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"Does that mean that it’s back?" PET scan says no spread. Currently under Hormone therapy, with radio therapy in a month or so. Erections still occur, but not as strong. Obviously no semen production. I was on a course of a ‘viagra’ type med which was supposed to help but one of the side effects indigestion is horrible. | |||
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"They offered me robotic surgery. " That is great. I hope your surgery and treatment goes well and you recover well too. | |||
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"Hi Fabbers, I was just looking to see if anyone has had prostate cancer on here. I’ve just been diagnosed and need surgery. But wondering if anyone has it or had surgery and how’s the wee man post surgery. " Hope everything goes well for you x | |||
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"I sucked off a guy at a club with his wife helping. He had prostate cancer operated. A fine hard cock and when he came nothing came out, no cum but a powerful orgasm. Is that usually the case? " After a radical prostatectomy, a man can still have a strong orgasm, but it’s usually “dry” as the prostate and seminal vesicles are removed i.e. there is no semen produced to come out. Erection quality can be affected, sometimes erectile dysfunction can be long term, or it maybe managed. There can also be urine leakage. Radiation and hormone therapy can affect sex differently. With radiation: ejaculation may still happe, but it often reduces and may gradually get weaker over time. With hormone therapy, your sex drive drops a lot and erections can become much harder to get. | |||
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"Hi Fabbers, I was just looking to see if anyone has had prostate cancer on here. I’ve just been diagnosed and need surgery. But wondering if anyone has it or had surgery and how’s the wee man post surgery. " I had my prostate removed a couple of years ago. No real symptoms found by chance. They opened me up to remove it. They spared the nerves so I can get an election buy can be harder to achieve than it was. It took a few months for it to come back so don't panic at first. I dry orgasm which if im honest to me feels better that when a cum, you can sometimes have a little pee come out so be prepared for that. The only other thing I found is you do lose length from your penis, I don't think i was fully prepared for that so came as a bit of a shock. | |||
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"I sucked off a guy at a club with his wife helping. He had prostate cancer operated. A fine hard cock and when he came nothing came out, no cum but a powerful orgasm. Is that usually the case? " that's why they are called "dry orgasms". | |||
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"I sucked off a guy at a club with his wife helping. He had prostate cancer operated. A fine hard cock and when he came nothing came out, no cum but a powerful orgasm. Is that usually the case? " Yes. Most men, depending on treatment, find although they have dry orgasms the sensation is enough to rattle their fillings. 🤣 Initially, some complain that their orgasm is bordering on painful but they soon tolerate, enjoy it. | |||
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"They recommend surgery as I am young. Apparently radiotherapy can cause other cancers when I get older" Surgery is generally recommended for younger guys as it enables you to have Radiotherapy later if it returns. However, you can't have surgery after Radiotherapy | |||
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"They recommend surgery as I am young. Apparently radiotherapy can cause other cancers when I get older Surgery is generally recommended for younger guys as it enables you to have Radiotherapy later if it returns. However, you can't have surgery after Radiotherapy " Thats not true. It can be more problematic due to radiotherapy scarring but certainly is doable. Radiotherapy and surgery have come on leaps and bounds over the past 10 years. If you ask a man who had treatment over 10 years ago please remember today things have moved on dramatically but at least you know they are still breathing. Please, please don't use social media for advice, your surgeon, oncologist and specialist nurse are the by far the best. Good luck. Good luck.  | |||
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"There’s a relatively new treatment now, goes by the name of Focal Therapy, apparently men who live in the London area are more likely to get it than if you don’t. It’s said to come with little to no side effects either, which means you can still get erections and ejaculate." Its only for men where tumour is in certain area of the gland, not for everyone. | |||
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"Can I ask what your symptoms were? " Initially rectal bleeding which wasn’t cancer related, but they discovered my prostate was enlarged. Then had biopsies. I get prostitus and sometimes an urgent need to pee | |||
