Agreed.

But also, maybe men aren’t reporting RE to the surgeons in some cases.

I specifically told the PA prior to surgery that I chose AB to spare ejaculation and decrease risk of worsening ED and that I wanted Dr to be conservative with that tissue. I actually think she took my request as a bit of a joke. In hindsight, I should have told the Dr specifically and assertively that it was important to me to keep normal ejaculation. We are conditioned to not talk about sexual concerns even w our medical team. I hope younger generation guys are more protective of themselves. I know that I am now.

I’m 15 months past surgery. It was a success as far as most urinary issues. However I still need Gemtesa (bladder relaxant) for urgency. I still have RE. (I have read that Gemtesa might contribute to the RE issue.) Originally orgasms felt blunted, but lasted longer. It seems like orgasms have become more normal over time, but maybe I’m just getting used to the new normal.

I absolutely miss normal ejaculation. I did have a follow up procedure to inject a bulking agent into the bladder neck to resolve RE. It didn’t work, but apparently does with some guys.

I’m sorry this is kind of long and rambling. Hope it’s at least a little helpful to someone.