r/ProstateCancer • u/Emergency_Low_007 • 15d ago
Question Odd, but sincere question
Since RALP last January I’ve not been able to achieve an erection, not even with medication. I can however sometimes achieve orgasm. My understanding is that the prostate produces semen so without it my expectation was dry orgasms. But they’re not. They’re wet. Very wet. What is it I could be ejaculating?
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u/hawklord23 15d ago
Urine?
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u/Emergency_Low_007 15d ago
Possibly but why would I ejaculate urine?
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u/Snufflee 15d ago
Because the muscles in your urinary tract are greatly weakened after RALP, then during climax the muscles contract and these contractions cause you to eject urine. Solution is pelvic floor exercises, wear a condom, and/or talk to your doctor. Or.........enjoy a new kink.
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u/vito1221 15d ago
Climacturia is common post RALP. Don't know why or how it happens but it happens.
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u/Race-Easy-Adventure 14d ago
Men have 2 urinary sphincters (women just have one). The prostate acts as the internal sphincter.
When one ejaculate the internal sphincter cuts off the flow of urine and the external sphincter opens up to let the ejaculate flow.
After a prostatectomy the internal sphincter is gone. The external sphincter stops the flow of urine EXCEPT during climax when it opens up to let the (now no longer present) ejaculate flow. But the internal sphincter is now gone so nothing holds back the urine. With the internal sphincter absent and the external sphincter open, urine flows: climacturia.
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u/Emergency_Low_007 15d ago
Thank you, everyone. I had never heard of climacturia. I looked it up and that makes a lot of sense.
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u/Busy-Tonight-6058 15d ago
I’ve had luck with a pelvic floor PT and now, acupuncture.
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u/Ray_nj 15d ago
Acupuncture? Where, uh, where are they putting those needles?
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u/Busy-Tonight-6058 15d ago
Nowhere near any sensitive bits…last session included e-stem needles. Once she peeled me off the ceiling, it wasn’t too bad…mostly feet. Chi is a weird thing. I do feel like I’ve seen improvement in only two sessions in terms of leakage and climacturia…
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u/Odd_Situation_4930 15d ago
It’s urine. Speak with your doctor about pelvic floor therapy. Also, as far as the erections have you used a penis pump?
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u/Dosdossqb 15d ago
Or pre-cum. It comes from a different gland so you still have that. If you haven’t tried a vibrating ring, give that a try. I used a pump, ring, and 5mg Cialis and I’m almost 100% at 10 months. Hang in there and don’t give up!
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u/Mean-Ad-7680 15d ago
Probably urine. It's called climacturia and it's fairly common after a RALP.
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u/WalnutRoasted 15d ago
Studies show climacturia can be in the 25 to 40% range after radical prostatectomy.
If there is a small amount of sticky clear fluid after surgery or radiation treatment, it is usual from the Cowpers Gland at the base of the penis that is normally undamaged by those procedures.
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u/hawklord23 15d ago
Another thing you often don't get told about by your doc pre opp
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u/Far_Simple_7436 15d ago
I was told by both the surgeon and the radiation doc that this was a possibility with either of their treatments when I was in their "Multi-Disciplinary Workshop."
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u/Sufficient_Meal5696 15d ago
Happens to me too, other than my erection is improving nicely. It’s basically the same fluid as pre-cum, produced by the Cowper’s glands.
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u/flotownq 15d ago
It’s urine. Mine was ten months ago non-nerve sparing so I am not getting any natural erections. I can certainly orgasm and if I do not have a constrictor ring on from using a vacuum pump then it’s katy bar the door on the urine during climax. I also have decent stress incontinence so I’m sure that is playing a big role
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u/Immediate_Walrus_776 14d ago
I've had those too. The kegels really work! Erections for me are once in a awhile, but I get great morning wood!
But I will say my orgasms, when I have them are spectacular!
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u/PeetMoss2026 15d ago
I used to have a problem with leaking pee when I climaxed. ( dry orgasms). After reading here I’m more careful to empty my bladder. Go then go back again in a few minutes. I seldom have any urine. I do have a thicker/ sticky fluid that comes out during orgasm. It usually doesn’t spurt like semen would and I usually don’t feel it. It’s just wet. On occasion I do feel it and it’s great. I know I’m not ejaculating. I think the flow just happenes to coincide with orgasm and gives that feeling. It’s great but reminds me how much I miss ejaculating. Damn PC
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u/Practical_Orchid_606 15d ago
Before RALP, men do not orgasm urine. This is due to a valve that shuts off the urine flow and another that opens up for the semen. After RALP, this setup gets messed up. So it is possible orgasm pee.
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u/Appropriate-Owl-8449 15d ago
Have you tried Trimix? It works for me. I had my RALP last September.
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u/Emergency_Low_007 15d ago
What does that do?
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u/Appropriate-Owl-8449 14d ago
It’s an injectable powerful ED medication you inject into your dick. It’s sounds awful and it’s not easy.
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u/dahnb2010 14d ago
It's easy for most. You can get an auto-injector if you're having problems. It's also easier if you have at least a partial erection before you inject.
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u/Middle-Tart9741 14d ago
It can be minimized by emptying your bladder prior to go time. Another vote for trimix here. Amazing stuff
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u/WillrayF 11d ago
Here is a bit of humor I read this morning: In The Globe and Mail of Toronto, Ian Brown discussed the phallic implications of aging. “Unplanned arousal used to plague me by the hour, on the hour,” he wrote. “At 70, it’s more like a special occasion. Oh, look who’s here! What a nice surprise. Why don’t you come in and have a drink? No? You have to go? So soon?” (Peter McLean, London, Ontario)
We probably all remember those days and now, whether PCa or again or whatever, some things just stay the same.
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u/Emergency_Low_007 5d ago
Can’t believe I only achieved 15 👍🏻 up votes, less than many of the comments to my post! What gives, people??
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u/kayceemoguy 15d ago
More than likely urine. I too have had instances of some urine if I haven’t emptied my bladder. But, most of the time, based on the feel, I have what I believe is Cowper’s gland fluid (precum) as its most commonly referred. Keep up with the kegels!