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anyone had prostate surgery? how did it go?


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Posted
2 hours ago, kingofsurf said:

I was struck how meaningless these P4P encounters are when lacking any connection whatsoever

that's what i like about 'em LOL.

assuming i still get stiffys just fine after treatment (likely, given the location of the spot) odds are my P4P time is done anyway... the most recent ex has been acting all girlfriend-y again, to the point of babysitting me when i go to the urologist (split was due to circumstances not acrimony). so if it becomes official then i go back into P4P hibernation, having very much enjoyed my year of going nuts on P4P LOL

...

Posted
24 minutes ago, schnytzal said:

. . .  same question for everyone who survived cancer: what was your Gleason score? and did you have radical prostatectomy, and/or radiation, and/or chemo?

From my biopsy report, they found three tumors. One was non-malignant.

The other two were malignant.

One had a Gleason score of 3 + 4 = 7/10.

The other had a Gleason score of 3 + 3 = 6/10.

I vaguely recall the doctor saying my cancer was "moderately aggressive."

My treatment considered of 5 sessions of high-radiation sessions targeting the tumors with microscopic precision.

I will also get hormone injections every three months for two years, to reduce the testosterone in my body that prostate cancer feeds on.

I have my first follow-up appointment next week, about one month after my last radiation treatment.  The doc will check my PSA level, and give me another hormone shot.

2 hours ago, Encora said:

More feedback for kingofsurf:

 . . .  I have been extremely tired since my hormone shot. naps at least twice a day . . . 
Also having symptoms similar to having a U.T.I, ike frequent urge to piss, which produces only little liquid, sometimes little leakage and while pissing a burning feeling, unpleasant but not really bad, just a nuisance . . .

The doctor said I might experience low energy and fatigue, but then I've felt chronic tiredness long before this cancer.

I call it "deadly fatigue" -- when I feel overpowering sudden urges to nap several times during the day. Of course being retired I been doing just that.

I actually have motivation now to resume some light strength training, and force myself to resist lying on the bed for a nap.

The doc said to be active, and encouraged walking a lot for exercise, as well as having good bowel habits, etc.

My biggest problem is difficulty urinating at night. If I hold my piss longer than a couple hours when I'm sleeping, it's very hard to get the flow started.

A couple times I thought i would have to make an emergency trip to the hospital in the dead of night, because it felt like I couldn't piss, even with an aching bladder.

The doc checked and said I don't really need a catheter yet, because I still can void most of my bladder.

He just gave me a second prescription to relax the bladder muscle. It worked for awhile, but doesn't seem to work that good now.

So I don't get a full night's sleep, because I have to to wake frequently during the night, to do painfully frustrating pissing, which only partially empties my bladder each time.

But I can still fuck. 

So it's not all bad.

Posted
11 minutes ago, kingofsurf said:

The doc checked and said I don't really need a catheter yet, because I still can void most of my bladder.

i've had a catheter since July lol. but my prostate is 90 grams. so it sounds like no prostatectomy? i have to do *something* about BPH regardless of whether Spot is cancerous, but i think Rezum is no longer in play, because HoLEP allows the doc to biopsy the removed tissue. if cancer, radical prostatectomy is most likely. from what people say here, and what i've read, doesn't seem likely, as early as Spot was discovered, to require both surgery and radiation etc.

the odds of me getting stiffys after this is done remain high. the odds of me shooting ropes, very very low LOL

 

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Posted (edited)
4 hours ago, kingofsurf said:

despite having engaged in the most intimate physical act with you can do with another.

Philosophers/ Psychiatrists claim intimacy is something that goes beyond a physical act.  True that sexual activity can be the most satisfactory feeling between 2 people, yet not intimate as you do not have an intimate connection after 30 minutes or an hour with someone IMO   You KingofSurf have the correct mongers philosophy from what I have read....just keep on mongering , every baht you give helps these ladies and mothers

Edited by LovinBgood
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Posted (edited)
9 hours ago, LovinBgood said:

Philosophers/ Psychiatrists claim intimacy is something that goes beyond a physical act . . . You KingofSurf have the correct mongers philosophy from what I have read....just keep on mongering , every baht you give helps these ladies and mothers

I recall reading long ago, maybe in my 30s or late 20s, a book titled "Peak Sex," with people describing their best-ever sexual experience.

