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Updated: Mar 15, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
[Patients' experiences of orgasm changes and loss of ejaculation after radical prostatectomy]
Carina Jägervall1, A Birgitta Gunnarsson2, A Brüggemann3
1Kirurgkliniken - Sexualmedicinska mottagningen Växjö, Sweden Kirurgkliniken - Sexualmedicinska mottagningen Växjö, Sweden.
Abstract:
Patients' experiences of orgasm changes and loss of ejaculation after radical prostatectomy In this study we report on men's experiences of orgasm changes and loss of ejaculation after radical prostatectomy. Ten men, all recruited through a Swedish hospital, were interviewed and data was analyzed using qualitative content analysis. The results showed that the experience of orgasm has weakened but that the loss of ejaculation was not perceived as a loss per se. However, the risk of urine release during orgasm was troublesome and inhibiting. These challenges were framed within an existential narrative about sexuality, as expressed in preoperative sexual farewell rituals and postoperative feelings of ambivalence and regret. These findings can be used in the design of patient information and for sexual rehabilitation treatment.
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