I had the rezum procedure done for bph 3 years ago. Have had dry orgasm ever since. when i went back for 6 month checkup and told doc this he said why does that matter at your age (60). I never went back. From what i can gather, he did nerve damage which is not reversible. He never told me this could happen and i didn't know to ask. I have since read multiple times that he could have avoided the nerves. Be sure to ask if you have any procedure done. Still disappointed.