AboutArthur Goldstein, M.D. Expertise Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations American Medical Association, American Urological Association, American College of Surgeons
In one question, I inquired about my lack of any libido. Well, in the course of 2-3 days, my libido is fully restored. In fact, it's more powerful now than it was pre-surgery(I'm guessing that the regular masturbation that I did before surgery kept it from getting severe in the past.) But now I'm not sure I want my libido back(this soon). I have had a couple of full erections now, that lasted for 1-2 hours straight, each. I had to untape the cathetar. It's nice to know my libido in intact, but not so nice that this is almost like some sort of torture -- in just the first 2 days it has returned.
(1) This is post-op day 10. Are these erections possibly damaging the urethral graft?
(2) I realize that masturbation would probably cause damage. However, at this point, it's so bad, I could probably orgasm/ejaculate just by touching the head of the penis and rub it with barely any pressure. I assume that the force of ejaculate in the urethra would probably damage the graft, right? What about involuntary ejaculations(like wet dreams, which are probalby certain to happen at this point considering my problem now)? Do nocturnal 'wet dream' type ejaculations have the same force as the ones that are manually achieved?
(3) I have tried ice, thinking about cartoons, etc.; basicly everything. Do you have any suggestions to stop this sexual excitation from occuring or to help curb it? (I was prescribed a medicine called ketoconazole that has the side effect of impotence, but it turns out that I am allergic to this medication.)
-Chris
Answer Chris, it would be preferable not to have erections as they theoretically could stretch the graft but probably will not harm it. Other than tring to change you thoughts (as you are doing) and using ice there is a old medication called salt peter that was used years ago in the military for this purpose but I have no experience with it. I am also unaware of its potential toxicity. There are many medications that as a potential side effect MAY cause erection or ejaculatory difficulty but this is not their primary mode of action and the incidence of this effect is relatively small. I would try to avoid ejaculation as the contraction of the pelvic muscles associated with this could possibly be harmful to the graft. You need to contact your surgeon for his advise on this matter. He apparently does a great deal of this type of surgery and perhaps can give you more specific advice or reassurance that it may not necessarily be harmful.
