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husband is 9 years post Prostatectomy . He has been able to achieve erection by the use of a manual pump. Penetration is another story, as his penis does not stay rigid enough(bends/flops over at base)to penetrate.  He is able to reach orgasm. Recently  he has been expressing fluid prior to and during orgasm. This fluid resembles urine and is rather acidic to my skin as it burns if I have a cut on my fingers. Is this urine? Why is this fluid now being expelled? He LOVES the sensation as it makes him "feel manly"--like he is ejaculating again.  I do not enjoy it, but will learn to accept it, for him, as long as it is NOT a symptom of some underlying medical problem. Please comment. thank you.
p.s. anything that can be done to improve chances of penetration??

Answer
martha:

The fluid is probably urine but that's just a guess from here as it could also be semen or at least partially semen.  You did not indicate what type of prostatectomy he had.  A standard prostatectomy is for benign disease but a radical prostatectomy, done for cancer, is a bigger operation and is more likely to have some leakage and ED problems.  This is not likely to be a symptoms of an underlying problem but we can't guarantee that.

He'll need to talk to his urologist about improving the erections such as double pumping the pump, using a different ring or multiple rings, possibly adding viagra or MUSE to the treatment.  

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Stephen W. Leslie, MD

Expertise

Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.

Experience

Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

Organizations
American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Publications
Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Education/Credentials
Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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