Retro or Ejaculation That is the Question

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   

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