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but the third part of orgasm occurs in the brain and can be just as intense as before surgery. This doesnt mean that some men dont have difficulty experiencing orgasm after radical prostatectomy. The missing sensation of fullness and the lack of ejaculate are big changes. radical prostatectomy can affect orgasm in two ways by causing erectile dysfunction, which can make sex difficult or impossible, and by eliminating a. Objective to evaluate the ability to obtain and the quality of orgasm after radical prostatectomy. Patients and methods the orgasms experienced after undergoing radical prostatectomy were evaluated in 20 men (median age 65 years, range 5676) using a semistructured interview and a selfadministered questionnaire. In addition, the patients were asked to write a brief statement about. Five-year survival rates were 81 percent for radical prostatectomy, 81 percent for external beam, 83 percent for seeds and 77 percent for combined therapy. Who develops ed after treatment? It depends on luck, the tumors location in the prostate, the aggressiveness of its cells and two main risk factors age. Painful orgasm after radical prostatectomy could be related to the bilateral sparing of the seminal vesicles during the procedure, european researchers suggest. Prostatectomy, or surgical removal of the prostate, is a common treatment for prostate cancer. It may be done in an open procedure or with the assistance of a robot that performs the surgery laparoscopically. Worrying about ed makes men be nervous and anxious when thinking about undergoing radical prostatectomy. However, whilst most patients focus on erectile dysfunction, orgasm is somehow under-considered. But is it possible to achieve orgasm after prostatectomy? Erections and orgasm are equally important for a healthy sex life. Introduction the sexual problem after radical prostatectomy (rp) that has received the most focus in the current literature is erectile dysfunction. However, there are orgasmic complications that encompass orgasm-associated urinary incontinence (climacturia), anorgasmia, changes in orgasmic sensation, and painful orgasm (dysorgasmia). Conclusions orgasmic function recovery after radical prostatectomy is a lengthy process. Predictors of orgasmic function include preoperative orgasmic function, age, nerve sparing status, erectile function, sexual desire and urinary control and function. can anyone out there comment about absence of orgasm and reduced quality of orgasm after prostatectomy? I started to research and found some studies showing a pretty large group of respondees reporting lack of sensation at time of climax and different sensation. It seems the mainstream medical sites pretty much only address erectile function. On occasion a man may be unable to experience an orgasm at all. In rare instances, a radical prostatectomy patient notices an increase in orgasm intensity. Up to 20 of men after radical prostatectomy experience pain with climax, which is perceived in the penis, testes or the rectum.