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"They recommend surgery as I am young. Apparently radiotherapy can cause other cancers when I get older Surgery is generally recommended for younger guys as it enables you to have Radiotherapy later if it returns. However, you can't have surgery after Radiotherapy Thats not true. It can be more problematic due to radiotherapy scarring but certainly is doable. Radiotherapy and surgery have come on leaps and bounds over the past 10 years. If you ask a man who had treatment over 10 years ago please remember today things have moved on dramatically but at least you know they are still breathing. Please, please don't use social media for advice, your surgeon, oncologist and specialist nurse are the by far the best. Good luck. Good luck. "Yes, it is doable though not common and Urologists generally don't want to do it. I was giving the general principle without going into the exact science of it all. The principle being that you shouldn't count on being able to have a prostatectomy after radiotherapy, so if you want to reserve having a shot at further treatment in the future (e.g. if biochemical recurrence occurs) having a prostatectomy first is more likely to be recommended. This can happen when the patient is younger when diagnosed, such as in the OP's case (and mine) as obviously, the longer you live there is more chance that you might need further treatment (as I did). I hope this clarifies and agree that you shouldn't use social media. Take the advice of the specialists as every case is different. Ask loads of questions and make the decision that is right for you based on the advice given. | |||
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"They recommend surgery as I am young. Apparently radiotherapy can cause other cancers when I get older Surgery is generally recommended for younger guys as it enables you to have Radiotherapy later if it returns. However, you can't have surgery after Radiotherapy Thats not true. It can be more problematic due to radiotherapy scarring but certainly is doable. Radiotherapy and surgery have come on leaps and bounds over the past 10 years. If you ask a man who had treatment over 10 years ago please remember today things have moved on dramatically but at least you know they are still breathing. Please, please don't use social media for advice, your surgeon, oncologist and specialist nurse are the by far the best. Good luck. Good luck.
Yes, it is doable though not common and Urologists generally don't want to do it. I was giving the general principle without going into the exact science of it all. The principle being that you shouldn't count on being able to have a prostatectomy after radiotherapy, so if you want to reserve having a shot at further treatment in the future (e.g. if biochemical recurrence occurs) having a prostatectomy first is more likely to be recommended. This can happen when the patient is younger when diagnosed, such as in the OP's case (and mine) as obviously, the longer you live there is more chance that you might need further treatment (as I did). I hope this clarifies and agree that you shouldn't use social media. Take the advice of the specialists as every case is different. Ask loads of questions and make the decision that is right for you based on the advice given."Don't want to be pedantic but men should not be worried about treatment post radiotherapy should they have recurrence. Salvage radiotherapy and ADT is available. But, every patient is different and although lots of people on social media mean well, the information they offer can sometimes be incorrect, out of date or just there own journey. Think we can all agree a quick phone call to your specialist nurse, surgeon or oncologist is far, far better than a forum group on a sex site. Its a very worrying time for all the men who are diagnosed, but caught early the prognosis is excellent. Good luck. | |||
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"I’m a nurse so aware of the ins and outs of the treatment but was looking at the personal aspects. We all know that sometimes the doctors are very prescriptive with the treatment but don’t always look at the psychological and practical aspects after treatment " I'm really sorry but find that comment both disingenuous and totally untrue. Any treatment always takes into account the psychological, practical and future aspects of all patients both pre and post. It maybe looks like doctors have little impact once primary treatment is over and specialist nurses, physiotherapists etc take the lead but the whole team is actively involved in regular MDT meetings. 3 or 6 monthly clinics are an integral part of treatment until around 5 years. | |||
