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Benign prostatic hyperplasia (BPH) Surgery Options

Men's Health | Last Active: 1 day ago | Replies (233)

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@delmar418

Has anyone here hear of EP procedure in connection with laser enucleation such as HOLEP or green light?
EP stands for Ejaculation Preservation. Some of the prostate is untouched, enough for it to make semenal fluid in order to ejaculate out of the penis as opposed to retrograde ejaculation, where the sperm goes into the bladder and not out. I intend to ask about this when I have my appointment mid January. I have a 99cc prostate which is protruding into my bladder wall. I would hate to have the whole thing gutted out when it doesn't have to be. I think it's worth a mention in my opinion.

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Replies to "Has anyone here hear of EP procedure in connection with laser enucleation such as HOLEP or..."

Hello delmar418! My prostate was protruding into my bladder. For this reason….I chose HOLEP. I’m extremely happy with the results, although I no longer ejaculate as before. Everything else is great. The sensation of ejaculation is present during sex, but without ejaculation. Given the alternative….I’m very happy with the result. I had a 77cc prostate before HOLEP, 75% of it was removed. HOLEP was performed by Dr. Dora at the Mayo in Jacksonville!

Urology explained to me after the Green Light, I would experience the "feeling" of ejaculate, but no fluid would possibly be released. I have not been in recovery enough to test this out . Will post some comments in a few weeks , hopefully it can be helpful.