Please Think Before You Do

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Good morning or evening.  Where ever you are.  I live in Orlando Fl and it's 2:30 AM Can't sleep.  So I went on the internet to see if I can find out some information.  I want to find out after a surgery like Turp, Laser or any procedure that cuts out the prostate after 20 or 30 years will the ejaculatory ducts or bladder neck repair itself. ( I know the prostate will keep growing why not the other stuff )  You can't find a thing out on this.  I had to get off because it was getting me depressed.  All I found were post where men were complaining about there prostate surgery I will not name them.  But it the top 5 surgery.  All had the same complaint.  Retro ejaculation and that they never work because of other problems.  I read 60 of them and all said the same thing.  None of the doctor told them about it.  Some men were told they would have less semen not no semen.  Or the doctor would say you don't need it and it only a 1% chance.  And all will be the same.  The one man that the doctor said 1% the man told his doctor he had retro.  All the doctor did was chuckled and said I guess your in the 1% club.  I had to get off of that site.  Men are so depressed that they don't want to have sex anymore and they want to casetrate there doctors.  Some ever said that they what to die. I don't want that for anyone.  They were making me more depressed. Out of the 60 there was only one men that said that he was ok with it.  He was 70 and a widower.  These were not just straight men there were some gay men on this post also.  A few of them lost there partners because of there surgerys.  Another thing that I read in these post were that the men never researched it.  They never looked into it.  These post were from 2010 to 2016.  There were hundreds of them  I could not read anymore.  The main thing men.   Please read up on any procedure you have.   Make sure it is your prostate before you have surgery on it.  Alot of the men found out that they had bladder problems and it was not there prostate. but bladders were not tested The doctor just told them they needed surgery and they had it.  No research or second opinion.  Men life is to short to just listen to a doctor he is just a man.  Well educated I give you but you are the one that will have to deal with the side effects.  He only tells you what he think will fix your problem.  He really does not know if it will until it's done.  No one man is the same and no one procedure is the same...........................................  I just had a picture come into my head.  Does anyone remember.    The Ice Pirates ( 1984 )  The scene in it of mass castraction  That what come to mind when I read some of the post.  To some doctor your just a number and they do it over and over.  Please get the information on the procedure you pick before you have any surgery.  I know I am only one man but I do care about my fellow men and what happens to them.  We all need to stick together and talk about our feeling and ask question.  Years ago our fathers never talk about that area.  That was never a subject that you talked about in a bar having a  beer. ** Hey Jim how's your prostate **  You get a punch in the nose.   We have come alone way that we can now talk to our friends.   We are here to help one another.  God bless you all.  If you need any help looking something up let me know  3 or 4 heads are better then 1.  I may find something that you overlooked.  Well time to go to sleep I am going to take a few asprin and see if I can get rid of this headache.  Take care all  KEN .      

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  • Posted

    I at least was told before holep, 95% chance of permanent retro. And I have it. I noticed that since I had it done last June my uro now advertises ejaculation-preserving holep. My prostate was bulging up into bladder base a bit, which causes the frequency issue. He said he cut a lot out the top. The top is where the ejaculatory blocking sphincter is. I have a hunch that ejaculatory preserving versions of TURP holep etc would be more likely to leave you with a frequency issue, as the price to pay. I suspect though that the slight stinging sensation that some men report after such procedures when ejaculating, is due to damage scarring to the ejaculatory ducts that feed into side of prostate section of urethra below that top sphincter. In which case maybe it can't be avoided as these procedures involve slicing out the existing urethra entirely in prostate area and leaving as a replacement a larger cavity/tube, the scar tissue inside of which forms the new urethra.

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    • Posted

      At least you were informed of it.  And you made your decision on it and know what to look for.  Urologist can do alot not with saving the good stuff and getting rid of the bulk of the tissue.  They had to fix the surgery because to many men do not want to deal with retro.  After reading the storys I can see why it is important.  The ejaculatory duct is on the left side of the prostate.  That is also way when some men are having the rezum they will not let the doctor inject the steam on the left because the steam can distroy the duct.  Take care and god bless  Ken
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  • Posted

    After having two prostate biopsies in three years because of elevated PSA numbers, my urologist determined that my problem was simply a very enlarged prostate . We discussed several options and he explained in detail what I should expect with each one. My main concerns were would I still be able to achieve firm erections and would I notice any difference in orgasms because of retro ejaculations. When we finally decided together that I would undergo Plasma Button Vaporization he told me my erections would not be effected and that retro ejaculations should be expected to some degree, but I would not feel any difference when I reach orgasms. And, now that I am 6 weeks post surgery I have to say the information he gave me was exactly how things turned outo. I have erections just like I did before my surgery and the retros have had absolutely no diminishing effect on my orgasms. Although it will be some time yet before I am completely recovered from the procedure I am very satisfied with its outcome. I knew what to expect right from the beginning.

    It is sad to know from your post, Ken, that some men's partners have left them because of their individual results from their surgeries. That makes me think of the women who have had mastectomy and I'd hate to think that their partners would leave them because of that. Just like other men I do understand how we look at ourselves and sex, but there come times in most of our lives when we have to make decisions that might bring about significant changes. And, sometimes those changes include things like retro ejaculations. None of us wants that. But, if we are able to regain control of our urinary problems and eliminate the annoyance of constantly staking out restrooms I found that retros are something I can live with.

