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8 Weeks Post Colectomy . Can't Ejaculate, No More Even

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Posted on Sat, 25 Jul 2020
Question: 8 weeks post colectomy. Can't ejaculate, no more even small amounts of preejaculate appears during attempts to masturbate. What little information I can find either talks about Kegel exercises to help premature ejaculation...not my problem...or says nothing can be done if this happened after surgery. I used to have sex 2 to 3 times per day...or masturbate.Erections are not a problem. After horrible colectomy, I'm unlikely to seek surgery if that is what it takes to fix this. I am starting to wonder if this isn't even retrograde ejaculation, but a clogged area in my anatomy. Could damage from the Foley catheter post surgery cause this? Yes...Will see a urologist, but was seeking some guidance before I can make that happen in the next few weeks. Lastly, during any efforts to ejaculate, sexual desire is there, but just as I think it might happen, it does not. I did have a vasectomy 25 years ago...but that didn't ever seen to have an impact with pre ejaculate or actual ejaculation until the surgery.
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Follow up: Dr. Ivo Ditah (0 minute later)
8 weeks post colectomy. Can't ejaculate, no more even small amounts of preejaculate appears during attempts to masturbate. What little information I can find either talks about Kegel exercises to help premature ejaculation...not my problem...or says nothing can be done if this happened after surgery. I used to have sex 2 to 3 times per day...or masturbate.Erections are not a problem. After horrible colectomy, I'm unlikely to seek surgery if that is what it takes to fix this. I am starting to wonder if this isn't even retrograde ejaculation, but a clogged area in my anatomy. Could damage from the Foley catheter post surgery cause this? Yes...Will see a urologist, but was seeking some guidance before I can make that happen in the next few weeks. Lastly, during any efforts to ejaculate, sexual desire is there, but just as I think it might happen, it does not. I did have a vasectomy 25 years ago...but that didn't ever seen to have an impact with pre ejaculate or actual ejaculation until the surgery.
doctor
Answered by Dr. Ivo Ditah (1 hour later)
Brief Answer:
Probably due to damaged nerves during the surger.

Detailed Answer:
Hi and thanks for this query.

This is most likely due to damaged nerves during the procedure. This leads to inability to trigger the sequence of events necessary for ejaculation. It could also be related to retrograde ejaculation. Was there any manipulation in the urinary tract or prostate related procedures? Generally, this will cause decreased seminal fluid production and/or backward flow.

In either case, a urologist consult is essential. This will allow for more detailed assessment. Also, it will be necessary for the surgeon to state the extent of surgery in the pelvis which appears to be the primary cause of this through damaged nerves.

I hope this guides and helps. I wish you well. Feel free to follow up with me as you please.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Ivo Ditah (0 minute later)
Brief Answer:
Probably due to damaged nerves during the surger.

Detailed Answer:
Hi and thanks for this query.

This is most likely due to damaged nerves during the procedure. This leads to inability to trigger the sequence of events necessary for ejaculation. It could also be related to retrograde ejaculation. Was there any manipulation in the urinary tract or prostate related procedures? Generally, this will cause decreased seminal fluid production and/or backward flow.

In either case, a urologist consult is essential. This will allow for more detailed assessment. Also, it will be necessary for the surgeon to state the extent of surgery in the pelvis which appears to be the primary cause of this through damaged nerves.

