Retrograde Ejaculation post TURP / TURBT

Edited , 7 users are following.

Six weeks ago Ive had TURBT and TURP procedures simultaneously as I had a tumour growth inside my bladder and urgency to urinate 30 times a day with very little coming out. Besides removing bladder tumour (thankfully non cancerous) I guess my doctor decided to play god and also shaved off my prostate incase it was causing urge to urinate.

My symptoms have still not greatly improved, I still go to the bathroom a lot but my urine stream is much better. So I will give this time as I can see some improvements atleast in the stream.

However my biggest problem is Retrograde Ejaculation. Being 30yrs old its a big deal for me. I am unable to ejaculate and I feel like it gets stuck in my urethra at half way point and then goes into the bladder (although maybe its just wishful thinking and it goes straight to my bladder). I did partly ejaculate on two occasions in first week after surgery but since then its been always dry and no improvements.

My question is has anyone improved from Retrograde Ejaculation after TURP? I am at a 6 week point and if it was ever to improve I think more than enough time has now passed. Just wondering on everyone's experience with RE and if it ever improved and how long it took.

0 likes, 12 replies

Report / Delete

12 Replies

  • Posted

    You partially ejaculated in the first week? I was still on a Foley catheter for the first 5 days post-TURP and the doctor told me to take 1-2 weeks off and no sex whatsoever for 4-6 weeks. It doesn't appear that I have RE so far that I can see but, when I was still at around 6-7 weeks, I had a cystoscopy that showed my prostate was still a "crispy" dark color and had a lot of blood clots/scabs all over the place inside. I went into the surgery knowing that RE was a possibility but I hadn't planned on fathering any kids at the age of 69. Sorry that I'm not much help but I stayed away from ANY sexual arousal for at least 6 weeks after the procedure.

    Report / Delete Reply
  • Edited

    So he didn't discuss resecting any of your prostate with you leading up to your bladder surgery? I find that unbelievable given your age. Pretty sure he would have to obtain informed consent from you to do that if the plan was to just remove the growth in your bladder..

    Report / Delete Reply
  • Posted

    Just read about "BLADDER NECK COLLAGEN INJECTION RESTORES ANTEGRADE EJACULATION AFTER BLADDER NECK Surgery". Wonder if this a viable solution for all of us who have had TURP.

    Report / Delete Reply
  • Edited

    robert40248,

    .

    If you have a TURP, then you will have permanent RE. This is one of those really basic BPH 101 kind of things.

    .

    That is why I changed urologist when the 1st urologist that I saw only wanted to do a TURP so I went to another urologist and had a Rezum instead so that I could avoid having RE.

    .

    Did you give your urologist permission to do the TURP when he removed the tumor in your bladder removed?

    .

    Steve

    Report / Delete Reply
    • Posted

      The tumour was right in the bladder neck, so right where the muscles are that control RE. As it was also touching the prostate the urologist had to remove part of prostate in case it was cancerous and in order to get the tissue from prostate examined. The big positive is that there was no cancer thankfully but the surgery pretty much damaged all the muscles and RE as well as consistency are here to stay. I will give it a number of month to recover but already looking at options such as steam cell or bladder neck reconstruction. Contacting good urologists now, in hindsight I should have done that at the start instead of going to the first one.

      Report / Delete Reply
    • Posted

      robert40248,

      .

      Thanks for the clarification. It is good that the cancer is gone. I once went with a 1st bid on remodeling my upstairs bathroom and the among other things, the plumbing was screwed up. I would not do the same for my personal internal plumbing.

      .

      Steve

      Report / Delete Reply
    • Posted

      Steven, I had researched my TURP beforehand and did not see anything about RE being a certainty. My urologist said that it was a remote possibility and I agreed to go on with the TURP since I wasn't planning on having kids and I needed to start peeing SOON. I was more concerned about incontinence Anyway, I had the TURP and there doesn't seem to be any signs of RE. At least not yet.

      Report / Delete Reply
    • Posted

      The ones I've spoken with about that say you should assume RE will happen as a result of TURP, though the typical percentages you see in controlled trials range from ~ 60-85%. The percentages I've seen in the medical literature are slightly better for GLL and worse for HolEP. Within any given type of BPH procedure, outcomes appear to vary based on how the surgeon performs the procedure. The surgeon can be aggressive and maximize the size of the channel for the most effective and durable result in terms of peeing, or he can take a conservative approach if the patient wants to increase the chances he will retain normal ejaculation and is OK with accepting less than "wide open."

      Report / Delete Reply
    • Posted

      russ_777,

      .

      From my research on the various BPH procedures looking at the studies published in medical journals, your numbers are correct on TURP, GLEP and HoLEP. I don't know where HowieF is getting his information from. He was one of the lucky ones not to get RE from TURP. I agree that a lot depends on how aggressive the surgeon is in hollowing out the prostate and how that shapes the urethra's channel and hence leads to RE. Avoiding the verumontanum helps too.

      .

      Steve

      Report / Delete Reply
    • Posted

      Thanks for the explanation. I was just reporting that my urologist said that RE was a possibility and that I seemed to be able to still perform the normal function. I had not seen anything that suggested RE was a likely outcome but, then again, I was going from a state where I could NOT pee at all and I may have done less than a stellar job in my research at the time. I WAS warned of the possibility though, as I was also warned of the possibility of incontinence extending beyond the urologists 30-day suggestion.

      Report / Delete Reply
    • Posted

      Thank you. Now that I have done more looking into it, I agree with your numbers on this. at the time, RE was not something I considered a major issue unlike "incontinence". I had prepared to use adult diapers and was surprised how quickly any incontinence issues cleared up. The only lingering "issues" seem to be frequent urination and some burning while doing so. I was prepared for any and all side effects but I'm noticing that RE doesn't seem to be a major issue even at this early stage. Thank you for clearing that up.

      Report / Delete Reply
  • Posted

    I chose holep laser for my bph around 6 years ago, but got RE just the same; orgasm was possible but disappointing from a few weeks afterwards. Recently, orgasm has become wonderful again, and it's clear there is a partial (very partial) return of external cumming. Of course no one can predict this, so no medic will promise it, but I can only contribute that it is in years rather than days that improvement can be measured. Not to say they can't help you with problems more immediately. But I'd say be patient and remember things are always changing inside you often for the better. With sex, focus on what you can do rather than what's currently a problem, sex being much more than just orgasm.

    Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up