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aquablation and retro ejaculation
I had aquablation 6 weeks ago and have since experienced retrograde ejaculation. The doctor said I would ejaculate after the procedure but the volume would be less. I can feel it build up but nothong comes out so I now have retrograde ejaculation. The doctor claims I am his first patient to complain about this. BS.... My question to everyone does this ever improve over time or am I doomed with this for life. I also have burning in prostate area and urethra sometimes worse than other times. I assume I'm still healing maybe?
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@JustinMcClanahan So I am almost 1 year since AB and I am still total retro. It does bother me but I am happy I pee like a 8 year old and still get hard as a rock. I also enjoy that there is no more mess as lets face it, cum is sticky and messy, lol! So I look to the bright side and happy with the results but yeah, I miss the release!
I did not experience retro with my AB. But I did experience soreness off and on for several weeks. At six weeks I did some light yard work for a few hours after which I had soreness in the prostate area and light bleeding in my urine for a couple voids. At the three month mark was when I felt pretty well healed. It takes some time for sure.
Data is pretty consistent that Retrograde Ejaculation (RE) still occurs in around 10% of men undergoing aquablation. Terminology is important. RE refers to loss of fluid emission often zero emission or sometimes back into the bladder with patients noting semen in the urine when they urinate after orgasm. Delayed ejaculation refers to inability achieve orgasm at all. Pleasure occurs as a result of the 2 working together but most men still report pleasure with dry orgasm or retrograde ejaculation. When asking my patients that have undergone rezum prostate therapy, < 10% report changes in ejaculation with about half of those reporting overall decreased pleasure with orgasm with or without emission.
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Dr Kohler
Head of Mayo Mens Health, Rochester, MN
@tkohler I had Rezum several years ago. My prostate seems to have regrown. From a statistical standpoint does repeated Rezum often have merit or does HOLEP pose a likely better solution (my prostate was 100g initially.) I favored Rezum therapy because it presented the least likely chance of sexual side effects, and to that point I was satisfied, but lately I have read that HOLEP sometimes can be steered clear of the ejaculatory ducts rendering less chance of inhibition of orgasm.
@tkohler
Interesting information - thank you! A little thread drift here, but I hope for good reasons. I had very successful HOLEP surgery two years ago (I'm 61 now - small prostate but apparently filled with hundreds of prostate stones) and on the other side of it I've been paying attention to the men's health boards here for stories of what orgasms are like for folks who've had prostate surgery. My experience seems not uncommon - beyond the RE (which my wife is genuinely thrilled about), my orgasms have changed in a hard to describe way. At first it was just deceased pleasure - specifically the last second or two, sort of the early extinquishment of a firework just as it was getting going. Which was genuinely depressing. But over time the build up to orgasm became more intense, and the endpoint more of a full-body thing that's pretty satisfying. So: not worse anymore, just different. A little confusing in that it's less of one kind of pleasure but more of another.
My surgeon wasn't exactly interested in this story (I'm not sure I blame him) but my urologist says it's consistent with having the ducts removed. He said it's possible in HOLEP to keep them intact but that he doesn't do that because it's a place where problems can arise again.