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"I’m a nurse so aware of the ins and outs of the treatment but was looking at the personal aspects. We all know that sometimes the doctors are very prescriptive with the treatment but don’t always look at the psychological and practical aspects after treatment I'm really sorry but find that comment both disingenuous and totally untrue. Any treatment always takes into account the psychological, practical and future aspects of all patients both pre and post. It maybe looks like doctors have little impact once primary treatment is over and specialist nurses, physiotherapists etc take the lead but the whole team is actively involved in regular MDT meetings. 3 or 6 monthly clinics are an integral part of treatment until around 5 years." What matters most is the patient perspective and how care is experienced. Simply saying “no, that doesn’t happen” does not help improve healthcare. There are well-documented examples where patients’ concerns have not been fully listened to or taken seriously. This has particularly been highlighted in areas such as women’s health, where conditions like endometriosis can be overlooked or misdiagnosed, with some women experiencing delays in diagnosis or having their pain attributed to other causes. Acknowledging these experiences is not an attack on doctors or the healthcare system; it is part of understanding where improvements can be made so patients feel heard as well as treated. This keeps the focus on patient experience and improvement rather than making a general accusation against all doctors. Therefore, describing the comment as “disingenuous” is itself unfair and an inadequate response. The patient perspective must remain central. While medical teams provide essential treatment and expertise, patients also need support with the psychological, emotional, and practical impact of their illness. For people affected by prostate cancer, there are excellent organisations that can accompany, support, and guide patients through their journey. Sometimes this type of support may resonate more with patients because it focuses on their individual experiences, concerns, and needs beyond the treatment itself. Recognising the patient’s perspective does not undermine the work of healthcare professionals; it helps ensure that care remains truly patient-centred. There are great charities such as Macmillan Cancer Support that work alongside patients and families throughout their cancer experience. Anyone who feels they need additional support should consider reaching out to these trusted organisations, whose aim is to help people navigate their journey and ensure that patients remain at the centre of care. Recognising patient experiences does not diminish the work of healthcare professionals; it strengthens healthcare by highlighting the importance of treating the person as well as the disease. Thus, your answer is highly inadequate for such a difficult and challenging journey faced by cancer patients and their families. The emotional, psychological, and practical impact of cancer cannot be reduced to the medical treatment alone; patients and their loved ones also need to feel heard, supported, and understood throughout the journey. | |||
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"They recommend surgery as I am young. Apparently radiotherapy can cause other cancers when I get older Surgery is generally recommended for younger guys as it enables you to have Radiotherapy later if it returns. However, you can't have surgery after Radiotherapy Thats not true. It can be more problematic due to radiotherapy scarring but certainly is doable. Radiotherapy and surgery have come on leaps and bounds over the past 10 years. If you ask a man who had treatment over 10 years ago please remember today things have moved on dramatically but at least you know they are still breathing. Please, please don't use social media for advice, your surgeon, oncologist and specialist nurse are the by far the best. Good luck. Good luck.
Yes, it is doable though not common and Urologists generally don't want to do it. I was giving the general principle without going into the exact science of it all. The principle being that you shouldn't count on being able to have a prostatectomy after radiotherapy, so if you want to reserve having a shot at further treatment in the future (e.g. if biochemical recurrence occurs) having a prostatectomy first is more likely to be recommended. This can happen when the patient is younger when diagnosed, such as in the OP's case (and mine) as obviously, the longer you live there is more chance that you might need further treatment (as I did). I hope this clarifies and agree that you shouldn't use social media. Take the advice of the specialists as every case is different. Ask loads of questions and make the decision that is right for you based on the advice given.
Don't want to be pedantic but men should not be worried about treatment post radiotherapy should they have recurrence.
Salvage radiotherapy and ADT is available.
But, every patient is different and although lots of people on social media mean well, the information they offer can sometimes be incorrect, out of date or just there own journey.
Think we can all agree a quick phone call to your specialist nurse, surgeon or oncologist is far, far better than a forum group on a sex site.
Its a very worrying time for all the men who are diagnosed, but caught early the prognosis is excellent.
