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Retro or Ejaculation That is the Question

Posted , 15 users are following.

kenneth1955
kenneth1955

Good evening all.  Over the last few week we have been having a discussion on the percent of retro in many of are procedure for BPH.  Out of the 10 top procedure for BPH Urolift is the only one that does not cause retro or any other side effects because there is no cutting of the prostate tissue.  The prostate is pulled apart by clips.  2 to 8.  This would be the one to start with after you have been on med's that did not work.  The next one I would be PAE which is not done by a urologist.  It is done by a Radiologist he will inject bead in the arterial branches of the prostate and it stop the blood to the prostate which makes it smaller.  Very little side effects with PAE but has you know if the prostate is smaller it doe not produce a lot of fluid.  So your ejaculation will not be the same and sometime it stops all together.  Next would be Rezum  It is done by the doctor injecting steam into the shell of the procedure.  The steam melts the tissue to shrink the prostate.  It has no sexual side effect but it can cause retro anywhere from 5 to 10 %.  Urolift, Pae and Rezum and the less invasive.  Healing time with these are much faster.  But we all heal different.  TUIP is a procedure that the doctor makes 1 or 2 grooves in the prostate This one may not cause retro.  The doctor just has to stay away form the bladder neck.  I have not heard of anyone having this on this site.  TUMT is a procedure done with Microwave antenna They do not do has many has they use to.  You also have your Laser procedure where they use a laser to burn off the tissue that is causing a problem. With these there is less problem but does cause some and you don't have to stay in the hospital With these you will get retro.  The last one I will talk about is a TURP which there has been a decline in being it is a old and will cause you many side effects and has a longer healing time.  Retro is also a given with this.  There are many procedure out there now and we have to look at it .  What would be good for me.  If retro is a concern for you then Urolift would be you first. Rezum and PAE has a low rate for Retro.  Any of the other procedure where they cut or laser your prostate out Look for retro.  But it is also how good your doctor is .  Voice your concerns and if he cares enough he will listen to you and do the best for you but if you get one of the doctors that make jokes about your concerns get a new doctor.  Remember information is the key.  Don't give up on your body. We should be able to pick what ever we what... You deserve to live your life to it full potential.  God bless  Ken   

4 likes, 32 replies

32 Replies

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  • Truthmatters
    Truthmatters kenneth1955

    Posted

    Don't agree with your order Ken. I would put PAE first. It is the least invasive of any of the other remedies and although there is some question mark regarding median lobe problems, it is showing itself to be very effective with large prostates. The key benefit for me is it is a procedure that does not preclude any other if it proves to be less or even no more effective than you desire. You claim that by making the Prostate "smaller" it reduces the amount of seminal fluid. I haven't seen that claim before so would be interested where you got that data from. During my investigation and subsequent experience of the procedure, I found that the Prostate would be reduced from its current enlarged state but unlikely to shrink it to "normal" size let alone smaller. 

    • kenneth1955
      kenneth1955 Truthmatters

      Posted

      I found it on one of the sites.  PAE will make the prostate smaller and with it being smaller you will produce less semen or some time it leave all together.  But also you have to remember as we get older we do not make as much as we did before  Have a good day  Ken
  • stan98754
    stan98754 kenneth1955

    Posted

    Hi Ken, your forgot for FLA, most effective for big median  lobe (  PAE  is faliled in this case ) , with min. side effect,  maybe just 5 % RE  . Happily not my case. Stan  
    • kenneth1955
      kenneth1955 stan98754

      Posted

      Yes I did I am sorry But I 2 AM  I forgot to say a lot of things.  FLA is good also but it is not for all.  The cost is to much.  Also forgot you CIC which does help many  Ken    
    • jimjames
      jimjames kenneth1955

      Posted

      @Ken: FLA is good also but it is not for all.

      ------------------

      Since you're quantifying retro for different procedures based mostly on anecdotal reported here, I think you should mention that FLA is also showing retro at 5-10% similar to Rezum. Everyone has to keep in mind that we are talking about very small and unscientific sample sizes here but in the case of FLA, for example, that's all we have at this point, and really not much much with Rezum other than study data which can differ from the real world. And that's for the shout out for CIC. It's a totally retro free way to deal with BPH for those who choose that route.

