Nerve Sparing RPLND - Eiaculation

[Marco1975]

Hi!
Just wondering if nerve sparing is a "conditio sine qua non" for normal eiaculation. Infact my doc told me that he couldn't perform the nerve sparing in my operation (RPLND with the removal of lynpho nodes on both sides) and that i would never be able again to "eiaculate".
Well, i had banked my sperm before chemo (so i'll be able to have my kids), and sexual life was (is) ok, just dryer... so, when he told me this i thought: who cares of eiaculation!
then "something" happened three months after the operation... it seems that something's "moving" (...); not like before TC, but it is... improving.... of course i'm going to check my doctor, but i was wondering if anyone has had my same eiaculation "recovery" after a not nerve sparing operation... and most of all: will it turn "normal" again in the next months?
thks for your replies,
marco

[jdbob]

I notice that in the Q&A article that Scott referenced in the relapse rate thread there was this question:

56) If a patient is unable to have normal ejaculation after the RPLND, does it ever come back or can the function be improved by treatments?

with this answer:

CN) The likelihood of the ejaculatory function coming back would be quite small if it does not return in a reasonable time after surgery. There are some medications that can be given to improve the chances forward ejaculation. Additionally there are some mechanisms to "harvest" sperm even in those patients who have persistent retrograde ejaculation.

In my own case I had non-nerve-sparing RPLND the 2nd of September and what I have seen is mostly watery fluid, pre-cum already in the urethra I'm guessing. In a couple of cases I've seen little blobs of thicker fluid.