Category Archives: Prostatectomy

Down, but not out

Name: Roger
Gender: Male
Age: 70s
Location: Saugatuck Michigan
Hi– linked to your very interesting site via Allkink. My question: last year I underwent radiation on my prostate; it was enlarged and had cancer cells. Apparently it did the job, since my PSA is way down and the Dr. says I’ve shrunk, and am healthy otherwise. But since then I am almost totally impotent (don’t get erect when I want to, though sometimes get semi-erect at random times). I can still orgasm, but don’t ejaculate; sometimes a little clear fluid dribbles out afterwards. Curiously, I could still ejaculate during and right after the radiation treatments, but not now. Also in general a noticeable decrease in libido. Needless to say, very annoying.

I’m gay, solo, in my 70s, celibate since mid-1980s when I tested HIV-, and a dedicated bottom. I knew I was at risk, and “safe-sex” just didn’t turn me on. I’ve been using dildos of all sizes for years. Now, insertion has become a little painful (kinda stings, like the first times way back when), but after several tries they go in OK. Those of larger girth or not-very-smooth texture are really difficult, and I’ve pretty much given up on them (though “John Holmes” still works!). There is occasionally a little blood on the dildo afterwards, but bleeding doesn’t persist, and Dr. says I have no hemorrhoid. The radiologist did warn me that the treatment might produce scar tissue in the colon. Is that a possibility?

I hate to think that I ought to give up altogether on my little pleasures, but would welcome you advice/opinion. I haven’t discussed this with my urologist, whom I don’t know very well, but did bring it up with my (female) GP, who didn’t seem overly concerned and merely suggested lots of lube, which was not news to me.PMB110

Wow, Roger, that was a mouthful. I am so delighted that you wrote in. I love hearing from folks in their 60’s 70’s and 80’s who are still enjoying a rich and fulfilling sex life, even if it is by themselves. I am of the mind that self-pleasuring can be some of the most rewarding sex available to a person at any age. And nowadays, with all the amazing sex toys on the market, one can enjoy solitary sexual pleasure like never before.

I’ve written and spoken a lot about prostate issues including the aftermath of cancer treatments. May I suggest that you take a look at the CATEGORY section on the sidebar of my site? There you will find a category labeled “Health Concerns.” There are subcategories for “Anal Fissures,”  and one for “Prostatectomy.”  I realize that you haven’t had a radical prostatectomy, but your situation is very similar to those men who have. If you click on either of those two subcategories you will find loads of useful information in both written and podcasts form.

In the meantime, let me see if I can address some of your questions in a nutshell. You ask about possible scar tissue from radiation therapy. The short answer is; yes, scar tissue is possible, even probable. And as we all know scar tissue is not nearly as pliable as regular tissue. Scar tissue also MR01034has fewer nerve ending than normal tissue. You could be injuring yourself without even knowing it since the sensations in your ass are considerably less then they once were. I’d be willing to guess that this might be the source of the bleeding you report. Maybe you need to retire the really big toys, like the John Holmes, and enjoy something more modest for the time being. Another suggestion is to try an inflatable dildo.  or a smaller insertable that vibrates.  There are several on the market. You can find several in My Stockroom. The advantage to something like the inflatable dildo is that you could insert something relatively narrow  and inflate to a larger size once inside. This would avoid ramming a big dildo in bum from the get go. And a vibrating insertable would add stimulation without the length or girth.E477

As to your erection issues; yeah, I hear ya. Aging alone will take its toll on the hydraulics that give us wood. When you couple that with the trauma of invasive surgery and/or radiation therapy, well it’s no wonder stiffies elude us. I tell the men that I see in my private practice, who are similarly challenged as you, to use a cock ring  to assist in getting the best boner possible under the circumstances. A penis pump works pretty well too, if you want to go the distance.  I have lots more to say about these devices if you care to hear about it.

C923Also, several men I know with erection concerns are taking a cue from the women folk and employing a vibrator in their sex play. There are the insertable kind, as I’ve already mentioned, and there are external ones too. Have you given this option a thought? The extra stimulation a vibrator can produce will increase blood flow and thus a more substantial boner. I have a whole lot more to say about this too if you care to write to me for that information.