      Jim

    • kenneth1955
      kenneth1955 jimjames

      Posted

      Thank you Jim.  I forgot to add that this morning when I did it.  I did add CIC at a later time Thank you  Ken
  • mark02906
    mark02906 kenneth1955

    Posted

    12 years ago, I had a needle ablation (TUNA).  No discussion with my urologist whether RE could be a result.  Fortunately, it wasn't. Maybe TUNA did not have an RE risk.  I was not smart enough to ask. 

    As I aged from mid-50's to mid-60s,  my nocturia increased and something more had to be done.  By this time (a year ago), I was Medicare eligible - that meant try pills.  I was one of those who experienced RE from tamsulosin.  The tamsulosin did not solve the nocturia, so I was looking at a procedure.  Given my father's kidney problems (including dialysis), that was my first concern and then the nocturia.  But, this time having a good chance of preventing RE was a secondary priority. For me, the Urolift procedure worked.

    One thing that Ken has encouraged us to do is to ask questions.  I thank him for that.

    • kenneth1955
      kenneth1955 mark02906

      Posted

      Thank you Mark.  Urolift worked for me all so.   Asking question and getting the answers are the key to picking a procedure whatever you pick for yourself.  Ken 
  • Trikerjon
    Trikerjon kenneth1955

    Posted

    Thanks for the information, hopefully it will help future patients make a better informative decision

    regarding a procedure that works best for them especially regarding retro.

    • phil25323
      phil25323 Trikerjon

      Posted

      Thank you guys for taking the time to share your experiences and knowledge. 

      Urolift is limited to those that don’t have relatively large prostates and with median lobes. I’m one of those. 

      It seems to me Urolift is just buying time because prostates do grow larger. 

      Correct me if I’m wrong but PAE does not have a high success rate vs GL/Button Turp/Holep. 

    • kenneth1955
      kenneth1955 phil25323

      Posted

      It all depends on what your concerns are.  How big is your prostate they are going up to 100 ml and they are also working on the median lobe clipping it to one side.  No side effects.  Pae does work but it has it limits. Now if sexual function and retro are a concern stay away from GL, Button Turp or Holep.  They do work for some but take more time to heal.  Research anything you are looking into please  Ken 
    • Trikerjon
      Trikerjon kenneth1955

      Posted

      Well I saw my Uroligist today ! It’s been 6 weeks since I had the REZUM procedure done. My first question was how large was my prostate, his answer was 60. I told him I had concerns about having retro now and that 

      information I got on the forum suggests that with 11 steam injections I had

      a small chance of regaining normal ejaculations . He said not necessarily,

      because of the size of the prostate he didn’t think the steam would destroy

      the seminal vesicles. He also said it was too early to tell if retro was going to be a problem. He said he has done many Rezum procedures with about a 5 percent retro problem. I told him guys on this forum we’re suggesting

      it might be closer to 10 percent and he didn’t agree with that. He also said I was his first patient that received 11 injections. He wants me. To have a follow up appointment when I return to Arizona in November.

       Regarding the retro problem I told him it was not as satisfying as a normal ejaculation and that my erections were not as hard. He gave me a sample of Viagra to see if that helps and also mentioned other patients had better

      erections after the procedure. I guess I’ll have to give it time to find out what the outcome will be. I’ll give a follow up report in a couple of months.

      Good Luck, and do your homework👍

    • kenneth1955
      kenneth1955 Trikerjon

      Posted

      Buddy Glad you ask him some question but 60 is not that large to have 11 injection.  I can just think of it when you go back and tell him you still have it.  He is going to tell you I don't know what happen.  I hope things improve for you take it easy  Ken

    • Trikerjon
      Trikerjon kenneth1955

      Posted

      Will have to wait and see the outcome. Thanks for all your input.

      Later👍

    • lee56659
      lee56659 Trikerjon

      Posted

      Your first source of information should be your urologist.  Your second source should be the results of clinical trials, many of which are available on the internet.  The least reliable source of information would be internet forums like this one!  
    • Trikerjon
      Trikerjon lee56659

      Posted

      I don’t disagree, but I Iook at the forum as a source to compare notes with people who have had

      like procedures and compare the results. 

    • jimjames
      jimjames lee56659

      Posted

      Actually the least reliable source is the one that you fail to cross check with other sources.There are things you can learn here that you won't get from your urologist and studies, but just like with your urologist and studies, nothing should be taken as gospel. If men just listened to their "first source of information" (their uro's) only a few years ago, most of them would have had TURP. So how "reliable" does that advice sound today? Now they're advising Rezum, Urolift and soon Aquablation. Yes, listen to your urologist, then head to a computer and check the studies, then listen to what real people have to say about their experiences in a place like this.

