really can't improve on me.  

    My inability to have sex does not make me feel guilty as I have all the ability in the world to make love, despite my lack of an erection.  

    I do constantly think about my wife's physical needs and what I do about it is I make sure she knows how much I love her and then see to her needs by any and all the means I can.

    The answer isn't that you are now useless, it is that you need to look at sex in a better way.  The truth is that making love is much more than the final sex act.  Cuddling and loving her doesn't need an erection.  Giving her pleasure is a gift in your hands and mouth, as it were.  It is every bit as loving and meaningful as penetrative sex.  Yes, at times it needs more and then I resort to a pump and ring or a hollow dildo with a strap.  It really is about changing your mindset and being adventurous.  It may sound strange but in many ways my love life is even better since the op.

    You are still a man and in a loving wife's eyes you are even more because of what you have been through PC and she has been through it with you.  My wife deserves so much more after going through all she has with me and as long as I can I will give her all the loving a man can.

  • Hi  ,

    I'm a bit of a cheat here, because I haven't had surgery, but I will have had, when it is finished, 3 years of hormone therapy (18 months still to go).

    There are side effects that are directly relevant here:

    • Libido - zero, all gone.
    • Erectile Dysfunction - I can no longer describe it as dysfunction. Malfunction? Non-function? All of those things.
    • Willy re-sizing - oh yes! Disappearance is closer to the truth. My nightmare is another gentleman stands next to me in the urinal, looks around, does a double take, and then says "Where's it coming from then?".

    No one will be surprised at this.

    Where my wife and I are slightly different from others here is that we have faced this before, in a different way.

    She has her own problems which needed treatment. The treatment was easier and more effective if we were not "sexually active". No one gave us any definition of that but it essentially meant "no penetrative sex". It was an easy decision for me because she was in pain, and this would help.

    By the time I came to PCa we had come to terms with everything. Intimacy had been re-discovered in affection. It was actually better.

    How did I think about it. My idea of being a man was never involved in sex which I viewed as being a really good benefit, but not the main contract.

    My signature block reveals exactly how I think about it.

    Steve

    Changed, but not diminished.
  • Thank you for responding. Your report 4 months out is encouraging! I’m 2 month out currently and hoping for improvement but none yet!

  • Thank you for your response! I hope to follow you good example !

  • You need to give it time. I’m sure you read about the results after surgery      Unfortunately there’s no magic bullet     I was prepared for the consequences of surgery and got my head round it     I’m not sure what the effects of other treatment options are but  I’m sure you would have searched them     Cheers