aquablation and retro ejaculation

Posted by anonymous342 @anonymous342, Jan 30, 2025

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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Profile picture for cheezwizard @cheezwizard

Retrograde ejaculation can unfortunately happen after Aquablation even though the risk is lower than older prostate surgeries, and while some men notice partial improvement over several months as healing and inflammation settle, completely dry orgasms can sometimes be permanent, while the burning in your prostate and urethra at 6 weeks is still fairly common during recovery and is often related to ongoing healing and irritation unless it becomes severe or shows signs of infection.

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@cheezwizard retrograde ejaculation hasn’t changed in the past year. I have the build up and the feeling like I’m going to ejaculate but nothing comes out. Very disappointing. Will it ever change?

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Profile picture for lovethealoha @lovethealoha

My sympathies Every man has his own recovery and reactions

Granted I had HoLep (neck preserved ) which is associated with lower risks.

Sorry, as we all are for you, however ,this is not the case for everybody after a prostate procedure ,so he is not necessarily doomed, just because you feel you are , or you had post affects.

I can’t explain how , but some men miraculously been able to go back to normal. I was suffering from retro for over a year. No longer.

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@lovethealoha Has anyone checked for tissue regrowth. If RE stopped, I would assume some tissue grew back. It shouldn’t regrow after HoLEP. I’m very curious because I’m scheduled for HoLEP and had RE from taking tamsulosin (Flomax). I hated it. Orgasms stopped as soon as it started. Hoping it’s different after HoLEP. Not chemically induced. Thought about aquablation, but HoLEP has long time positive results. I have thickening of my bladder wall and bladder stones. I need to do something. I have some intravesical protrusion into the bladder. Don’t think aquablation will be worth the risk of leaving tissue behind and still have a chance of RE.

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