Good luck."Yes, salvage RT is available post prostatectomy though we have gone full circle as this particular discussion was around having a prostatectomy after radiotherapy and vice-versa. (However, research is indicating that ADT is not effective as a secondary treatment but only really had its place as a primary treatment alongside radiotherapy. However, due to the variables in the research, some Consultants still take a belt and braces approach, whilst others don't consider it to be necessary.) For all those on the journey, stay strong, the help and support is out there! | |||
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"Does that mean that it’s back? PET scan says no spread. Currently under Hormone therapy, with radio therapy in a month or so. Erections still occur, but not as strong. Obviously no semen production. I was on a course of a ‘viagra’ type med which was supposed to help but one of the side effects indigestion is horrible." You could look into trying digestive enzymes for the indigestion. | |||
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"Does that mean that it’s back? PET scan says no spread. Currently under Hormone therapy, with radio therapy in a month or so. Erections still occur, but not as strong. Obviously no semen production. I was on a course of a ‘viagra’ type med which was supposed to help but one of the side effects indigestion is horrible. I use omeprazole, very sparingly and drink ginger tea and ginger in smoothies. Which help a bit. You could look into trying digestive enzymes for the indigestion. " | |||
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"I’m a nurse so aware of the ins and outs of the treatment but was looking at the personal aspects. We all know that sometimes the doctors are very prescriptive with the treatment but don’t always look at the psychological and practical aspects after treatment I'm really sorry but find that comment both disingenuous and totally untrue. Any treatment always takes into account the psychological, practical and future aspects of all patients both pre and post. It maybe looks like doctors have little impact once primary treatment is over and specialist nurses, physiotherapists etc take the lead but the whole team is actively involved in regular MDT meetings. 3 or 6 monthly clinics are an integral part of treatment until around 5 years. What matters most is the patient perspective and how care is experienced. Simply saying “no, that doesn’t happen” does not help improve healthcare. There are well-documented examples where patients’ concerns have not been fully listened to or taken seriously. This has particularly been highlighted in areas such as women’s health, where conditions like endometriosis can be overlooked or misdiagnosed, with some women experiencing delays in diagnosis or having their pain attributed to other causes. Acknowledging these experiences is not an attack on doctors or the healthcare system; it is part of understanding where improvements can be made so patients feel heard as well as treated. This keeps the focus on patient experience and improvement rather than making a general accusation against all doctors. Therefore, describing the comment as “disingenuous” is itself unfair and an inadequate response. The patient perspective must remain central. While medical teams provide essential treatment and expertise, patients also need support with the psychological, emotional, and practical impact of their illness. For people affected by prostate cancer, there are excellent organisations that can accompany, support, and guide patients through their journey. Sometimes this type of support may resonate more with patients because it focuses on their individual experiences, concerns, and needs beyond the treatment itself. Recognising the patient’s perspective does not undermine the work of healthcare professionals; it helps ensure that care remains truly patient-centred. There are great charities such as Macmillan Cancer Support that work alongside patients and families throughout their cancer experience. Anyone who feels they need additional support should consider reaching out to these trusted organisations, whose aim is to help people navigate their journey and ensure that patients remain at the centre of care. Recognising patient experiences does not diminish the work of healthcare professionals; it strengthens healthcare by highlighting the importance of treating the person as well as the disease. Thus, your answer is highly inadequate for such a difficult and challenging journey faced by cancer patients and their families. The emotional, psychological, and practical impact of cancer cannot be reduced to the medical treatment alone; patients and their loved ones also need to feel heard, supported, and understood throughout the journey." I thought my response covered these issues and was adequate. My patients care on all fronts is always my concern. Of course there will be areas for improvement but in prostate cancer the emotional, psychological etc support is always part of the extended treatment. Its a terrible time for a man and his family to be given a cancer diagnosis and when you have this chat you can almost see the roller shutter come down within minutes of starting my chat. The information is overwhelming and impossible to take on board at the initial diagnosis consultation, therefore the need for specific contact points which, im my experience, are a life line for these men are well understood and used. Its a complicated journey on all fronts and I stick by my comments but thank you for taking the effort to respond. Disingenuous is still the word I would use. | |||
