I have read this post with great interest and as such I have learned a great deal. Since I am newly castrated these posting have explained why there is no ejaculate when I masterbate. My last prostate exam before the Orchiectomy I was told that the prostate was small I wonder if this is due to having taken high dosages of Spiro for an extended period. post castration orgasms are Much more intense for me. I thank you for such interesting posts

Had not thought about the prostate much, except for it getting enlarged and causing urinary problems, or getting cancer in it. But giving it a little thought it would be great to have the prostate removed as an elective procedure, kind of like getting the tonsils removed. As a castrate candidate I have no need for a prostate and the problems it can cause only elevates the reasons to have it removed. Having it removed is no longer as traumatic as it use to be. They use robotic equipment to microscopically remove it. Only minor incisions are made and healing is very quick. One of the purposes of microscopic surgery is to reduce the risk of cutting nerves that operate erectile function.

If one wanted to be castrated, but maintain erectile function, and be minus a prostate, a combination of TRT, prostate microsurgery, and castration would make it all maybe possible.

Even with the use of robotic surgical equipment, the risks of severing the nerves that control erection is serious. Taking the prostate out needlessly is way too risky of a deal. With little to no T your chances of getting prostate cancer are minimal. One treatment for prostate cancer is castration. I think you are in the clear for now.

I am have had a bit of experience in this area. I had prostate cancer, and had a radical prostitectomy (robotic) done a bit over a year ago. I will get into that in a min. Indeed the prostate can be "milked" I recall having this done years back by a urologist. It was a very strange sensation and all of a sudden a small amount of fluid came out and onto a slide that he wanted to study. Could this be done in a non-medicial way? I am sure it could.

Now back to my prostate removal. I had an aggressive form of PC so they where not able to do the nerve sparing method, for fear that the cancer cells may have invaded that tissue. What this means is I am now completely limp all the time. I have had some shrinkage and when mentally aroused there is absolutely not even a twitch down there. A very interesting experience. But the nerves that allow for orgasm are in a different area and intact. Thus I can stimulate to orgasm. But without a prostate and along with it the disconnection of the spermatic tubes I orgasm completely dry. Another interesting experience. All and all my orgasms are different, more like waves as opposed to a burst. But they do last longer and feel very good.

The idea of getting a prostatectomy on demand is way beyond the pale of possibility. It is a very serious procedure, and it is not going to be done just for the hell of it.

I am glad to be around, and the side effects of the surgery are fine with me. I have grown to actually enjoy the way I am now, but would not do it by choice.

Feel free to PM if you have any questions

With having the prostate removed I would be more concerned with being incontinent (I hope I spelled it correctly) rather than no erection or ejaculate.

I have had my prostate removed (cancer) by the robotic method and have only limited erectile function after 15 months. Not sure of the causes. Had better function immediately after recovery from the surgery than I have now. VIagra, Cialis and Levrita have little effect. Am about to try Caverject.

There may be other reasons for my particular problem. After the Prostate surgery my testicles started to shrink but I dont think this was related to the surgery. It was other factors. They are now non- functional and I am on HRT therapy with Reandol 1000 (two months into it) which has restored my libido a bit and I am hopeful will solve the erectile problem when T levels get up to full strength

I have had very limited incontinence experience and recomend therapy to any one who has this condition. kust after the surgery I was almost totally incontinent and was wearing full padded underwear for about two weeks. I went to a specialist physiotherapist in this area and she explained that the surgery removes two out of the three bladder control valves and you are left with only one which needs to be trained to function effectively. She put me through a 6 week set of exercises to strengthen control which resolved the problem. What you end up with after prostate surgery, is essentially the same as women who have only the one bladder control valve with all the problems that come with that for them (they don't talk about this very much with men). They have the same problems with leakage when coughing, laughing, etc and have developed a well structured set of exercises to strengthen this valve

The exercises worked well with me and I essentially have no problems with incontinence. I expect that this is the norm.

However if the cancer has escaped the prostate capsule and they need to takeout the lymph nodes and other structures in the area you may lose all control. Incidentally radiation therapy (both external beam therapy and radiactive seed inserts) may do more collaterall damage and can induce incontinence.

A word of advice to everybody here is to regularly check your PSA levels in all your blood tests. This will always start moving upward with cancer (also with prostate disease)a nd give early warning time for effective diagnosis and then surgery before it spreads. PC is incurable once it spreads into the bones and is a very very painful way to die. About the only treatment is to reduce testosterone levels to zero either chemicallly or surgically and this only slows down the progress so you can die from something else before it gets to that stage.

Ther are however reports of antibody therapy research that they are hopful can cure this cancer. Don't hold you breath for these. I think they are still a long way off.