Living With A Urinary Catheter › Forums › Urethral Strictures And Their Treatments › 7 months post-op and very frustrated with pain levels and sexual side-effects › Reply To: 7 months post-op and very frustrated with pain levels and sexual side-effects
I had the surgery too and ejaculation is definitely less projectile now. I think it’s just because the pathway is all wonky from the repair and it takes the semen longer to travel through it. That being said, it’s also more pleasurable. Before I could feel the obstruction when I came. Now it’s not as uncomfortable. So, if your concern is that using the muscle that facilitates ejaculation you lost force then I can assure you that you would have had the same result with a buccal mucosa graft, because that is what I had. They even ask you on the follow-up surveys about whether your ejaculations have decreased and if you need to manually push the cum out by sitting on your perineaum. It’s a common side effect. However, I haven’t heard of surgeons using that muscle, or any other, to patch up a stricture before, so you might want to get a second opinion from another experienced doctor—mine was Dr. Joel German in Orange County. As far as intimate life goes, it’s going to be affected by a major surgery down there regardless. Since you have only had dilations before you’ve never experienced such a major change in sensation. It’s going to take some getting used to. Unless your doctor really messed up I’m sure you are just going through an adjustment process and things will improve. The pain you described in relation to your VCUG is not unfamiliar to me, nor is the burning when pissing the first time. It takes some getting used to, and every body is different.