I was struck that most people described their best-ever sex was not porn-star multi-orgasmic wild fucking -- but when both partners connected in an unusual loving way that transcended genital pleasure.

I daresay this connection might even be called spiritual.

These people mostly were in relationships and not describing one-night stands.

You normally cannot get this connection with a P4P hooker, especially when fucking for the first time.

Interesting that you believe I have the "correct" monger's philosophy.

My philosophy is that guys who monger their entire lives with dick pleasure as their main goal in life are leading shallow lives (including me of course).

Yes, paying poor hookers helps them up to a certain point.

Beyond that however, if hookers get too much "easy" money in very large amounts, they and their families just buy expensive shit they normally wouldn't buy, and also get lazy. (I know this from personal experience.)

Hope I'm not coming across as negative, but you know how I am by now.

I'm curious now.

How would you define the "correct monger's philosophy?"  

The 3-day rule?

To me, any rule that is anti-love is the wrong rule to live by.

Edited by kingofsurf
Posted (edited)
48 minutes ago, kingofsurf said:

My philosophy is that guys who monger their entire lives with dick pleasure as their main goal in life are leading shallow lives (including me of course).

It is just the continuation of a loneliness.

48 minutes ago, kingofsurf said:

I was struck that most people described their best-ever sex was not porn-star multi-orgasmic wild fucking -- but when both partners connected in an unusual loving way that transcended genital pleasure.

Love is the principle means of escape from that loneliness.

48 minutes ago, kingofsurf said:

To me, any rule that is anti-love is the wrong rule to live by.

When you hear men talk of these ‘rules’ it always has an embarrassing phoniness to it. And with a repetition of somebody trying to convince themselves of the truth of it.

Great post. I am sorry for cutting it up. 

Edited by George1234
Posted
4 hours ago, George1234 said:

 . . . Great post. I am sorry for cutting it up. 

Great reply, thanks.

You and I are on the same page when it comes to trying to see clearly how life really is -- while approaching it from different viewpoints.

Posted
20 hours ago, LovinBgood said:

Philosophers/ Psychiatrists claim intimacy is something that goes beyond a physical act. 

and can happen without sex.

thing is, in my experience, sex and intimacy can be entirely separate and enjoyed on their own terms.

i've read a fair few science papers, and books on psychology and philosophy, and i don't come away with any interest whatsoever in what philosophers have to say in the matter (and most current philosophers have very little if anything to say on the topic LOL). full disclosure, i lean toward an evolutionary psychology perspective on how the human mind works.

...

Posted
11 hours ago, kingofsurf said:

most people

key word "most people." one of the things that's potentially giving the wrong impression in actual scientific  papers, let alone pop psych stuff (some of which is credible, like Helen Fisher), is if they don't imply a one-size-fits-all description then it's a bin sort rather than a continuum. any given individual might be anywhere on that distribution curve.

only way to know if you're included in "most people" is to be able to observe yourself and your emotions as if from outside and learn to be able to tell the difference between what genuinely works for you, and

...

Posted
11 hours ago, kingofsurf said:

How would you define the "correct monger's philosophy?"  

you're not addressing this to me but hey it's a public forum LOL

it works for some people to separate love and sex, sometimes or all the time. if you are one of these, or can learn to be, you'll really enjoy mongering.

it's also possible to carve out an 'open relationship' but from what i've seen these go south at a higher rate than monogamous relationships so i dont' bother to try.

figure out where your head's really at, and pursue what you actually enjoy rather than what you think you ought to enjoy. for me, it's 50/50 between 'intimate relationship'/monogamy and nailing anything and everything that moves (one and done, 'new' is exciting to me).

YMMV. trying to impose a universal philosophy on everyone is futile at best, counterproductive at worst.

...