In the end, it will be desire that will continue to propel you to further enjoy yourself and the pleasures your body has to offer. I wish you continued lust and many more years of healthy and life-affirming sexuality.

Good luck

Awakening Your Sensual Self Post Cancer

Name: Doug
Gender: Male
Age: 58
Location: San Diego
HI: I need some help. I had my prostate removed due to prostate cancer. I feel I have lost my man-hood. I don’t experience hard-ons anymore. My penis is dead. Can you recommend something to help me?

It’s truly uncanny; in the past week alone I’ve received similar email from four different people. Each had a very different presenting problem, but all were experiencing very similar sexual issues. Get this, I heard from a woman in Japan who is recovering from a radical mastectomy. I heard from a guy in San Francisco who is recovering from a serious meth addiction. A young wife and mother in North Carolina whose husband, and father of her two kids, has returned from Iraq a basket case…and now you, Doug.prostatecancer_600x450

Its astonishing that, despite the dramatic differences in each of your life stories, all of you report pretty much same thing — you feel less than whole, disconnected from your sexuality and devoid of any real intimacy or meaningful sexual outlet. It is so amazing how, despite our unique individual difficulties, there are often a universal response to life’s troubling complexities.

Regaining a sense of your sexual-self after prostate surgery, or any of the other problems I mentioned above, is an arduous, but rewarding task. With your self-confidence in the toilet and zero libido to boot, I suggest that you begin your rehabilitation by connecting with others similarly challenged as you. In your case, it will probably be other cancer survivors. More likely than not, they will be a whole lot more sympathetic to your issues and attuned to your predicament. Sometimes, people who have yet to experience a life threatening disease or a disfiguring surgery don’t have a clue about how to interact with those that have. It’s not their fault, it’s just the way things are.

I suggest looking into a support group, if you haven’t done so already. Once you make that connection, you will find, that you are not alone. Other people similarly challenged as you are experiencing many of very same things you are. And to my mind, it’s way much easier to face and handle life’s difficulties when surrounded and supported by others.

AGDD_front coverOne word of caution; my experience is that many disease-based programs and support groups shy away from intimacy concerns. This is a real tragedy, because this is the one aspect of healing that consistently remains unaddressed by the medical profession. That is way I included an entire chapter about the intimacy and sexual needs of chronically ill, elder and dying people in my book — The Amateur’s Guide To Death and Dying; Enhancing the End of Life. I encourage you to check out the book; it’s loaded with amazing sex-positive information.

Next I suggest that you first try connecting with people on a sensual level as opposed to a sexual level. I firmly believe in massage as the best say to accomplish this. Think about it. Imagine the good you’ll be able to do for others, as well as yourself with therapeutic touch. And, to my mind, therapeutic touch also includes sensual touch. It will soothe so much more than the jangled nerves and disrupted muscle tissue caused by radical invasive surgery. It gives the one doing the touch a renewed sense of him/herself a pleasure giver, which is totally important to us all. And when you receive the touch, it will begin to reawaken sensory perceptions you thought were lost for good. And your libido as well as your erection will bloom again. I promise. Here’s a tip: to keep that stiffy goin, I encourage you to use a cockring.

Now if you feel your massage skills aren’t up to par, why not take a class or workshop in massage. You might want to look to something like the Body Electric School Of Massage. They have load of training options. And learning is a hands-on experience. What could be more liberating than that?

If a class is a bit too intimidating at first, you might consider purchasing a book on massage. A great primer is: Male Erotic Massage by Ray Stubbs, Ph.D.  This is a holistic approach to bodywork, including the sexual and the spiritual aspects of Male Erotic Massage. There are over 200 photographs in this volume that reveal both massage techniques and the beauty of the male body embracing the male body. The strength, the joy, the gentleness, the ardor, the tenderness, the equanimity, the pleasure — they are all included.

Another title is: Erotic Massage, The Touch of Love also by Ray Stubbs, Ph.D.  This is a more inclusive volume of erotic massage. It describes long, flowing strokes for the whole body, including female and male genitals. By the way, this was the very first massage book to explicitly illustrate genital massage. The techniques described are simple and easy to perform. It’s superbly illustrated, and the text is both tender and playful.Massage

Finally, your gift of massage is the ideal way to connect with another human, be it a friend, a family member, lover, or even a stranger. Your touch can be either seductive or non-seductive, or maybe a little of both. You can count on this purposefully touching to open new doors. You’ll discover new pleasures, both subtle and profound, as you give as well as receive touch.

