 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate BPH / February 2005Reduction of Ejaculation after PVP
The October 15, 2004 article listed below about IMPROVED LASER OFFERS IMPROVED BPH RESULTS, OCTOBER 15, 2004 http://www.urologytimes.com/urologytimes/article/articleDetail.jsp?id=132761 states "The only (patient) complaint is decreases in ejaculate volume. That may be because we are sealing some of the ejaculation ducts during the procedure. We advise the patients about this." I am scheduled for PVP Feb 23. My uro warned me about this. How many of you who have had PVP's experienced decreases in ejaculate volume? Did it affect your sexual functioning? Negatively? > How many of you who have had PVP's experienced decreases in ejaculate volume? > Did it affect your sexual functioning? Negatively? Yes, I have experienced a 100% decrease in ejaculate volume. It's call 'retrograde ejaculation.' I guess all post-PVP patients experience this to the degree the bladder sphincter has been altered or damaged. My understanding is the more the Urologist needs to work on the bladder neck, the more the likelihood of retrograde ejaculation. Did it affect my sexual functioning? Yes and No. No, as far as functionality is concerned. Yes, as far as the 'orgasmic feeling' is concerned. It's less. It's different. My take is that the heightened feeling of sexual climax is a combo of orgasm and ejaculation combined. Take away the ejaculation - and you're left with orgasm [and the resultant sexual release]. My PVP was 3-months ago. My return to sexual functionality began 3-weeks after the PVP. If pre-PVP climaxes were a '10' - 3 weeks later was a dismal '2.' It's getting better - maybe a '5' - even a '6.' I'm getting used to the lack of an ejaculation. My best description is an orgasm followed by a slight dip or void feeling [where the ejaculation had been]. However, I made my choice. I told the doc: "My priority is to pee good. If I must choose between ejaculations and pee quality, I opt for pee quality." And that's what I got. Am I complaining? No. I am getting used to it - and it's getting better. James >>How many of you who have had PVP's experienced decreases in ejaculate > [quoted text clipped - 5 lines] > 'retrograde ejaculation.' I guess all post-PVP patients experience this to > the degree the bladder sphincter has been altered or damaged. I understand that retro may/will likely occurwhen there is work done on the bladder neck. My surgery is scheduled as "bladder neck sparing" since that part of the uretha seems open but for some reason the TUMT did not clear out the distal half of the prostatic urethra (the half furtherist from the bladder). I actually saw the opening on the monitor when the uro did the cystscopy last week. My understanding is that there is a 20% chance of retro with my procedure but with bladder neck sparing procedure, there is still reduction in ejaculation. To those of you who don't have retro, how much reduction was there in the ejaculate? How has that reduction affected your sexual functioning? > My understanding is the more the Urologist needs to work on the bladder > neck, the more the likelihood of retrograde ejaculation. [quoted text clipped - 21 lines] > > James My experience is similar to James. But now almost 14 months post 2nd PVP, I sometimes have a tiny or small amount of ejaculate. Still not sure of the precise cause. Libido is also a bit less. Ron > From: "James" <jc55@adelphia.net> > Newsgroups: sci.med.prostate.bph [quoted text clipped - 34 lines] > > James > Did it affect my sexual functioning? Yes and No. No, as far as > functionality is concerned. Yes, as far as the 'orgasmic feeling' is > concerned. It's less. It's different. My take is that the heightened > feeling of sexual climax is a combo of orgasm and ejaculation combined. > Take away the ejaculation - and you're left with orgasm [and the resultant > sexual release]. I too have retrograde ejaculation. I find no diminishing of the orgasm but there is some burning - particularly after a week or more of abstinence - that feels like back pressure of the semen finding its way into my bladder. I agree though that the tradeoff for better urinary function is worth it. Jim W. My experience with sensation is similar to James following