    Another thing to think about, guys, is that when you read forum posts you are often reading about men who are struggling with sexual issues because of their surgeries or general health situations and I think we should all sympathize with them as they work through their individual issues. But, there are many more men out there who have gone through the same things we have and they have not shared their experiences. I'm sure some of them are anxious, too. But many are well adjusted to things as they are and are moving on.

    If you are considering prostate surgery, TALK WITH YOUR DOCTOR! Insist on answers. If you aren't comfortable with him/her find another one. What you are about to have done to your body will have lifetime effects that you need to understand those effects fully before you agree to the procedure.

    Good luck to all of you.

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    • Posted

      Yes, ultimately I do not regret it.  If I had gone for urolift I would have been wondering for how long it would work, and aware that it impedes MRI's if you need one later for a high PSA.  The retro is a trade off for being able to piddle nicely, and not often; for more sleep. 

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    • Posted

      I am very happy for you.  You talk it over with your doctor and you were well informed. You were one of the lucky ones that there is no change.  No man is the same.   Great and happy that all went well  I also got information from my urologist.  With the plasma button turp they have more control over the button they can make the tunnel and save the ejaculatory ducts so you don't get retro.  My doctor has done some and it take about 3 hour or more depends on the size of the prostate.  I have talk with one of the patients and he has no retro.  His erection are better now also.  So he was very happy with the outcome.  My doctor will not do a regular turp.  To many man are not picking them because they don't want that.  That is also why men have not gone to the doctor.  There are men that also would leave there wife because of surgery also women that leave there husband because they can perform anymore.  We live in a world today that it happens.  I my self if I get cancer or if my BPH get to the point that I need some type of surgery thaat would cause be retro I would pick no surgery.  I don't want that and did not like that.  Had dry orgasm from meds that I was on and the orgasm for me was not the samre.  There was no feeling and not having a ejaculation It was like not doing a think. That is not for me.  Very happy for you.  Each man is different and each man can live with different things.  Take care and enjoy your freedom  Ken        

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    • Posted

      Has for the urolift I had mine 2 1/2 years ago and still going strong.  I also have talk with one of the first men that had it.  It is almost 8 years for him all is working great.  If I have to have new ones put in every 5 years I would do it again  Take care  Ken 
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    • Posted

      NB retro isn't caused by damage to ejaculatory ducts, but by damage to ejaculatory sphincter at top of prostate.  Damage to ejaculatory ducts I think is what can sometimes cause mild stinging during ejaculatory process (I mean, after all has settled down long term)

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    • Posted

      Hi Kenneth,

      ​    Thanks for your post. After your urolift how soon were you able to go back to full activities? I hope within days.

          Thanks

          Ronnie

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    • Posted

      Hello.  I had mine done on a monday had the catheter out wednesday morning and was going out the same day that day I did have burning when I peed but by sat I was good to good.  I never stopped.  The only day I was in bed was monday and tues but the catheter did not stop me Had to take my son for jury duty.  I put a pair of pants on drove him came back and layed down.  Drove myself to the doctor had the catheter removed and never stopped.  I was told by my doctor no sex for 2 weeks.  I watch porn on the five day had a great orgasm.  THere was a little blood but the next time it was clear.  It has been 2 1/2 years and all is good.  If I had to have it again I would in a minute.  If you have any more question just ask  Ken
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    • Posted

      Hi Ken,

      ?   Thanks for your reply. My doctor didn't think I'll need a catheter. I hope he is right. Thanks again.

           Ronnie

      ?

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    • Posted

      Hey Ronnie.  Talk it over with the urologist  I found out it was best because if you can't pee after there going to put one in anyway.  I would ready be out they up while they put it in.  It hurt to bad  Take care  Ken

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  • Posted

    Thanks for your thoughts. Urology is still for the most part in the dark ages with a "gold standard" (TURP) that is often only gold for the doctor who collects the fee. 

    Fortunately, urologists are now offering newer procedures such as Urolift, REZUM and iTind which are less invasive and where the ejaculation function is preserved in most cases. 

    And IR's are also getting into the act with new procedures like PAE and now FLA where the ejaculation function is also preserved. 

    I certainly hope this is the direction that urology is going, or in the case of PAE and FLA, where many IR's are going. 

    While I think it's still too early to tell, the IR procedures seem to have the most promise but will have to pass some political and financial hurdles before they will be made available and affordable to the multitudes of men who need a prostate reduction procedure. 

    One big hurdle will be the insurance companies who will want to hold onto as much of the paid premiums as possible, especially with the time consuming IR procedures.

    For example, REZUM and Urolift take I believe under 15 minutes, while FLA takes hours, plus a much more complex skill set on the part of the surgeon. 

    We can hope that the insurance companies will see the value of that added cost to men's lives but to be realistic they may not, at least in the near future. 

    Meanwhile, hopefully the marketplace will be hard at work looking at newer and more affordable ways to reduce prostastic obstruction. 

    It is men like you, and the internet as a whole, where ideas are now being shared patient to patient as never before, that will help make this possible by not letting urologists get away with calling something a "gold standard" when in fact it's far from that.

    Jim

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    • Posted

      Yes Jim I think that is very ture.  I hope the insurance company come together and do there part to help men not just think of the money.  There are so many men that are pushed into a procedure that they don't want only because that is the only thing the insurance company will pay for.  When I had my urolift  I think it took about 45 minutes which is not long.  I know he had to take his time outting in the instrument because of my stricture.  4 implants and then the catheter.  All I know is when I woke up I was out of then a hour later.  But there is no hospital stay and all went well.  I am grateful for the other procedure because the gold standard is taking a nose dive.  Take care my friend Ken

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