Posted
22 hours ago, schnytzal said:

i've had a catheter since July lol. but my prostate is 90 grams. so it sounds like no prostatectomy? i have to do *something* about BPH regardless of whether Spot is cancerous . . . if cancer, radical prostatectomy is most likely. 

According to my MRI, my prostate is about 64.4 grams.

Yeah, I have to do something about my nightly urination problems. 

What does if feel like to have a catheter inserted inside your urethra and into your bladder, and peeing that way?

Sounds so icky and hideously uncomfortable!

Is the catheter kept inside your penis continuously, or you only insert it to pee?

What if the catheter punctures your bladder or some other organ!

I have to see the doc next week, so I guess he'll inform me of my options.

I really want to avoid the prostatectomy surgery.  😨

Posted
52 minutes ago, schnytzal said:

 . . .. trying to impose a universal philosophy on everyone is futile at best, counterproductive at worst.

After reading this forum for far too long , I have come to realize the hard-core PA monger is a different breed of cat.

As long as he continually fucks many different women he is a happy camper.

He has no interest in an intimate relationship with a female.

He don't need no stinking love!

Posted
On 26/09/2024 at 12:28, schnytzal said:

a question for the guys who've survived cancer: was the treatment radical prostatectomy only, or did you get radiation afterward? if radiation, how long did treatment drag on?

Catching up late to your thread.  Sorry about the findings...

I understand your question above, but you need to consider that all prostate cancers are NOT comparable before taking in any answer about treatment: your age, your Gleason score, the potential genetic analysis of the tumor cells, spread of cancer, all will tell you what treatment is best.  It sounds like you are in good hands at Siriraj...
Rule of thumb: if you have a radical prostatectomy and there is no cancer outside (lymph nodes), radiation usually is not useful... 
 

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Posted
5 hours ago, kingofsurf said:

According to my MRI, my prostate is about 64.4 grams.

Yeah, I have to do something about my nightly urination problems. 

What does if feel like to have a catheter inserted inside your urethra and into your bladder, and peeing that way?

Sounds so icky and hideously uncomfortable!

Is the catheter kept inside your penis continuously, or you only insert it to pee?

What if the catheter punctures your bladder or some other organ!

I have to see the doc next week, so I guess he'll inform me of my options.

I really want to avoid the prostatectomy surgery.  😨

A brief update on my progress, in response to you post on urinary problems.

I had similar Gleason scores, similar level of "Moderately aggressive", similar treatment. Except I had been prescribed 2 different diuretics a number of years ago and continued to take them. and no problem with blocked release of urine.

I had  been told that about 6-8 weeks after radiation the side effects would peak.
Just very often urge to piss and a bit burning, but small volumes. My first visit to doc after hormone injection, I told him of symptoms and he replaced the diuretics with something else.

The good news, I noticed past few days a reduction of the frequency to piss and a ;lessening of the burning feeling. almost no more events of getting to the toilet "just  too late"  Maybe I turned the corner, it feels such a relief, finally feeling a bit better. I wank maybe twice a week to relax, can come, but no 'water'.  Maybe time to go and see Nui or Miao....
Light at the end of the tunnel....

Posted
On 28/09/2024 at 17:14, kingofsurf said:

Yeah, I have to do something about my nightly urination problems. 

if you're already having retrograde ejaculation HoLEP looks a very good option. only places in TH that do it, to my knowlege, are Siriraj P... and Bumrungrad. i am favorably impressed with the doctors i met with at both, and since my insurance worked something out with Siriraj P... i'll stick with them.

On 28/09/2024 at 17:14, kingofsurf said:

What does if feel like to have a catheter inserted inside your urethra and into your bladder, and peeing that way?

Sounds so icky and hideously uncomfortable!