I encourage you to push beyond the isolation I know you are feeling, Doug. Purposeful touching, like massage, will change your perceptions about sex, sensuality, and intimacy. And like I said, it will also resurrect your boner. I know this can happen. I’ve seen it happen. Doug, now it’s your turn to make it happen!

Good luck

Hey dr dick! What’s that toll-free podcast voicemail telephone number? Why, it’s: (866) 422-5680. DON’T BE SHY, LET IT FLY!

You make me want to shout!

Hey sex fans!

Welcome to this our latest edition of Product Review Friday. Today we feature the second of the two products sent to us by that sizzlin’ hot company, Spare Parts Hardware.

But wait, you didn’t miss the first of our reviews, did you? Well not to worry if you did, because you can find it all our previous reviews archived on my Product Review site, Dr Dick’s Sex Toy Reviews. You’ll find our first Spare Parts Hardware review HERE:

Today we welcome back Dr Dick Review Crew member, Carlos. We’ve missed you sir and we’re so glad you’re back with us.

Deuce Male Harness – $139.99

Carlos

Thanks, Dr Dick, it’s good to be back.

Those of you who follow my reviews may recall that way back in October 2007, when I participated in my first review; I mentioned I was having some prostate problems. I’ve been calling attention to that issue ever since. Well, earlier this year, I was diagnosed with prostate cancer and soon there after I went under the knife. I had a radical prostatectomy, which removed my prostate gland as well as and some of the surrounding tissue.

Like my Dr Dick Review Crew colleague, Angie, who was diagnosed with lymphoma over a year ago, I’ve been struggling to regain a sense of my sexual-self post surgery. No one; not my doctors, not my nurses, not anyone in the cancer support group I attend ever talks about sex and sexuality post diagnosis and treatment. It’s criminal really.

The surgery impacted every aspect of my sex life — with my myself, with my wife and the periodic connections I used to have with some of my men friends. Thank god I’ve been able to count on Dr Dick to help me through this, because if I had to do this alone I don’t see how I would have made it.

I want to repeat something Angie said. “There is precious little information about sex and sexuality available to cancer survivors. No one seemed to be capable of speaking clearly and unambiguously about how a cancer diagnosis and treatment impacts a person’s intimate life. This conspiracy of silence has got to stop!”

Since the surgery I haven’t had a full erection. Dr Dick tells me that I may regain that capacity with time. I also no longer have an ejaculation. That Dr Dick tells me is gone for good. That really bums me out, but I can still have an orgasm, so I’m really happy for that. Dr Dick gave me some exercises to help me with the arousal phase of my sexual response cycle, mostly it masturbation sorts of things. He also suggested that rather than going without partnered sex, I could try a strap on. Hell, I didn’t even know there were strap ons for men. As you can see, I had a lot to learn.

And this is what gets me to the fantastic Deuce Male Harness that I want to tell you about today. It looks and wears just like a jockstrap. It’s completely adjustable so it always fits perfectly. It’s made of a very sensual fabric. And it’s completely machine washable. Oh, and did I mention it is smokin’ hot? It really bolsters my sexual self-confidence. And that’s about the best therapy there is.

Ok, so let’s take a closer look at the Deuce starting with the fabric. Like I mentioned earlier, it’s soft, silky and body hugging. It’s a nylon and spandex blend, which makes it stretchy and durable. If you’re trying to picture it in your mind’s eye think a quality swimsuit material. All the adjustment sliders are made of a durable hard plastic.

The front panel is super functional. The pouch, just like a jock, cradles your own equipment. If you’re gonna just use a dildo or dong with the Deuce. There is a built-in O-ring to stabilize your dong of choice. But here’s the BIG plus; there is an opening below the O-ring that allows you to slip you’re your cock through so that you can use your own johnson along with the dildo. This is ideal for double penetration; or if you simply want to experiment with a bigger dildo than your own cock; or if you want to keep pleasuring your partner after you shoot your load. Ya see, there are lots of reasons a guy might want to use a strap on even if his own unit works perfectly well.

