[58M] Experiencing post-prostatectomy erectile dysfunction and incontinence

What might be happening

Based on the information you've provided, it appears you're experiencing several symptoms following your prostatectomy. These include:

• Erectile Dysfunction (ED): It's common for men to experience changes in their ability to achieve or maintain an erection after prostate surgery. This is due to the fact that nerves and blood vessels involved in erections can be damaged during the procedure.

  • Treatment options for ED include medications, vacuum erection devices, and penile implants.

• Urinary Incontinence: This is also a common side effect of prostate surgery. The prostate surrounds the urethra (the tube that carries urine from the bladder out of the body), so its removal can lead to urinary issues.

  • Treatment options include pelvic floor exercises, medications, and in some cases, surgery.

• Climacturia: This is the leakage of urine during orgasm. It's a less common but recognized side effect of prostate surgery.

  • Treatment options are limited but can include using a condom to manage the leakage or medications to decrease urine production.

What you can do

1. Consult with your doctor or a urologist about these symptoms. They may be able to adjust your treatment plan or suggest other therapies to help manage these side effects.
2. Consider seeing a physical therapist who specializes in pelvic floor exercises. These exercises can help strengthen the muscles that control urination, which may improve both your incontinence and climacturia.
3. Stay hydrated and maintain a balanced diet. This can help manage your bowel movements and overall health.

What you should look out for

• If your symptoms worsen or if you develop new symptoms, such as blood in your urine or severe abdominal pain, seek medical attention immediately.
• If your fever continues or increases, this could be a sign of an infection and you should seek medical attention.

Remember, I'm an AI and this advice is based on the information you've provided. It's always best to consult with a healthcare professional for a formal diagnosis and treatment options.