"icky" and "hideously uncomfortable" sums it up nicely. worst thing is when you have a bag leak. at first i had the bag hose pop out of the catheter while i was sleeping, waking up in a pool of urine is among my least favorite experiences *ever* lol.

bed has one of those plastic covers that many hotels use over the mattress, so it doesn't penetrate to mattress.

pissing doesn't usually feel like anything, the bag fills up on its own. except when i shit. then it's excruciating because it leaks around the catheter.

getting a stiffy was excruciating and would wake me up. after a month or so i have no vote into whether i get a stiffy while sleeping LOL. now i have a more flexible catheter and it's not a problem, but i have to make sure it's taped in place properly so it's not bent in a way that cuts off the flow of piss.

On 28/09/2024 at 17:14, kingofsurf said:

Is the catheter kept inside your penis continuously, or you only insert it to pee?

stays in there til the BPH is sorted, 24/7. process of replacing cathether was uttlerly excruciating. objectively, other things are more painful but given the location there's a psychological component that makes it more traumatic LOL. i'm also freaked out by eye injuries, but barely blinked when i nearly cut off my finger... i figure what the hell i've got 9 more LOL.

On 28/09/2024 at 17:14, kingofsurf said:

What if the catheter punctures your bladder or some other organ!

highly unlikely. it's made of rubbery soft silicone and the bladder end has a balloon that inflates and keeps a Foley catheter in place. also, considering i could not piss AT ALL, it was by far the lesser of 2 evils. i know i keep using the word excruciating but i can't think of a better one, not being able to piss was some next-level torture.

On 28/09/2024 at 17:14, kingofsurf said:

I really want to avoid the prostatectomy surgery.  😨

HoLEP enucleation removes the excess tissue around the urethra. ALL of it. and ALL of the tissue can be biopsied. you'll go away with a 20 gram or so prostate. the muscles that keep spooge from going up into the bladder usually go with it so most people never shoot ropes again after HoLEP.

...

Posted
On 28/09/2024 at 17:19, kingofsurf said:

After reading this forum for far too long , I have come to realize the hard-core PA monger is a different breed of cat.

yeah it's a continuum from "intimacy only" to "i just want to fuck anything that moves" and every variation in between exists. i know guys who ONLY want the intimacy of a relationshipo and guys who ONLY want to fuck anything that moves, and everything in between. and variations within the variations. i'm almost exactly in the middle in that i can go either way. i have no idea how long i could sustain the hardcore mongering/slut life because i rarely have more than 2 years between girlfriends LOL.

human sexuality is highly variable and often one has to deal with competing urges. it's an evolutionary hedge for the gene pool, and this variability and complexity is terribly inconvenient for those studying human sexuality and psychology LOL.

thing to remember about sex and love is they're both urges that are there to help your genes, not make you happy. one has to manage these urges, find the balance that suits one, and accept that neither can ever be fully satisfied, contentment is a choice not a result of blindly following urges. i'm not AT ALL 'spiritual' but i think it's something Buddhists, in principle, got right. .

...

Posted
On 28/09/2024 at 18:49, hormone said:

I understand your question above, but you need to consider that all prostate cancers are NOT comparable before taking in any answer about treatment: your age, your Gleason score, the potential genetic analysis of the tumor cells, spread of cancer, all will tell you what treatment is best.

yep and yep

On 28/09/2024 at 18:49, hormone said:

: if you have a radical prostatectomy and there is no cancer outside (lymph nodes), radiation usually is not useful... 
 

does appear to be an either/or.

been reading this:

https://www.amazon.com/Patrick-Walshs-Surviving-Prostate-Cancer/dp/1455504181

highly recommended. i hope to get to the part about biopsies before i get biopsied to find out if Spot (yeah i named it) is cancerous.

...

Posted
On 29/09/2024 at 06:57, Encora said:

The good news, I noticed past few days a reduction of the frequency to piss and a ;lessening of the burning feeling. almost no more events of getting to the toilet "just  too late"  Maybe I turned the corner, it feels such a relief, finally feeling a bit better. I wank maybe twice a week to relax, can come, but no 'water'.  Maybe time to go and see Nui or Miao....
Light at the end of the tunnel...

this is encouraging, hope you stay on the path to recovery

...

Posted
1 hour ago, schnytzal said:

does appear to be an either/or.