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"I’m a nurse so aware of the ins and outs of the treatment but was looking at the personal aspects. We all know that sometimes the doctors are very prescriptive with the treatment but don’t always look at the psychological and practical aspects after treatment I'm really sorry but find that comment both disingenuous and totally untrue. Any treatment always takes into account the psychological, practical and future aspects of all patients both pre and post. It maybe looks like doctors have little impact once primary treatment is over and specialist nurses, physiotherapists etc take the lead but the whole team is actively involved in regular MDT meetings. 3 or 6 monthly clinics are an integral part of treatment until around 5 years. What matters most is the patient perspective and how care is experienced. Simply saying “no, that doesn’t happen” does not help improve healthcare. There are well-documented examples where patients’ concerns have not been fully listened to or taken seriously. This has particularly been highlighted in areas such as women’s health, where conditions like endometriosis can be overlooked or misdiagnosed, with some women experiencing delays in diagnosis or having their pain attributed to other causes. Acknowledging these experiences is not an attack on doctors or the healthcare system; it is part of understanding where improvements can be made so patients feel heard as well as treated. This keeps the focus on patient experience and improvement rather than making a general accusation against all doctors. Therefore, describing the comment as “disingenuous” is itself unfair and an inadequate response. The patient perspective must remain central. While medical teams provide essential treatment and expertise, patients also need support with the psychological, emotional, and practical impact of their illness. For people affected by prostate cancer, there are excellent organisations that can accompany, support, and guide patients through their journey. Sometimes this type of support may resonate more with patients because it focuses on their individual experiences, concerns, and needs beyond the treatment itself. Recognising the patient’s perspective does not undermine the work of healthcare professionals; it helps ensure that care remains truly patient-centred. There are great charities such as Macmillan Cancer Support that work alongside patients and families throughout their cancer experience. Anyone who feels they need additional support should consider reaching out to these trusted organisations, whose aim is to help people navigate their journey and ensure that patients remain at the centre of care. Recognising patient experiences does not diminish the work of healthcare professionals; it strengthens healthcare by highlighting the importance of treating the person as well as the disease. Thus, your answer is highly inadequate for such a difficult and challenging journey faced by cancer patients and their families. The emotional, psychological, and practical impact of cancer cannot be reduced to the medical treatment alone; patients and their loved ones also need to feel heard, supported, and understood throughout the journey. I thought my response covered these issues and was adequate. My patients care on all fronts is always my concern. Of course there will be areas for improvement but in prostate cancer the emotional, psychological etc support is always part of the extended treatment. Its a terrible time for a man and his family to be given a cancer diagnosis and when you have this chat you can almost see the roller shutter come down within minutes of starting my chat. The information is overwhelming and impossible to take on board at the initial diagnosis consultation, therefore the need for specific contact points which, im my experience, are a life line for these men are well understood and used. Its a complicated journey on all fronts and I stick by my comments but thank you for taking the effort to respond. Disingenuous is still the word I would use. " The main point to consider is the following; studies show that patients forget or fail to understand 40% to 80% of the medical information provided during clinical consultations. For specific chemotherapy and treatment plans, research indicates that only around 14% to 13.7% of patients have a complete, accurate understanding of what was explained. Ref: Expert recommendations on sharing medical information with patients: a qualitative study Research, BMC, Volume 25, article number 1137 (2025). Several factors drive this low comprehension rate: Information Overload: Consultations are dense, covering everything from diagnosis and prognosis to complex drug schedules and potential side effects. Emotional Stress: High anxiety at the moment of a new or difficult diagnosis drastically reduces a patient's cognitive capacity to process and retain new details. Medical Jargon: The use of complex medical terminology creates a communication gap between the oncologist and the patient. Statistical Misunderstanding: Many patients struggle to comprehend numerical data, such as median survival times or probabilities of success. In summary: "Disingenuous" means someone is being insincere, dishonest, or pretending to know less than they do. When the nurse pointed out that doctors often focus on the prescription of treatment while missing the psychological or practical aftermath, they were sharing a well-documented reality of the patient experience. When a patient only takes in about 14% to 20% of the information due to shock (the "roller shutter coming down"), they do not experience the system. They experience confusion, fear, and a lack of practical guidance at home. The nurse is highlighting how patients actually feel, while, as clinician, you are defending how the system looks on paper. Describing a patient-centric observation as "insincere" (disingenuous) ignores the massive gap between what a doctor says and what a patient actually processes. "Disingenuous" Silences Patient Feedback. If a nurse or patient says, "We felt