Just beyond the one-month post-HoLEP mark, and things continue to go exceptionally well. If someone had told me beforehand that this would be my recovery experience, I would have signed up without nearly as much anticipatory anxiety.

My stream remains exceptionally strong, urine is clear, and I have no spasms, discomfort, or meaningful urinary issues.

The latest milestone was resuming sexual activity. I ejaculated for the first time this past week and, admittedly, I was a little nervous. It was completely uneventful. Since then, I’ve had several orgasms without pain, bleeding, or any other issue.

As expected after HoLEP, I now have retrograde ejaculation… There is essentially no visible ejaculate because it goes backward into the bladder and is later eliminated with urination. For me, this has turned out to be a complete non-issue. Orgasmic sensation and intensity are every bit as enjoyable as before surgery. In fact, being off the alpha blocker may have helped in that regard.

For anyone approaching this stage of recovery and worrying about what retrograde ejaculation will actually feel like: my experience has been that the anticipation was much more significant than the reality. Once I knew everything worked normally and comfortably, I stopped thinking about it.

Enjoy the newfound flow. The rest, at least in my experience, comes naturally.