some of my side-effects have been already
mentioned in both the surgery and catheter sections.
More of my recovery details will be posted in
[5th May] My first, is my experience of trying to
gradually increase my exercise.
Having been told not
to cycle for a month, I decided to try what I
considered to be gentle exercise over
I walked 2 stints of about ¾ mile on Saturday.
Result: felt ok. So, decided to walk all the way
to our church Sunday morning about 2.5
Result: felt rather tired. Kind-of expected
that, so got a lift home from a friend.
However, started to feel exhausted during the
afternoon. Also, noticed a small amount of blood
in my urine, suggesting that slight internal
bleeding may have occurred (not had that for
about a week, otherwise Id have assumed it
to be a normal side-effect).
The surgeon did mention
that straining is one key thing to avoid:
"straining is an increase of your
intra-abdominal pressure as when lifting".
So Ive learnt
by experience that, whilst walking isnt so
strenuous an exercise as cycling, I still
need to take it easy in that department.
Just as well I have a bus service that passes my
Next test: Prostate MRI on 10th May. Hospital agreed to
prescribe me Diazepam for that, because I found
the MRI I had last year (for my original
diagnosis at Nuada Medical Imaging centre) rather
claustrophobic. That may have been because that
was an older machine
than they'll use for me at UCLH, which is
Maybe that's an advantage
of having an MRI on the NHS at UCLH, rather than privately
at Nuada Medical. I'll let
you know what I thought, after my MRI on 10th
May]: Waited about 90 minutes at the UCLH
Parmacey, and received.......one Temazepam 10mg!
(Kind-of a mild Valium pill). Could certainly
help me suffer less stress from claustrophobia
during the MRI, although the surgeon suggests that the imaging
folks may get a little uneasy about my taking it.
Oh well, I'll see how things go on the 10th.
Why was I told not to cycle for a month? Well, in
the Cryo Patient Info Sheet, I read in section 12,
(page 12), "For the first 6 weeks after
cryotherapy you should not lift anything heavier
than a full kettle.". So, I emailed the surgeon, and he translated that
into the recommendations I've written
Actually: not to cycle the 9.5 miles to work for
6 weeks, and not to cycle the 3.5 miles from
London Bridge station for 4 weeks.
May] Been back at work 2 days. Coping quite well
- my job is electronic repairs, so it's light
work - kind-of like repairing mobile phones (but
the very old "brick"
But I'm avoiding lifting heavy boxes containing
40 of those units.
to admit to mildly panicking on Tuesday (my first
day back), worried I might suffer ill-effects
from the exertion of the journey (on public
transport), and then at work itself. But I
didn't, so I'm thankful for that.
find it painfull pee-ing, but have emailed the surgeon about that. [16th May]: has
certainly improved now.
May]: Also, as the surgeon said a week ago, slight
blood in urine has more-or-less ceased.
[22nd May]: Very pleased to
report that my continence and erectile and
ejaculatory functions all appear to be
unaffected, except if
I try to hold myself to "busting for the
loo", when I find I might leak slighty,
something that I could control ok before. See the
consultation for comment
See the consultation also for
other recovery updates.
[30 May]: Tried cyling for
the first time since my surgery (nearly 6
weeks!). Felt really good, again
to have the fresh air on my face, and breath it
more deeply than when I'm merely walking.
Intending now to take the
folding bike on the train, and try cycling to
work the 2 miles from London Bridge station to
the office, untill I feel up to cycling the full
9.5 miles all the way to work.
[13 June 2014]: for the last
3 days, been doing my full commute (9.5 miles) on
my full-size bike (It went in for a re-build
during the same time I had my surgery! I wore it
out with around 20,000 miles commuting!). I was
fed up with squeezing on and off trains with my
folding bike! This is despite the surgeon
suggesting it should be next week that I start.
So, am I irresponsible? I don't think so, for the
I was very fit before
my surgery, so probably I had recovered a bit
quicker than I otherwise would have.
I should mention that I'm
not fully back up to the fitness I had before:
find myself having to change into lower gears sooner,
but doesn't affect my
commute time noticeably. And, thankfully: such
great summer weather to "welcome" me
back to my commute to work in the city!
[17th June 2014]: Now seem
to be back to my former fitness level. Cycling in
the same gears I used to.
[19th July 2014]:
Ejaculation volume, and "dry climax"
Initially, soon after my surgery, my ejaculation
volume appeared similar to my pre-op volume.
However, now, nearly 3 months on, it seems to
have diminished to a few drips.
Difficult to say if this is reduced seminal fluid
production, or my ejaculate going into my
My impression is the former, since I am not
seeing any cloudy effect in my urine after
ejaculation, as should be the case if my
ejaculate were "going the wrong way"
into my bladder.
Although it's difficult to
determine: my volume of premature seminal fluid
("pre-cum") apperas similar to my
pre-op amount, so maybe it is
the fact that I'm simply not ejaculating like I
Will be interested to see
the result of my next MRI that I'll have in
July 2016: Sometimes
it seems I manage some ejaculation after
normal masturbation. But not as much as
previously. However, after visual sexual
stimulation in additon, I often find I
ejaculation. But difficult to say if this
is as much as before my operation.
August 2014]: Ejaculation now down to nothing.
This is then followed by slight oozing.
Asked Emberton by email, (My erections
are still normal).
is always diminished after focal
treatment - it goes
completely in all the other therapies.
About 50% of men manage to preserve some
ejacualtion but this depends on
what needs treating.
It will not return. All men are warned of
You are probably ejaculating but it is
expelled backward into the bladder.
observation: this is also known as the
"dry climax" effect]
It does not affect
the climax or orgasm."
"Why did ejaculation diminish
steadily over about 4 months, rather than
straight away, after the cryo?"
"Hard to know
exactly. This is the time over which the
contraction of the scarring and therefore
contraction occurs. That is probably the
on that last comment, it will be interesting to
see if the ablated
has shrunk, on my next MRI scan, which is booked
for 17th November 2014, follow-up consultation
with Emberton on 10th December 2014.