I had been under the impression that the newer, less invasive procedures preserved normal antegrade ejaculation as well as full sexual function. Specifically procedures such as PAE, Urolift, REZUM, etc.
However, in just the past day or so, I have read here of at least one person having retro ejaculation from PAE, and another from REZUM. What's more, both suggested they were not alone, and one surmised that in the case of REZUM that people are being intentionally mislead by the manufacturer.
I thought then it might be a good idea to put all the post-op experiences that relate to changes in orgasm, and/or any other change in sexual function, in one thread for easier reference.
In addition to the less invasive procedures it would be instructive to hear from those who have had TURP and Holep, as some have said they did have their orgasm preserved. There is also a TURP technique called Ejaculation Preserving TURP if anyone has had it.
If at all possible, let's not debate whether retro is a big deal or not, as that has been talked about before, and could be a topic for another thread if someone wants. I think it fair to say on that score that retro orgasm is a big deal for some people and not a big deal for others.
Jim
Hey Jim. I will fight for mine . With the PAE and the REZUM. there is a very low number that can have retro but most of the time being that the prostate is mad smaller you do not produces alot of seamen. So if you do ejaculate you will have less they you did before. So your orgasm may not be as intence. With the urolift wihich I had over a year ago. My orgasm is very intence and my ejaculation is good. I can say that my orgasm is better now then it was before I had it done. Who knows why but I will take it. Have a good day..Ken
Jim I don't know if this is the same Button Plasma turp. The doctor has more control and they can stay away from the bladder neck and the ejaclatory duct so you have a better chance of not having retro Ken
I sometimes don't think the Surgeons can give a true answer until they get in there to do the job and find out how serious the condition is. It will be a year next month since my TURP and I have incontinence and E/D plus Prostatitis and Thrush so I don't think I can get a lot more.
I am sure that you are correct that retro ejaculation is a problem for many here, but I suspect that others, like myself, found retro to be a disappointment, but, overall, no big deal. In my case, it was different and I think I would like to experience normal ejaculation again, but it's not the end of the world since otherwise, things work just fine.
True, surgeons do not tell one everything that could possibly happen. Until the surgeon gets in there, he really doesn't know exactly what he is facing. In my case, I specifically asked the surgeon to vaporize as much of the prostate as he could --- afterwards, he estimated that about 50% was gone. No one knows how quickly the remaining prostate tissue will grow, but I wanted to put off as long as possible any urinary difficulties and need for a repeat surgery. If he had vaporized 100%, I would have been even happier. If retrograde is the result, for me it is no big deal ... as long as erections and orgasm are not affected.
Surper You got the jackpot of side effects. I am so sorry. Yes that is true that a doctor does not know what will happy. But if you have a Turp or one of the laser procedure it is a given that you will have retro. Doctors down play retro. They feel has we get older we don't need to ejaculate. They tell you that your not having kids so it will be all the same but it 's not.. And it be real. Has we get older we don't have sex as much as we did when we were younger. But is that a reason to stop us for having that enjoyment. Even if I only have sex once a week I still want the intence feeling. They tell us that you will still have a orgasm. Yes you will but that is a text book answer. Not all men have the same orgasm. In principal yes.I can only tell you what I feel . I was on Flomax and Rabiflo. The first time I had sex after I statrted them pills did I get a surprise. I still got the built up but when the orgasm happen it was flat and there was no pleasure or after glow. And with no ejaculation it was like I just did nothing. I hated it and told my doctor I'm not taking these pills. As for prostatitis all men have a form of it some worse then others I have groin pain sometimes and my penis get numb. You can take a pill or what ever your doctor tells you to do. All I know is that I feel that my ejaculation and orgasm is worth fighting from. I would do any less invasive procedure before I would ever consider having my prostate cut out. But sometime you don't have a choice. Men before you do any procedure please look into it and get the information on it The pros and cons. Also remember what work for me may not work for you. All men are the same and we are worth the time. Take care Ken
But sometimes there are. Why take the chance. It is a big deal for some and worth saving I don't care if he is a doctor no man is going to distroy me. But we do what we feel is right for us. No one else can deside that. Take care Ken
Very true comments Ken regarding age and whether you should have a sex life, but the one thing that worries me is that they say your Prostate is a hard place to "clean out" and I would have thought if you were able to ejaculate regularly then you are cleaning out this area. It worries me with E/D that everything is therefore stagnent and not moving and I can see my penis shrinking away. Now I can't even roll my foreskin back now that can't be right even for hygiene purposes and the pain in that area is terrible and now I wonder how they will perform a cystoscopy on Monday. The joys of getting old, and just keep taking the tablets !!.