      Jim

    • jimjames
      jimjames lee56659

      Posted

      Actually the least reliable source is the one that you fail to cross check with other sources.

      There are things you can learn here that you won't get from your urologist and studies, but just like with your urologist and studies, nothing should be taken as gospel.

      If men just listened to their "first source of information" (their uro's) only a few years ago, most of them would have had TURP. So how "reliable" does that advice sound today?

      Now they're advising Rezum, Urolift and soon Aquablation. Tomorrow???

      Yes, listen to your urologist, then head to a computer and check the studies, then listen to what real people have to say about their experiences in a place like this. I agree that some of the advice on internet forums is misinformed and over the top, but in many cases some of it may be better than what your uro tells you. We see this every day here.

      Jim

    • jimjames
      jimjames lee56659

      Posted

      Actually the least reliable source is the one that you fail to cross check with other sources.

      There are things you can learn here that you won't get from your urologist and studies, but just like with your urologist and studies, nothing should be taken as gospel.

      If men just listened to their "first source of information" (their uro's) only a few years ago, most of them would have had TURP. So how "reliable" does that advice sound today?

      Now they're advising Rezum, Urolift and soon Aquablation. Tomorrow???

      Yes, listen to your urologist, then head to a computer and check the studies, then listen to what real people have to say about their experiences in a place like this. I agree that some of the advice on internet forums is misinformed and over the top, but in many cases some of it may be better than what your uro tells you. We see this every day here.

      Jim

    • jimjames
      jimjames lee56659

      Posted

      Actually the least reliable source is the one that you fail to cross check with other sources.

      There are things you can learn here that you won't get from your urologist and studies, but just like with your urologist and studies, nothing should be taken as gospel.

      If men just listened to their "first source of information" (their uro's) only a few years ago, most of them would have had TURP. So how "reliable" does that advice sound today?

      Now they're advising Rezum, Urolift and soon Aquablation. Tomorrow???

      Yes, listen to your urologist, then head to a computer and check the studies, then listen to what real people have to say about their experiences in a place like this. I agree that some of the advice on internet forums is misinformed and over the top, but in many cases some of it may be better than what your uro tells you. We see this every day here.

      Jim

    • kenneth1955
      kenneth1955 lee56659

      Posted

      Lee that is true but the doctor rushed him into it without giving him a chance to look into it.  He may have not needed any surgery because he may have just had a prostate infection from knee surgery that he just had a catheter taking out after 5 day.  The doctor only did a finger test.  I hope he get better  Ken
    • phil25323
      phil25323 kenneth1955

      Posted

      Ken, since the prostate continues to grow regardless of the procedure, what are the studies (as well as patient feedback) saying how long Urolift remains effective vs other procedures?

      Thank you, Phil

    • lee56659
      lee56659 jimjames

      Posted

      Your reply showed up 3 times.  Too bad this software doesn't allow editing.

      There are probably 10s if not 100s of thousands of men who have had traditional TURP surgery and are happy with the results.  Clearly there are procedures available today that are more patient friendly and yield similar results with shorter recovery times.  There are also newer procedures (PAE, FLA, Rezum) on which "the book is still out."  Those seem to be the ones that get the most space on this forum.  One thing we can probably all agree on is that there is no one procedure that is best for everyone and internet forums convey the opinions only a tiny fraction of the (BPH suffering) population.

    • kenneth1955
      kenneth1955 lee56659

      Posted

      But then there are 10,000's of man that had no choice and did not like what happen to them because that was all that was available. And would not go through it again. But life goes on  Ken 

    • jimjames
      jimjames lee56659

      Posted

      The appearance of PAE, Urolift, Rezum and FLA on this forum are simply reflective of what is being offered to the larger patient population. No coincidence that there are so many Rezum posts now. Or less TURP posts. Again, it simply coincides with the Rezum "roll out" to doctor's offices, many of whom used to do just only TURP but now are doing Rezum for a number of reasons.  Started slow a year or so ago and now a lot of docs are doing it. I agree no one procedure best for everyone. Also agree we need an edit feature on this forum.

      Jim

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