abandoned practically or psychologically," that is a subjective truth. It cannot be "untrue," because it is how the patient experienced the care. Conclusion: Effective healthcare delivery relies entirely on the gap being closed between what medical professionals intend to communicate and what patients actually understand. When discussions become defensive or judgmental, communication breaks down. This dynamic is visible across medicine, from oncology treatment plans to public health initiatives like childhood vaccinations. For clinicians, scientists, and nurses, the focus must remain on the practical reality of the patient experience. Improving health literacy and ensuring patients truly comprehend their care requires continuous attention, clearer communication strategies, and objective licensing standards. Ultimately, progress is made not by judging differing viewpoints, but by working productively to ensure that critical medical information is accessible, understood, and trusted by the public. Personally, the rising level of misinformation regarding medical science is deeply concerning and feels threatening to public health. However, addressing this is a long-term fight. Clear, compassionate communication remains our most critical tool, and responding with judgment is never effective. | |||
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"Hi Fabbers, I was just looking to see if anyone has had prostate cancer on here. I’ve just been diagnosed and need surgery. But wondering if anyone has it or had surgery and how’s the wee man post surgery. " Hi there. Yeah me too. I had surgery as I was also told it could return at a later date. Got the all clear now, but have to depend on the little pills now | |||
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"Sending best wishes OP, Tongues and fingers can be just as satisfying as a cock! Don't put too much stress on yourself to 'perform' Mrs xx " Completely agree with this. Some of my best times have been with diabetic men who can't get erections but become super skillful with hands and mouth. | |||
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"I’m a nurse so aware of the ins and outs of the treatment but was looking at the personal aspects. We all know that sometimes the doctors are very prescriptive with the treatment but don’t always look at the psychological and practical aspects after treatment I'm really sorry but find that comment both disingenuous and totally untrue. Any treatment always takes into account the psychological, practical and future aspects of all patients both pre and post. It maybe looks like doctors have little impact once primary treatment is over and specialist nurses, physiotherapists etc take the lead but the whole team is actively involved in regular MDT meetings. 3 or 6 monthly clinics are an integral part of treatment until around 5 years. What matters most is the patient perspective and how care is experienced. Simply saying “no, that doesn’t happen” does not help improve healthcare. There are well-documented examples where patients’ concerns have not been fully listened to or taken seriously. This has particularly been highlighted in areas such as women’s health, where conditions like endometriosis can be overlooked or misdiagnosed, with some women experiencing delays in diagnosis or having their pain attributed to other causes. Acknowledging these experiences is not an attack on doctors or the healthcare system; it is part of understanding where improvements can be made so patients feel heard as well as treated. This keeps the focus on patient experience and improvement rather than making a general accusation against all doctors. Therefore, describing the comment as “disingenuous” is itself unfair and an inadequate response. The patient perspective must remain central. While medical teams provide essential treatment and expertise, patients also need support with the psychological, emotional, and practical impact of their illness. For people affected by prostate cancer, there are excellent organisations that can accompany, support, and guide patients through their journey. Sometimes this type of support may resonate more with patients because it focuses on their individual experiences, concerns, and needs beyond the treatment itself. Recognising the patient’s perspective does not undermine the work of healthcare professionals; it helps ensure that care remains truly patient-centred. There are great charities such as Macmillan Cancer Support that work alongside patients and families throughout their cancer experience. Anyone who feels they need additional support should consider reaching out to these trusted organisations, whose aim is to help people navigate their journey and ensure that patients remain at the centre of care. Recognising patient experiences does not diminish the work of healthcare professionals; it strengthens healthcare by highlighting the importance of treating the person as well as the disease. Thus, your answer is highly inadequate for such a difficult and challenging journey faced by cancer patients and their families. The emotional, psychological, and practical impact of cancer cannot be reduced to the medical treatment alone; patients and their loved ones also need to feel heard, supported, and understood throughout the journey. I thought my response covered these issues and was adequate. My patients care on all fronts is always my concern. Of course there will be areas for improvement but in prostate cancer the emotional, psychological etc support is always part of the extended treatment. Its a terrible time for a man and his family to be given a cancer diagnosis and when you have this chat you can almost see the roller shutter come down within minutes of starting my chat. The information is overwhelming and impossible to take on board at the initial diagnosis consultation, therefore the need for