Unlike the more traditional leather harnesses, the Deuce is really sporty looking. The wide waistband, with the attractive Spare Parts Hardware logo on it, adjusts using velcro. There’s also a second set of adjusting straps on the waistband to gain precision snugness. Even the leg straps are adjustable.

You can use a lot of different kinds and sizes of dongs and dildos, just as long as the ones you choose have a base. And putting the dildo or dong in place is super easy, the O-ring is very accommodating.

Don’t be afraid of using lots of lube, because as I mentioned earlier you just pop the Deuce in the washer and you’re done with the cleanup. Don’t even think of trying that with a conventional leather harness.

The Deuce comes with a zippered storage bag. And there’s even a pocket in the bag for condoms and/or a small bottle of lube. It’s idea for travel.

Finally, let me compliment Spare Parts Hardware on their packaging. It’s beautifully simple, yet amazingly classy and every part of the packaging is completely recyclable. Kudos!
Full Review HERE!

ENJOY

5th Anniversary Q&A Show — Podcast #320 — 02/13/12


Hey sex fans,

Hey everybody, Happy Valentine’s Day! And guess what? This week’s show marks my fifth anniversary of podcasting. I know! Isn’t that fuckin great? I mean who would have guessed that we’d enjoy such a long run.

And what a year it has been too. I brought you fascinating interviews with remarkable people for all of my series. Play With It series, which features conversations with folks in the adult products industry. The Sex EDGE-U-cation series, which features chats with kinksters and porn stars and advocates of alternative lifestyles. The SEX WISDOM series, which brings you interviews with the movers and shakers n the field of human sexuality. And, of course, The Erotic Mind series, which is now four years old.

But today I have a bunch of very interesting questions from the sexually worrisome to dazzle you with. So let’s launch ourselves into year #6 with a bang.

  • Danny has a short fuse.
  • Daniel asks about sex after a prostatectomy.
  • Janet wants to know which sex toys are right for her and her partner.
  • Terria Lee has new a heavy hung BF, but the fuck is uncomfortable.
  • Loveuniforms want to know about piss enemas.
  • Amber is experiencing painful intercourse too.
  • Ash has a thing for the people she sees in porn, but not in real life.
  • Nikky has only one ball. Will that be a problem?
  • Kristin thinks her partner might be cheating on her.
  • Robin wants to crossdress and be submissive, but will he allow himself to do that?

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Review.

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

300th Podcast – A Q&A Plus Much More Show — Podcast #300 — 09/26/11


Hey sex fans, welcome back!

I have a special announcement. Today’s program marks a milestone. This is my 300th podcast. I know; can you stand it? We’ve come a long way since I timidly began this audio educational and enrichment effort on February 12, 2007.

In the interim I launched four interview series: The Play With It series, the Sex EDGE-U-cation series and the SEX WISDOM series, all of which appear on Wednesdays. And The Erotic Mind series, which shares Mondays with my traditional Q&A format like today’s show.

This week we hear from

  • Edward is wondering about the pleasures of ass fucking after a prostatectomy.
  • Jim and his wife watched some porn and now they want to try some funky new stuff.
  • I offer ya’ll a tutorial on How To Handle Opening a Relationship.
  • I address some questions about the nature of Sex Therapy and Relationship Counseling.

Today’s podcast is bought to you by: Dr Dick’s Sex Advice and Dr Dick’s Sex Toy Review.

BE THERE OR BE SQUARE!

Check out The Lick-A-Dee-Split Connection. That’s Dr Dick’s toll free podcast voicemail HOTLINE. Don’t worry people; no one will personally answer the phone. Your message goes directly to voicemail.

Got a question or a comment? Wanna rant or rave? Or maybe you’d just like to talk dirty for a minute or two. Why not get it off your chest! Give Dr Dick a call at (866) 422-5680.

DON’T BE SHY, LET IT FLY!

Look for my podcasts on iTunes. You’ll find me in the podcast section, obviously, or just search for Dr Dick Sex Advice. And don’t forget to subscribe. I wouldn’t want you to miss even one episode.

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