Turp

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Does anyone feel sexually inadequate after their Turp? This is especially important for younger men like me who have had this procedure. If yes, please let me know.

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  • Posted

    Interesting question.  You don't state your own age, hence what you mean by "younger".  I am 50 now and had the same thing (re-bore/de-core) but with a laser (Holep) early June.  Answer overall : no, not really.  Am aware if wife died and married someone younger and she wanted kids, retro ejac = problem as unreliably infertile.  But that not likely.  Was very alarmed to find at week 7 after op, no sensastion when ejaculating - no orgasm.   It has progressively come back, still slowly improving I think, and is almost back to normal now.  Not quite as good as before, but already liveable with (week 15).  Some reports suggest it only returns almost to baseline, at 1 year, so there could be further small improvement.  I am enjoying sleeping through the night quite often without peeing, and having a good flow; several male friends, some older some same age, have told me they envy me that. And I love the thought, having been thro' a cancer scare (PSA 16.92 then) before the op, that with only 10 cc of my 22 cc prostate left, p(cancer) is less - although it more often is in the outer than inner parts, so the reduction won't be linear - maybe a 40% reduction, I guess.  PSA now 0.6 (size-adjusted to 30cc, that's 1.8, but some inflammation still showed in the HOLEP chips on histology, so that's the explanation for it not being ultra-low).  Overall, I rate the operation as a boon, and am glad I had it.  Also, not that this matters, but being in business meetings and being the one person that doesn't need to leave the room for a pee during a comfort break, is nice - although that's not really an important benefit.  My mean time between pees is still slowly growing, as I think is the voided volume - bladder probably becoming less muscly and more elastic ?

    I would though have obviously preferred to not have retro ejac - who wants that ?   I knew full well beforehand of that outcome so no complaints.  At age 40, it would be more annoying, as still possible to have more kids which it impedes. 

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    • Posted

      Yes, it is young - I asked the uro' if I was at 49 (then) the youngest of his 60 HOLEP patients and he thought so, best he could recall.  Danged thing was chronically inflamed (biopsy result said this, so did the removed HOLEP chips later via histology), and that was probably why it was squashing my urethra, even tho' at 22cc really not that big, and why the cystoscopy showed it pushing up on bladder, causing a frequency issue which at one stage late April became really extreme, putting me briefly into A&E (I got assurance there that bladder was empty, even tho' felt full).  There were no symptoms of infection in urine, or in histo' report, and no raised body temperature, just "inflammation" so unclear if bacterial, or other chronic non-bacterial prostatitis, maybe enhanced late April by a short-lived bacterial infection that my body fought off ... who knows.  These things seem hard to diagnose - uro' was uncertain, but commented that spots inside urethra indicated possible past bacterial infection (not necessarily distant past, could have been very recent e.g. late April) . Anyway peeing had been slow, and a little more frequent than it should including, annoyingly, overnight (even if no drinks after 4pm and even if no caffeine or alcohol at all that day, or indeed that week), for 8 years before the op was offered, so although the extreme frequency issue of late April had subsided by then, I decided to go for the op (insurance paid) in June and not try the offered alpha blockers (can make catalyst operation a little harder to do if you later need one - my parents have had those so I am likely to) or 5-ARIs (can cause ED in a few, occasionally irreversible; the uro' said not a good idea for younger men).  I'm not regretting it - I'd find it annoying to think that if forgot to take alpha blocker pills on holiday, peeing would suddenly be hard or maybe in years to come super-hard as they just mask the problem.  I thought, if I am going to need it in time, better to have it done (unusually) young whilst my recovery will be more rapid, and enjoy the benefits for longer. 

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    • Posted

      7 weeks was first time.  Some data sheets said OK to start at 4 weeks, one or two said 2 months.  More often quoting 2 months for TURP, than for Holep/Greenlight where 1 month commonly quoted.  If all had gone really well I was going to test it at 1 month.  I decided to hang on for 7 weeks, for this reason : no bleeding for first 2 weeks after leaving hospital the day after the op, then at in week 3, I had had bleeding, 5 days being light (who cares, I expected that) with tiny clots that I didn't even feel being passed, but one final day being heavy with two super-large clots about 22mm by 15mm by 5mm, that felt like a transient electric shock when I passed them.  I took three days annual leave the day after to give something time to heal, the heavy bleeding and clot stopping at once.  I didn't fancy mucking up the operation site with ejaculation (contraction inside prostate) then causing more large clots (I imagined a cycle of them, like when a scab drops off and a wound bleeds again...) and heavy bleeding, so, fearing the clots (what if a really large one blocked me up down there ? Cystocopy, I already knew, isn't much fun, and into an operation site it would ultra-not-fun....), I waited as long as I felt able to.  Probably longer than most would wait ! 

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    • Posted

      Yes, Paul I had all the symptoms you had + many bladder stones. The turp was done right away. I don't know if I should have had it done, but my mind wasn't working too well that day and my Prostatitis was killing me. I still have the prostatitis to this day and no luck with urologists. I'm going to find a Prostatitis clinic and see if they will help me. Ive had it with these urologists. They are some lot of Drs. and half of them should not be even practicing medicine because they have no compassion for their patients and do anykind of procedure to get them out the door. Not a very good proffession for a person to go into.

        Steve

       

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  • Posted

    Define sexually inadequate? My understanding is TURP  is a generic term encompassing various technics for removing prostae issues. Assuming that is the case it would helpful if peopke would tell the technic used for removing the overgrown prostate.

    I have not had a procedure yet so I am very interested in seeing the responces. 

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  • Posted

    Im definitely one whos sexlife is a total mess after the TURP and I am so surprised to read about so many angry men who: just like me have about no climax at all.after the TURP But my urologist in the first place dont know the difference between a climax and an erection and in the second place he never heared about any complaints. And the irony of course is that the research also havent found any men who had any problems. That of course give the green light to a urologist to tell you that the sex and the feeling will be exactly the same after the Turp. Well if you tell them that its not the case then they just prescribe testosterone injections and Levitra and if you tell them that the climax is still pathetic to say the least then they tell you that you must be the only one with that problem as the research have never found any sexual problems. I wonder how independant is that research.     
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    • Posted

      Look at my earlier posts, I found a number of research reports - not allowed to post URLs so I posted what to enter into google to find them, and I quoted key excerpts at length across three adjacent posts (there is a post length limit).  How long ago was yours ? If very recent, maybe things might improve...  I sympathise very much, as if my initially-insensate orgasms had remained so, that would have been quite annoying, to say the least.  NB you said "That of course gives the greenlight to a urologist ..." - clever pun, intended or otherwise ! 

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    • Posted

      I sympathise with you totally, Wally. I wish I never had it done + I have chronic prostatititis on top of it all. I wish I had never heard of the prostate.   
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    • Posted

      My TURP was 5 years ago and I never had a good climax after that. I had the best sex before the operation. I just think that a urologists should at least tell me as a patient of all the prosedures and discuss with me as a patient what is best for me. The urologist is the profesional person and shouldnt just inform me of one procedure and then if I  tell hin that its not the same as he said then there is nothing that I can do. How do you prove that anyway? About the " Green light" , I was trying to use it as a pun but as English is my second language I wasnt sure if it was working ok. 

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