Comments for The Robotic Surgeon - Home of Domenico Savatta, M.D.

Comment on Sexual life after prostate removal by Fred

Fred — Wed, 15 Dec 2010 04:00:11 +0000

Dr. Savatta,
I too have discomfort during orgasm. Five years after surgery, instead of pain, I experience a somewhat of a burning sensation which does go away quickly.

Comment on Sexual life after prostate removal by Domenico Savatta, MD

Domenico Savatta, MD — Sat, 10 Jul 2010 13:24:32 +0000

I have had a significant amount of patients (maybe 3-5%) that complain of pain during an orgasm.

I have not read anything that explains why this would happen or how to treat it. Usually the pain lasts for a short period of time- seconds or minutes.

Most patients have less pain over time, but it doesn’t always go away.

Please post back on your experience if possible for other patients.

Comment on Sexual life after prostate removal by Brett B

Brett B — Sat, 10 Jul 2010 13:18:52 +0000

I had the robotic surgery in November of 2009, very successful, both
nerves spared. Unfortunately, the preoperative physical discovered a
lymphoma, and I followed up the surgery with 4 months of chemotherapy.
My urologist says I should regard my recovery as starting at the end of
the chemo. As well, I have extremely low testosterone, 40ng/dl. I’m
told I can get suplements starting a year from the surgery.

From that perspective, I guess I’m on schedule, I get floppy erections
just before climax. The big problem is that climax is painful, like
somebody is driving a spike into the base of my scrotum. Is there
anything I can do to prevent this pain?

Comment on Sexual life after prostate removal by Domenico Savatta, M.D.

Domenico Savatta, M.D. — Tue, 02 Feb 2010 21:30:33 +0000

I am not familiar with any limitation on sexual intercourse frequency. In general, the more frequent a man has sexual function, the better it is to promote penile well being. I would recommend asking your urologist for a reference.
Good luck,
Dr Savatta

Comment on Sexual life after prostate removal by Donna

Donna — Tue, 02 Feb 2010 19:33:18 +0000

This question may seem odd – My husband had prostate surgery 2 years ago and we weren’t sexually active for over a year but we are now. His urologist told him recently that at his age (56) and because of the prostate cancer he shouldn’t be having sex more than twice a week. I have not seen any advice like that in any reputable web site. I’m skeptical because this doctor never told him about using viagra during the months after surgery, which seems to be a standard of good treatment and probably would have made his recovery easier. Is there any reason to limit sexual activity 2 years after surgery? (My husband had high blood pressure but it is under control with medication). Does my husband need a new urologist?

Comment on Sexual life after prostate removal by Domenico Savatta, M.D.

Domenico Savatta, M.D. — Fri, 08 Jan 2010 09:09:55 +0000

Blood in the urine should be evaluated by assessing the bladder, ureters, and kidneys. A small stone can be followed, but may grow and would likely cause pain if it was trying to pass. If there is blood in the urine a person should make sure they get a full assessment from a urologist with a cystoscopy and IVP or CT scan or maybe ultrasound to assess the kidneys. Urine tests are also done to assess for abnormal cells.

Comment on Sexual life after prostate removal by m.c. rastogi

m.c. rastogi — Fri, 08 Jan 2010 06:38:04 +0000

prior to benign (non-cancerous) prostat removal in April 2009 a 3 mm stone was detected in left kidney which the physician left untouched. Post-prostate removal the physician detected urine crystals in the urine and had suggested cat scan which I did not undergo as I also did not feel any discomfort except the fact that in August 2009 I had noticed blood discharge during my sleep twice which was also without any sensation or pain or awareness. This blood discharge has been happening at regular interval of 18 months since 1995 whereas I had underwent vasectomy in January 1994.
I would like to know any repurcussions or treatment required as the prostate presumed to be cause of blood discharge during nights is no more and the prostate was benign (non-cancerous).

Comment on Sexual life after prostate removal by Domenico Savatta, M.D.

Domenico Savatta, M.D. — Sun, 01 Nov 2009 06:52:26 +0000

As we discuss above, there are many factors that lead to an answer to this question. Your surgeon should know best what factors are important in your situation and answer your question best.

Comment on Sexual life after prostate removal by Akora

Akora — Sat, 31 Oct 2009 22:34:31 +0000

Ihad prostate surgery about 6motha ago iam on cialis 5mg a day i have been on for 6 month now but still no hard on and i still have leakage how long will i have to take this before i have a hard on and what can i do about the leaks and will it ever stop and how long will it take for me to get a hard on THANKS AKORA

Comment on Sexual life after prostate removal by VOLKAN

VOLKAN — Fri, 30 Oct 2009 18:05:30 +0000

I had have robatic surgery nerve spearing. I was very active sexually I am 62. Now I have been takeing viagra and breaking it in half it goes up very little very short time. I hope that in long run we all get it back. Other wise I also like very much eating apple and rare Filetmignon…..