a Holmium Laser TURO about 2 yrs ago. The difference for me is that I believe the ejaculatory ducts were sealed as described in this article as I see no evidence of retrograde when peeing after sex. No big deal and the decrease in sensation while regrettable was worth it to be able to pee properly! Other parts of sexual function normal. RossH >> How many of you who have had PVP's experienced decreases in ejaculate > volume? [quoted text clipped - 31 lines] > > James As I posted some time ago, I believe that my (2nd) PVP also sealed ejaculatory ducts. My questions are: Does anyone know what happens to the semen or prostatic fluid when it's blocked in this way? Where does it go - if anywhere? And are there any expected future problems from these fluids being unreleased? Ron > From: "RossH" <rhearne@nospam.ozemail.com.au> > Organization: BigPond Internet Services [quoted text clipped - 46 lines] >> >> James I'm posting this again - hoping that someone who missed it the first time might have some understanding of the processes involved, to share with the rest of us. Ron > From: Ron <ron1@rcn.com> > Newsgroups: sci.med.prostate.bph [quoted text clipped - 58 lines] >>> >>> James when I had a vasectomy 20 yrs ago I wondered the same thing. I suppose it just gets reabsorbed or shuts down production. I never researched the answer to the vasectomy question but i'm sure it's on the internet somewhere. Semen comprises most of the ejaculate and with a vasectomy it aint there anymore. The remainder is prostatic and some (Cowpers gland ) which enters after the prostate ( I think ). As far as I know there are no ill effects (like cancer ) from a vasectomy. Richie >I'm posting this again - hoping that someone who missed it the first time >might have some understanding of the processes involved, to share with the [quoted text clipped - 63 lines] >>>> >>>> James > when I had a vasectomy 20 yrs ago I wondered the same thing. I suppose > it just gets reabsorbed or shuts down production. I never researched > the answer to the vasectomy question but i'm sure it's on the internet > somewhere. Semen comprises most of the ejaculate and with a vasectomy > it aint there anymore. Just for the record, vasectomy eliminates sperm from the ejaculate, not semen, which is composed of stuff from the prostate, the seminal vesicles, etc. Sperm comprises less than 5% of what you ejaculate before vasectomy. trifold www.vasectomy-information.com www.vasectomy-faq.org I had the opposite effect after PVP. For the first year it was lower volume however after about a year the volume was much greater than before PVP. I attribute this to less imflamation of the entire area after PVP. Recall I had seventeen years of imflamation/prostatitis/BPH. Patrick > The October 15, 2004 article listed below about IMPROVED LASER OFFERS > IMPROVED BPH RESULTS, OCTOBER 15, 2004 [quoted text clipped - 8 lines] > you who have had PVP's experienced decreases in ejaculate volume? Did it > affect your sexual functioning? Negatively? My experience 19 months PVP is much like your other replies. Right after the operation I had retro and then I slowly experienced more ejaculate. Now I'm close to normal. I have read that a tablespoon full is normal. Prior to PVP I produced much more then "normal". The amount is no big deal. To me a small amount of ejaculate or a large amount does not feel all that different. A large amount of pee vs. a tiny amount of pee, that makes a big difference! Dave > The October 15, 2004 article listed below about IMPROVED LASER OFFERS > IMPROVED BPH RESULTS, OCTOBER 15, 2004 [quoted text clipped - 8 lines] > you who have had PVP's experienced decreases in ejaculate volume? Did it > affect your sexual functioning? Negatively? Fifteen months after PVP I have gone from retro to back to almost normal ejaculation, except that the ejaculate is like water or maybe urine very thin and clear does anyone know what scenario this is. "THANKS FOR ANSWERS" Don, > The October 15, 2004 article listed below about IMPROVED LASER OFFERS > IMPROVED BPH RESULTS, OCTOBER 15, 2004 [quoted text clipped - 8 lines] > you who have had PVP's experienced decreases in ejaculate volume? Did it > affect your sexual functioning? Negatively? |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.