I have benign enlarged prostrate I am 75 will an opp ruin my sex life?

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I have been on tablets 6months and  I may have to have opp ?

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  • Posted

    I suggest you look into Urolift which is the new minimum invasive procedure specifically to presserve ejaculation. I am not a doctor but erection should not be afected by the ops. (that is what doctors told me but I went for the Urolift)

    Even if you lose ejaculation in a more traditional operation you still will enjoy sex.


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    • Posted

      My question is for executive.  Have you had a urolift???   If so what is the up side and what is the down side???  My understanding is the prostate continues to grow.  So was wondering what the side effects are and if it is truly  a proven thing then why doesn't everybody do it instead of the nasty gold standard turp that most urologists want to do to your body???  
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  • Posted

    The tablets carry certain risks, like a reduction in libido, and an operation has occasionally been known to do the same.

    It is almost like being hung for a sheep or a lamb, which it could well be, but if there is a risk to life without treatment, then a choice will have to be made and only you can make it.

    My advice is to refer your concerns to your consultant.

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  • Posted

    It depends - to some extent - what is planned.  The usual op is TURP [trans-urethral resection] or what my surgeon calls "a rebore". 

    Need not affect your sex life but usually causes "retrograde ejaculation" when the semen at orgasm goes back into the bladder rather than being ejaculated forward. 

    The common tablets to reduce prostate in UK are Tamsulosin and Finasteride which for some men causes the same effects - more or less.

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  • Posted

    I had the procedure 5 weeks ago. Success.

    Why isn't everyone doing it?, well

    -procedures is relatively new, approved in US in late 2013, my doctor was more traditional and only did proven procedures. Conservatively he does not rush in to new procedures. So I needed to go elsewhere.

    (trails have been succesful but only a couple of year old so proof over time not assured but expected)

    -my understanding this is part of a new sub-speciality that has develope in urology where the doctor is more dedicated to "sex" issues. While this new subspecialty does implants, transvesties, people born with two types of organs etc...Urolifit fits rigth in with them because it saves the ejacualtion.


    Besides that here is why I did it:

    -if it doesn't work they can take off the urolift and you can then go to a traditional turp or if it grows later on they can always shave off just a piece or take off the urolift and go traditional

    - I am not a doctor but I understand that after the bladder the urine passes through the prostate and then the esfinter and then goes out. If you shave the prostate which is what traditional TURP does, all the urnine weigth falls on the esfinter and some people at older age develope incontinence.


    If you go for UROLIFT make sure the doctor that does it has doen several.

    Again I am not a doctor, hope this helps.

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  • Posted

    Hi David

    I am 63 years old and my experience of taking Tamsulosin and Finisteride for 18 months prior to a TURP operation and the side effects of the operation itself has definitely effected my sex life. I now have retrograde ejaculation, erectyl desfuction and sex with a half erect penis is not enjoyable. Next step for me is to consider more pills to help with erection such as Viagra and Cialis. My advise only take the pills and operation if you are in great pain or discomfort and if so see your doctor (GP) or a specialist Urologist. All the very best Peter

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  • Posted

    You need to search for and follow discussions on this blog site and the Web in general for :

    UROLIFT and go to urolift. Com

    PAE, Prostate artery embolism, and TURP.

    The answer seems to be that Turp is most likely to have a negative effect. Possible side effects include incontinence, impotence, and retrograde ejaculation.

    You really need to become an expert on all of these topics before you let a doctor talk you into doing any of them.


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