You are correct for some cases, though from enquiring to a urologist contact of mine, it's a bit more complex!  I was slightly mixed up...  And yes very local disease can be treated with radiation without surgery especially if the tumor does not seem aggressive...

  One counfounding factor is that many references will talk about "prostate surgery" (which does not equate necessarily removing ALL the prostate) while others will talk about "radical prostatectomy" which in theory should mean removing all. 
If your disease is really localized, then we can expect the surgical margins (the end part of the removed tissue) to be negative.  But if your disease is more advanced, you can have "positive margins" or if the pathology of the cancer is very aggressive they might offer radiation.  It seems consensus has changed a bit in the last 5-7 years. 

One good reference to read is to understand the "basics" of yes/ no radiation is:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310328/

the most important part of the text is this one, which I hope will help you ask the correct questions to your urologist:
"If the patient had a radical prostatectomy, valuable prognostic information is obtained from the pathologic specimen. If the final specimen demonstrates positive surgical margins, pathologic stage greater than T3a, positive nodal status and/or pathologic International Society of Urological Pathology (ISUP) grade more than 3, a poor prognosis is expected for the patient, and the physician in charge should evaluate multimodal treatment."

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Posted
On 28/09/2024 at 05:36, George1234 said:

Love is the principle means of escape from that loneliness

Nope, I haven't felt lonely for decades, many people in marriages feel lonely, some fake love going on, no need for love to stop loneliness 

  • Like 2
Posted (edited)
11 hours ago, Scuba+ said:

Nope, I haven't felt lonely for decades . . . no need for love to stop loneliness 

So if you have a terminal illness and are sitting in the hospital waiting area for your next doctor appointment (presumably alone), you will not feel lonely?

You won't wish someone could be with you, so you are not totally alone in your fear and sadness?

I would have to say I think I have reached that stage.

Edited by kingofsurf
  • Like 2
Posted
19 hours ago, kingofsurf said:

So if you have a terminal illness and are sitting in the hospital waiting area for your next doctor appointment (presumably alone), you will not feel lonely?

You won't wish someone could be with you, so you are not totally alone in your fear and sadness?

I would have to say I think I have reached that stage.

If the staff see you with a young pretty, they will assume you are a rich man with little financial discipline, and bill you accordingly. Take your solace in the room. It’s cheaper. 

Posted
On 02/10/2024 at 12:26, Phoenix Dave said:

If the staff see you with a young pretty, they will assume you are a rich man with little financial discipline, and bill you accordingly. Take your solace in the room. It’s cheaper. 

HOSPITALS??? LOL not really. a) every hospital i've been to has standard rates for everything. at Siriraj these rates are higher for foreigners (double pricing!) but also pretty much standard. and Siriraj is still cheaper than other private hospitals, even after the forigener surcharge. b) depends on the 'young pretty.' if she talks/acts like a bargirl then that will be people's impression, and they can EASILY tell. but the hospital still won't "bill you accordingly." if this has happened to you please tell me which hospital so i can avoid it LOL

...

Posted

for the guys who've had the (MRI-guided) transperineal biopsy...

how rough was it? i've already decided i'm not driving, so that's not an issue. Pacific Cross have already decided to reject the doctor's request for 1 day observation in hospital. should i stay near the hospital for a night just in case?

...

Posted
3 minutes ago, schnytzal said:

HOSPITALS??? LOL not really. a) every hospital i've been to has standard rates for everything. at Siriraj these rates are higher for foreigners (double pricing!) but also pretty much standard. and Siriraj is still cheaper than other private hospitals, even after the forigener surcharge. b) depends on the 'young pretty.' if she talks/acts like a bargirl then that will be people's impression, and they can EASILY tell. but the hospital still won't "bill you accordingly." if this has happened to you please tell me which hospital so i can avoid it LOL

You seem to LOL a lot. It did happen to me, at the Bangkok Hospital Pattaya Eye clinic. My 3rd scheduled visit of 4 was 15 % higher in cost than visits 1, 2, & 4. All the same tests, all the same treatments. Brought a bargirl (AGG girl actually) was the only difference.

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