specific contact points which, im my experience, are a life line for these men are well understood and used. Its a complicated journey on all fronts and I stick by my comments but thank you for taking the effort to respond. Disingenuous is still the word I would use. The main point to consider is the following; studies show that patients forget or fail to understand 40% to 80% of the medical information provided during clinical consultations. For specific chemotherapy and treatment plans, research indicates that only around 14% to 13.7% of patients have a complete, accurate understanding of what was explained. Ref: Expert recommendations on sharing medical information with patients: a qualitative study Research, BMC, Volume 25, article number 1137 (2025). Several factors drive this low comprehension rate: Information Overload: Consultations are dense, covering everything from diagnosis and prognosis to complex drug schedules and potential side effects. Emotional Stress: High anxiety at the moment of a new or difficult diagnosis drastically reduces a patient's cognitive capacity to process and retain new details. Medical Jargon: The use of complex medical terminology creates a communication gap between the oncologist and the patient. Statistical Misunderstanding: Many patients struggle to comprehend numerical data, such as median survival times or probabilities of success. In summary: "Disingenuous" means someone is being insincere, dishonest, or pretending to know less than they do. When the nurse pointed out that doctors often focus on the prescription of treatment while missing the psychological or practical aftermath, they were sharing a well-documented reality of the patient experience. When a patient only takes in about 14% to 20% of the information due to shock (the "roller shutter coming down"), they do not experience the system. They experience confusion, fear, and a lack of practical guidance at home. The nurse is highlighting how patients actually feel, while, as clinician, you are defending how the system looks on paper. Describing a patient-centric observation as "insincere" (disingenuous) ignores the massive gap between what a doctor says and what a patient actually processes. "Disingenuous" Silences Patient Feedback. If a nurse or patient says, "We felt abandoned practically or psychologically," that is a subjective truth. It cannot be "untrue," because it is how the patient experienced the care. Conclusion: Effective healthcare delivery relies entirely on the gap being closed between what medical professionals intend to communicate and what patients actually understand. When discussions become defensive or judgmental, communication breaks down. This dynamic is visible across medicine, from oncology treatment plans to public health initiatives like childhood vaccinations. For clinicians, scientists, and nurses, the focus must remain on the practical reality of the patient experience. Improving health literacy and ensuring patients truly comprehend their care requires continuous attention, clearer communication strategies, and objective licensing standards. Ultimately, progress is made not by judging differing viewpoints, but by working productively to ensure that critical medical information is accessible, understood, and trusted by the public. Personally, the rising level of misinformation regarding medical science is deeply concerning and feels threatening to public health. However, addressing this is a long-term fight. Clear, compassionate communication remains our most critical tool, and responding with judgment is never effective. " Sorry. But great soundbites but although I don't disagree in principle to some of your post its pretty obvious you have no practical experience or rounded knowledge which would show through, just internet cut and paste. The majority of my patients do understand the process, initial consultation is difficult, once the word cancer raises its head, things get fuzzy but the channels of communication are in place, understood, varied and work on a level understood by most. Can communication be improved, of course it can and I have never met anyone in healthcare who would not wish for improvements in most areas and we all strive to do so, but lots of areas operate well and I feel the initial and early communication between patient and medical team is excellent but extremely difficult as the narrative is not something prople wish to take on board. I understand this from both sides as been through surgery, chemo and radiotherapy myself and its gruelling, painful and frightening. I would suggest you take some time as a volunteer in a cancer unit and see what happens on a day to day, up to date, real operating environment. It will open your eyes and hopefully recognise how lucky we all are to have such an excellent, world beating service on our doorstep. Once again, thanks for your input. Good luck with any volunteering. | |||
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"I sucked off a guy at a club with his wife helping. He had prostate cancer operated. A fine hard cock and when he came nothing came out, no cum but a powerful orgasm. Is that usually the case? " Yes that is what happens there possibly will be no sperm produced and the cum is not ejected but orgasm still happens. | |||
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"I sucked off a guy at a club with his wife helping. He had prostate cancer operated. A fine hard cock and when he came nothing came out, no cum but a powerful orgasm. Is that usually the case? Yes that is what happens there possibly will be no sperm produced and the cum is not ejected but orgasm still happens." Same as having a TURP op, gives you the pitfalls of the procedure in the leaflets they give in Urology. I have not had an erection since having the TURP a month ago. | |||
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