What Are The Consequences of Prostate Removal?

[+ Lucky]

Can you still enjoy getting fucked?

[SirBillybob]

Search “prostate cancer receptive anal sex” to access a few good scholarly articles pertinent to gay men. 

One consequence of prostate removal is that after it’s done there’s no option to backtrack to less radical approaches that may have been worth exploring. Few Urology programs and urologists will take the time to package patient education that comprehensively reviews the decision tree of progressively greater complexity with the developing emergence of novel prostate cancer management. Particularly if you’re older the assumption may be that you’ve had a good sexual run and the path of least resistance is removal because it’s such an established procedure. My urologist does not refer for brachytherapy or focused laser ablation. You accept his suite of options and like it or lump it. Fortunately, I haven’t been confronted with such a step and needing to undertake searching for an alternative that would likely involve inconvenient travel. 

Anecdotal reports … wait for it … of robust sexual enjoyment along with $3.50 might get you a bottle of Evian that might increase semen volume you may not actually visibly perceive, but won’t predict your own post-op sexual experience. I do think that if you are already inclined to an erogenous orientation with your skin and brain front and centre erotically as bona fide sexual organs, and not strictly genital-centric, then that portends a better outcome following prostatectomy. 

Edited June 26 by SirBillybob

[+ Vegas_Millennial]

17 hours ago, Lucky said:

Can you still enjoy getting fucked?

I have heard, allegedly, that some women enjoy being sexually penetrated in the anus.  If you can believe that, then there's hope!

[56harrisond]

42 minutes ago, Vegas_Millennial said:

I have heard, allegedly, that some women enjoy being sexually penetrated in the anus.  If you can believe that, then there's hope!

I've seen 'movies' where they really enjoy it, but I wasn't really paying attention to her

[SirBillybob]

1 hour ago, Vegas_Millennial said:

I have heard, allegedly, that some women enjoy being sexually penetrated in the anus.  If you can believe that, then there's hope!

I believe it about as much as I believe that some men have the potential to be well bred. 

[+ Vegas_Millennial]

1 hour ago, SirBillybob said:

I believe it about as much as I believe that some men have the potential to be well bred. 

I like to be bred well, is that close enough? 😉 

[pocono]

On 6/25/2025 at 6:42 PM, Lucky said:

Can you still enjoy getting fucked?

I had my prostate removed in 2017. Deciding which cancer treatment to use was stressful, as it was, of course, MY choice.

1.) I was not a great bottom before the surgery and am not a great bottom today.

2.) My urinary and erectile functions are roughly the same as before the surgery. Of course, no more semen (no mess either), but my orgasm is uneven, that is sometimes it’s less than I remember before the surgery, but often it’s more powerful.

3.) I asked my surgeon (5,000 prostate removals) if my recovery was typical. He said it was, for 80+/- percent of patients, plus my being “young and fit” helped. At the time of surgery I was 57 and 30lbs overweight. 

4.) I lost all inhibitions about discussing my sexual concerns with my Dr.  He knows exactly how my plumbing works and how to get it to work better. He doesn't care about my sexuality (but he knows I’m gay) other than to help my sexual performance.

Anyway, good luck!