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walnuts, masculinity, erections and prostate cancer

by – Kai, lead somatic sexologist

You maybe asking what do walnuts have to do with prostates? It’s often said they are roughly the same size and shape. Anatomically though, the prostate is nothing like a walnut. The prostate consists of several zones that involve glandular and muscular tissue. It’s surrounded by and array of nerve structures known as the prostatic plexus. The plexus nerves contribute to erection and orgasm.

A mans prostate and seminal vesicles are a source of nourishment for his sperm during ejaculation. That gluey feel to semen after you ejaculate is also a result of the prostate; this enables sperm to remain in the vagina during coitus then disburse. The little walnut also contributes to pleasurable sensations and even orgasms. Many men can orgasm solely by stimulating the prostate and this is due to the extensive nerve structures surrounding it. If you don’t know how to do this, you may wish to make an appointment with me to learn.

Erections and orgasms are important to a mans sexual wellbeing. Men grow fond of them. It’s erotically exciting to see our wands standing at attention. It’s part of our masculine identity and we are proud of them. As a man myself, I also know my erection can be annoying when the rise to spontaneity occurs.

The loss of erections and the capacity to have blissful orgasms effects the quality of a mans life. So when prostate cancer hits it damages a mans sexual wellbeing. Following a prostectomy, – removal of prostate (including nerve sparing surgery) a man can lose the ability to achieve erections due to a state of neuropraxia. Neuropraxia is a transient form of nerve injury. This is due to surgical movement/stretch and damage to the outside of the nerve, despite the nerve itself being intact. This has a profound effect on the penis and a man’s brain (neuroplasticty). The the old saying goes “use it or lose it”, this is particularly helpful in the rehabilitation of these nerves to function again.

Men still report diminished erections and orgasms months to years following surgery. I believe a contributing reason to this is the complacency of men, health care professionals and limited sexological bodywork/education before and after surgery. Some men just decide to give up on their sexual being, or focus rehabilitation towards bladder control post surgery. Additionally urologists and medical practitioners might prescribe PDE5 inhibitors such as Viagra, Cialis and Levitra – which is only small part of the picture/solution.

It’s not all doom and gloom though when it comes to prostate cancer and surgery. Over the years urologists have perfected their surgical skills. Science continues to change the way we look and manage the disease. I have the deepest respect for urologists who perform this surgery as there’s no denying that it’s challenging. What hasn’t changed though, is the powerful effects it has on a mans masculinity, lack of interest and resources in dealing with a mans erection and orgasms following surgery.

It takes time to fully recover however if you add some intensive sexological care/sexological bodywork then you’re on your way back to orgasmic bliss.

Polysoma is a place where men can heal from prostate surgery. We work with men who are about to have, or had a prostectomy. We recommend therapy three weeks before prostate surgery. Then two days after catheter removal, provided there has been no surgical or catheter complications. Our foundations for therapy involve experience dependent neuroplasticity and neuroplastic healing. Modalities include vibratory stimulation of the penis, penile muscle strengthening, masturbation exercises, a focus on brain and orgasm, flow states for healing mind and body, and of-course ongoing dialogue and support.

We also work closely with your urologist and other health care professionals.

It’s important to understand that health care professionals and urologists do not specialise in sexological bodywork aspects of your recovery and therefore are unable to provide the type of modalities we offer. We advise men to make an appointment, and discuss the benefits of our modalities.