David
Hi Henselt,
What operation did you have and did your doctor tell you in advance you would end up with retro?
Jim
Hi Supertractorman,
Were the incontinence, E/D, prostatitis, and thrush all a result of the TURP or were some of them pre-existing? Also, I'm assuming you had retro fro the TURP?
Jim
They all came to a head after the TURP, but I think Sepsis really started the infections and Prostatitis as I seem to now have a poor immune sysytem. Unable to reply on retro due to E/D.
David
I had greenlight laser. The doctor told me in advance how the procedure would take place. I think I had already read about the possibility of retro. I know it was not a surprise to me, Since it's a year ago when I had the GL done, it's hard to remember every detail. Since, a few months earlier, I had awakened totally unable to pee and had had to go to the ER to be cath'd (and had the catheter inside me for a week), I definitely did not want to live through that ever again. The retro, for me, is no big deal.
Kenneth,
worth saving what? Troublemaker? Worthless.
Cut it out completely. You won't got prostate Ca.
Just had a radical prostatectomy on November 2nd. Lots of pain, lots of bad pain which painkillers won't kill. Recovery sucks.
It is terribly painful. My post op day 3 gave me so much pain that is mostly 8 or 9.
What ever you do, you make a mistake.
Doing nothing is even worse.
MK
You are in my thoughts, Mike. We are all human no matter what we do. For those of us who have had our prostates touched, may GOD grant others the ability to understand what we have been through and the courage to KNOW how we feel. GOD BLESS EVERYONE! Get well, Mike!! We all know how you feel .
Your friend,!!!
Steve
Steve
Mike I know you had cancer I'm sorry that happen to you. You pick a turp and I am happy that it come out ok for you. But that will not be me. If I get cancer I will find a way to get rid of the tumor and not have my prostate removed. I do not like retro and I will fight to keep my ejaculation. My ejaculation and orgasm go together. Dry orgasms suck. I feel if they take that away from me they will kill me in another way So I may as will keep it and die. If it is my time.. I was just in Georgia looking up a procedue that take care of the cancer with out removing the prostate. We are all diffrent and we all have our own opioion and we all have the right to pick what we feel is right for us. Take care and I wish you well Ken
Jim, you may be making a mistake by shaping the question as you have.
It may be that the "RE" of a man with a PAE is very different from that of the real RE of a man with a TURP. If you lump them together, you lose that very important information.
I'll take the heat for lumping the two conditions together, but it may confuse the utility of the information if you continue it here.
In my case with one PAE under my belt I noticed no difference at all in the sensations of orgasm with one PAE and no seminal fluid coming out of my penis. Of course, I haven't tried it yet with the second one, but I'll let you know when I do. This might take a while, since it will still be a little sore, and I will have to use it a few times to know what is really going on.
Neal
Hi Neal,
Not sure if I'm following you. Retro ejaculation (RE) as I understand it is defined as when the ejaculate ends up in the bladder, and therefore never comes out of the urethra. That definition would hold true whether RE was caused by TURP, PAE, Flomax or something else. You can still have an orgasm with RE, it's just that it's a dry orgasm.
RE was reported by at least one poster here after PAE, and another after REZUM. If I can find their posts I will pose the question if they had true RE or just diminished ejaculation, although what they described in their post was RE. Unfortunately, trying to search for past posts here is sometimes not always successful due to the amount of posts and the non-chronological ordering.
My objective in this thread was very simple. Just wanted to find out if people had RE (per definition) after their operation and what operation they have. Or, if they didn't technically have RE, what other sexual side efffects (negative or positive) did they have, such as diminished (or enhanced) sensation, ejaculate quantity, etc.
Predictably it has turned into something else because it can be an emotional subject.
Jim
Hi David,
A penile implant will solve your ED. PM me if you want to discuss it.
Neal
Hi again David,
As your urologist about the problems you are seeing related to non use of you penis and prostate on Monday.
Neal
Hi Neal, These are my first questions, but am going for a Cystoscopy but am wondering if they will do it as infections seem to be running wild and A/B's seem a waste of time. Will keep you posted, and just hope they may recommend a better A/B even if they did overkill to sort it out.
David