Many men are told,
“The important thing is that we get your cancer out.”
And yes, that’s true. But no one explains to them what happens next, when they return home, when they look in the mirror and when they try to feel like men again.

Prostatectomy (removal of the entire prostate) doesn’t just change the body. It changes identity, intimacy, self-esteem and the way of living.

And understanding this is nothing to scare you about. It’s so you don’t go into this surgery blindly.

Why is the prostate removed?

Most of the time it is removed due to prostate cancer when it is still localized. In other cases, by extreme enlargement that blocks urine and does not respond to medications.

The problem is that the prostate is in an extremely delicate area:

• Surrounds the urethra
• It is attached to the bladder
• It is crossed by the nerves that cause an erection
• Produces semen fluid

Removing it is like removing a part from a Swiss watch without damaging the rest of the mechanism. Even in expert hands, there are always consequences.

The 3 great consequences that almost no one explains

1. Urine leakage

After surgery, more than half of men will have leaks or leaks when the catheter is removed.

This happens because one of the natural “closures” of the bladder is lost with the prostate.
Control is left in the hands of the pelvic floor muscles, which are weakened.

Some men recover within months.
Others take a year or more.
And some need medical help.

The most important thing is this:
It is not a failure. It’s a real physical consequence.

2. Difficulty having erections

After surgery, all men go through an erection-free stage.

The nerves that activate the penis go into “shock.”
Even if they are not cut, they can take months or even two years to recover.

But here’s the fatal mistake:

If you wait without doing anything, the penis deteriorates.

Without erections, no blood gets in.
Without blood, the tissue loses elasticity and becomes rigid.
That can become permanent.

That’s why sexual rehabilitation isn’t optional.
It’s just as important as the surgery.

3. Orgasm without semen

After the prostate and seminal vesicles are removed:
No fluid comes out when you ejaculate. Never.

You can feel pleasure.
You can climax.
But it will be a dry orgasm.

This emotionally impacts many men because ejaculation is linked to the idea of virility.

But pleasure still exists.
It only changes the shape.

The part that hurts the most: the emotional

Many men go into a silent depression after surgery.

Not because of cancer.
But to feel:

• Useless
• Less attractive
• Dependents
• Embarrassed

And that’s normal.
You’re losing a part of your body and a part of your identity.

But here is a truth that must be clear:

Your value as a man is not in a gland.

It’s in your ability to adapt, love, and keep living.

Cancer can come back… And that’s not the end

Sometimes, years later, the PSA rises again.
That doesn’t mean all is lost.

Today there are treatments that can keep cancer under control for decades.

The secret is not to abandon the controls.

Tips and recommendations

• Start pelvic floor exercises as soon as possible
• Don’t be shy about wearing protection while you recover
• Start sexual rehab early, don’t wait
• Talk to your partner, don’t isolate yourself
• If you feel sad or empty, seek psychological support
• Never miss your medical check-ups

Recovery is not only physical. It’s also emotional.

Removing the prostate does not end your life, it changes it. And although the road is difficult, thousands of men walk it, adapt and enjoy being alive again.

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