Did BPH affect your orgasms, and did your procedure restore them?

Good questions, @cpmorris1001

You may be interested in these related discussions or use the group search to find others:
- TURP https://connect.mayoclinic.org/group/mens-health-1/?search=TURP&index=discussions
- HoLEP https://connect.mayoclinic.org/group/mens-health-1/?search=holep#discussion-listview
- Aquablation https://connect.mayoclinic.org/group/mens-health-1/?search=Aquablation%20&index=discussions

There are some helpful discussions and comments in there. Great to hear that the treatment was successful for you (and your wife).

After my TURP, the orgasms seemed to be incomplete. That's the only way I can describe it. Like a stifled sneeze.

Have mild burning ,tingling on right side of penis. Wonder if ir may be due ti tamsulosin I take

BPH was affecting my orgasms prior to aquablation.
Now, about 10 months later, aquablation has not led to an improvement.

Holep here on 1/31/25
prior to surgery and after living with conditions that got worse for 6 years , my issues included all the usual suspects. Hourly and multiple trips an hour to the bathroom 🚽 up to 4 times) and it would take a very long time to get just a few drops. I temporarily suffered RE on medication. I stopped.

All that is gone. Today is 25 days post op and I can say without getting detailed, everything is working better than before. Not sure how or why but to date I have no side effects.

Congratulations to your experience! I endured a one-hour barbaric TUMT at age 47 in early 2010. Look it up youtube, they don't treat terrorists nearly as bad. One hour with a microwave turkey-baster style prong inserted due to congenital birth defect resulting in retainment of up to 900-ml. This was NOT performed at Mayo, but local doctor scared me into getting it done asap. I had NO ED before procedure, just urine retention. I'm still suffering major ED today. Was told it was be good for "years" but required a 2nd laser PVP in 2016. Again, blindly allowed another doctor in another state to perform. What was I thinking? ED worsened. Today I'm self-cath and retaining about 300-ml, but terrified to have yet another local doctor to push me into HOLEP...he's got 200 surgeries under his belt (he states). In retrospect, I would have skipped all surgeries and been self-cath, but had a happy life/wife otherwise. It pays to be educated and stay conservative. I would recommend self-cath to every man, but that's just my opinion. I have spoken to Mayo urologist and respect them; but I'm just scared.

Please accept my deepest support and sympathy for your experiences.You and no patient should ever have this happen to them. It’s important to acknowledge you are doing your absolute best to help yourself ,&get healthy and thats a great thing. As far as Drs go. , if you can confirm you are eligible for HoLep , please just call my Dr if you don’t already have it set up or are looking for a golden second opinion. The RE is on its own for now with the chance it could be permanent. But let a Dr tell you this. Note that everyone is not the same , if you can get the main issue resolved it’s one less thing on your plate. It’s impressive youre in emotional control with going with the flow ( good for you that’s a flex). Of all the surgeries you could get holep usually has the fastest recovery rate for most men. I wasn’t traumatized or in pain at all. Discomfort was a 6 for a few hours etc. This phase is going to be over soon I can see it.
Continued improvement

Although I ecperienced many uncomfortable and inconvenient symptoms from BPH and my urologist siad I was 9 on a scale of 1-10, I did not experience any impact on/lessening of orgasm. I wish I could say this also related to my BPH procedues/surgeries. This being said the BPH procedures/surgeries I have had, including aquablation have not significantly impacted the orgasm experience. They have impacted it and it is tough to describe how. Maybe they are a bit less intense. Still, the relief I have experienced from the surgeries has been worth it.