I'm out of hospital now four weeks after a radical prostectomy. I was desperately looking for alternatives but with a PSA of 26 (steady on that for 12 months but had been up to 96) and a Gleeson of 7, I took the advice of the surgeon and pathologist and consigned the prostate to a bucket!
The bad news was a post op pathology far worse than the pre-op biopsy, but the good news is no sign of cancer in surrounding tissue, but my problem is now that all the signs are that sex, as experienced in the past, is quickly to become a memory.
Both my wife & I are 62 and have enjoyed a beautiful sexual relationship over the past years. Prior to the operation, our enjoyment of intimacy was on average 5 times a week, sometimes lasting for two hours at a time. (We discovered the principles of Tantric Sex some years ago)
Having a very strong PC muscle has helped greatly regarding unary continence. I'm at the point now where some days (and nights) my absorbant pad is completely dry and on my "bad" days, one pad is usually enough.
On consultation with the surgeon last week, he encouraged us to start looking for intimacy again, but warned that spontaneous erections won't occur for a very long time (if ever) but showed me how to use penile injections. This was a bit scary (not to say embarressing) but turned out to be surprisingly simple and certainly, not painful to administer. At this stage, we've only used it twice, starting with small doses, and a partial erection has resulted each time. We were encouraged to not be coy about sexual situations at all and for my part, even look for erotic situations that can tend to arouse and not to be embarressed about them. (For instance, if it feels nice when cleaning myself up in the shower, keep it up for a bit and see what happens- shades of being 13 again!)
However, that is all very well, but in spite of my dear wif'e's objections that penetration is a facet of our relationship that she can (reluctantly) do without, in spite of our mutual trust, the fact that I now "can't perform" is a real problem to me, coupled with the fact that my libido is just about non-existant anyway and when I do intimate things for her enjoyment, the "buzz" is not there for me and I'm terrified that it will show.
Am I expecting too much? Are we looking for intimacy too early? Will my libido return to it's healthy, pre-op level? What happens with a "dry" orgasm anyway?
Yes, I'm glad that I'm alive and to all accounts, should now live to see my grandchildren grow up and give thanks for a loving and beautiful wife, whom I love dearly and I know loves me in return - but at this stage, in spite of my brave face, post prostate op. life sucks and I'm terrified of the future.
I've been pretty explicit here, but I would like to know if anybody else finds themselves in a similar situation and I would love to know how others are coping (and your wives.)
Cheers,