I hope this guides and helps. I wish you well. Feel free to follow up with me as you please.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ivo Ditah (1 hour later)
It helps. Thx. I'm not thinking real logically right now. My uncle is a retired gastroenterologist. He asked me to obtain the surgeon report several weeks ago. He thought it night resolve itself. After 2 months, I dont think so. According to his reading of the report, there should have been nothing done to any of the nerves in that area that would cause this. No work on the prostate or bladder..
Other than the catheter that was inserted post op for 36 hours or so. My primary care doctor thinks it may be trama from the over all surgery, but after 8 weeks I'm not buying it either. 8 weeks is a very long time to me. I'll be asking for a referral from her tomorrow after the usa holiday is over. I had about 5 incisions and laparoscopically about 6 inches of my colon was removed due to severe diverticulitis...around the distal sigmoid colon. If memory serves. This was on March 24th. I'm terrified that there is no solution or the solution will involve more surgery. I will seek the urologist for sure. Thanks for your feedback, and where ever you are located I hope you and your family are safe. XXXXXXX
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Follow up: Dr. Ivo Ditah (0 minute later)
It helps. Thx. I'm not thinking real logically right now. My uncle is a retired gastroenterologist. He asked me to obtain the surgeon report several weeks ago. He thought it night resolve itself. After 2 months, I dont think so. According to his reading of the report, there should have been nothing done to any of the nerves in that area that would cause this. No work on the prostate or bladder..
Other than the catheter that was inserted post op for 36 hours or so. My primary care doctor thinks it may be trama from the over all surgery, but after 8 weeks I'm not buying it either. 8 weeks is a very long time to me. I'll be asking for a referral from her tomorrow after the usa holiday is over. I had about 5 incisions and laparoscopically about 6 inches of my colon was removed due to severe diverticulitis...around the distal sigmoid colon. If memory serves. This was on March 24th. I'm terrified that there is no solution or the solution will involve more surgery. I will seek the urologist for sure. Thanks for your feedback, and where ever you are located I hope you and your family are safe. XXXXXXX
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Follow up: Dr. Ivo Ditah (2 minutes later)
March 14th. Not 24th of march. Sorry.
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Follow up: Dr. Ivo Ditah (0 minute later)
March 14th. Not 24th of march. Sorry.
doctor
Answered by Dr. Ivo Ditah (12 minutes later)
Brief Answer:
Am based in New York at at this time. A urologist would be helpful

Detailed Answer:
Hi,

You are absolutely right. 8weeks is a long time and we need answers to this. A urologist would be best placed person to address this. I recommend you take a report from the surgeon for their review as well.

Please, keep me updated!
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ivo Ditah (0 minute later)
Brief Answer:
Am based in New York at at this time. A urologist would be helpful

Detailed Answer:
Hi,

You are absolutely right. 8weeks is a long time and we need answers to this. A urologist would be best placed person to address this. I recommend you take a report from the surgeon for their review as well.

Please, keep me updated!
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ivo Ditah (41 minutes later)
Again, thank you.

Assuming this discussion stays open on this forum (I don't know the rules), I'll let you know. As I said in the beginning, I'm amazed at how few discussions or solutions I found online regarding this issue-or even that many people mentioned this is a problem. A few did. The conclusion was there was no fix.
XXXXXXX
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Follow up: Dr. Ivo Ditah (0 minute later)
Again, thank you.

Assuming this discussion stays open on this forum (I don't know the rules), I'll let you know. As I said in the beginning, I'm amazed at how few discussions or solutions I found online regarding this issue-or even that many people mentioned this is a problem. A few did. The conclusion was there was no fix.
XXXXXXX
doctor
Answered by Dr. Ivo Ditah (7 minutes later)
Brief Answer:
We need to first explore before concluding!

Detailed Answer:
Hi,

It is a very distressing situation. I understand your worries and and anxiety. I will however caution that we proceed progressively with a thorough evaluation before concluding. At least establishing the most probable cause is the main goal at this time and we will move on from there.

Even if this discussion were to be closed, you could always send a direct query to me to keep me updated.


I wish you well.
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Ivo Ditah (0 minute later)
Brief Answer:
We need to first explore before concluding!

Detailed Answer:
Hi,

It is a very distressing situation. I understand your worries and and anxiety. I will however caution that we proceed progressively with a thorough evaluation before concluding. At least establishing the most probable cause is the main goal at this time and we will move on from there.

Even if this discussion were to be closed, you could always send a direct query to me to keep me updated.


I wish you well.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Dr. Ivo Ditah

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8 Weeks Post Colectomy . Can't Ejaculate, No More Even

8 weeks post colectomy. Can't ejaculate, no more even small amounts of preejaculate appears during attempts to masturbate. What little information I can find either talks about Kegel exercises to help premature ejaculation...not my problem...or says nothing can be done if this happened after surgery. I used to have sex 2 to 3 times per day...or masturbate.Erections are not a problem. After horrible colectomy, I'm unlikely to seek surgery if that is what it takes to fix this. I am starting to wonder if this isn't even retrograde ejaculation, but a clogged area in my anatomy. Could damage from the Foley catheter post surgery cause this? Yes...Will see a urologist, but was seeking some guidance before I can make that happen in the next few weeks. Lastly, during any efforts to ejaculate, sexual desire is there, but just as I think it might happen, it does not. I did have a vasectomy 25 years ago...but that didn't ever seen to have an impact with pre ejaculate or actual ejaculation until the surgery.