retrograde ejaculation

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mountainguy1958 - 26 Jul 2006 04:27 GMT

I met with my urologist the other day who talked with me about various
surgery options for bph. Of course he described TURP as "the gold
standard," which is a phrase I've seen associated with the procedure
in my readings. We also discussed other surgery options, as well as
simply staying on meds for a while; or trying different meds.
Personally, though, I'm leaning toward the idea of surgery, preferring
to get it over and done with, and keep unnecessary pills to a minimum.

I would appreciate it if anyone would describe any difference in the
experience of sex. Is the feeling of orgasm for you pretty much the
same as when you ejaculate, or is it different? I've seen the comment
made more than once that partners appreciate the absence of "mess",
and also that pleasure still accompanies male orgasm, but I haven't
read much about whether that pleasure it is any less or different
aside from the absence of fluid emission.

I'm thinking of asking for a med that is very likely to cause it (e.g.
Flomax), on the assumption (???) that the effect would be reversible,
in order to get a sense of what sex would be like post-TURP.

Any comments would be appreciated.

Thanks.

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RVer Don - 26 Jul 2006 06:46 GMT

> I would appreciate it if anyone would describe any difference in the
> experience of sex. Is the feeling of orgasm for you pretty much the
[quoted text clipped - 3 lines]
> read much about whether that pleasure it is any less or different
> aside from the absence of fluid emission.

I had a TURP in 1998 which resulted in retrograde ejaculation. I don't
believe I noticed any difference in the orgasm and, as you mention, it's
much less "messy".

Don in Tracy, Calif.

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g60dph - 26 Jul 2006 10:38 GMT

percy fires blanks
Hugh 1982 turp 8 weeks red

>> I would appreciate it if anyone would describe any difference in the
>> experience of sex. Is the feeling of orgasm for you pretty much the
[quoted text clipped - 9 lines]
>
> Don in Tracy, Calif.

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Temujin - 26 Jul 2006 12:32 GMT

I'd get a second opinion on that TURP. Any urologist who's still
calling TURP the "gold standard" is strictly old school. These guys
all push whichever procedure they have invested in the equipment for,
whether it be TURP, TUMT, TUNA, PVP, HOLAP, or whatever. Find a uro
who does PVP (most of them also do TURP, so they might be less biased)
and ask him if he thinks TURP is the gold standard. Flomax will not
simulate a post-TURP (or post PVP) ejaculation. You may get some
retro, but I think it is more a reduced semen production, and since
it's chemically produced, it's more of a foggy, reduced sensation than
a mechanical backup, like you would probably get from the TURP. I say
probably because you may not get retro. I had a successful PVP and
have no retro. Just be sure that the uro's main goal isn't to prevent
retro. Most of the "bladder neck sparing" procedures seem to prevent
retro, but fail to adequately reduce the bph symptoms, which is your
main goal, after all. Most of the guys here who do have retro would
tell you to stop worrying about it, that it's well worth the benefits.
You pee many times every day and have sex what, twice a week? Do the
math.

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Rich256 - 26 Jul 2006 14:54 GMT

> I'd get a second opinion on that TURP. Any urologist who's still
> calling TURP the "gold standard" is strictly old school. These guys
[quoted text clipped - 14 lines]
> You pee many times every day and have sex what, twice a week? Do the
> math.

I agree. Get a PVP doctor. He might suggest first trying TUMT or
something similar. That is your decision. TUMT has only about a 50%
to 80% success rate but is the least invasive and no retro. I found
also the most painful at times as you are wide awake through the whole
procedure. It did very little for me but I do not regret trying it
before going for PVP.

GO to the Laserscope site to find doctors in your area that do PVP.
Then try to find one who had been at it for quite a while. Prefer one
that has done at least 100.

Post your location here and someone may be able to suggest an
experienced doctor.

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mountainguy1958 - 26 Jul 2006 23:48 GMT

Thanks to you and the others who have replied on this thread.

Is indigo laser treatment a form of PVC, or is it different?

See http://www.recordonline.com/archive/2004/10/06/bing06.htm

> > I'd get a second opinion on that TURP. Any urologist who's still
> > calling TURP the "gold standard" is strictly old school. These guys
> > all push whichever procedure they have invested in the equipment for,
> > whether it be TURP, TUMT, TUNA, PVP, HOLAP, or whatever. Find a uro
> > who does PVP (most of them also do TURP, so they might be less biased)
> > and ask him if he thinks TURP is the gold standard. Flomax will not

[snip]]

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Rich256 - 27 Jul 2006 00:33 GMT

It's different. It appears to me to be similar to TUMT in that it is
done in the doctors office and it takes a few weeks before getting
results (if any):

http://www.urologychannel.com/prostate/bph/treatment_therm.shtml

Each mfgr. will say their method is best. I think most here lean
towards PVP.

This site says 80-85%. TUMT says the same but a Dr. told me that his
experience is about 50%.

http://www.dcurology.net/bph.htm

But like TUMT it is something that can be tried before PVP if you want.

My URO said that they had done 500 TUMT and they claimed about 80%
success. Of the 500 only 2 said they would not do it again.

I tried it and had very little if any relief. Done in the Doctors
office. Had to wear a catheter for 5 days.

My opinion is that a doctor may push it as it is using his equipment
instead of the hospital. But there is the advantage that retro is not
an issue. And perhaps even more important it is done with a local
anesthesia. A General Anesthesia as used with PVP or TURP has
associated risk, however small.

> Thanks to you and the others who have replied on this thread.
>
[quoted text clipped - 9 lines]
>>> and ask him if he thinks TURP is the gold standard. Flomax will not
> [snip]]

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Chockman - 27 Jul 2006 00:59 GMT

Take a look at the following site for further information on the indigo
laser. It is quite different from the PVP which you can learn about on
the laserscope.com site.

See http://www.enlargedprostateinfo.com/epi/htdocs/home.jsp?target=31
for info on the indigo laser.

> Thanks to you and the others who have replied on this thread.
>
[quoted text clipped - 10 lines]
>
> [snip]]

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