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Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18427
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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What is retrograde ejaculation? Is it correct that up to 90per

Resolved Question:

What is retrograde ejaculation? Is it correct that up to 90per cent of men that have TURP operation will experience retrograde ejaculation? Does it lead to total infertility?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. D. Love replied 3 years ago.
Have you had a TURP?
Have you noticed a change in your ejaculation?

Customer: replied 3 years ago.
I have not had a TURP before. There is no change in my ejaculation at the moment. It is perfect.
Expert:  Dr. D. Love replied 3 years ago.
Thank you for the clarification.

Retrograde ejaculation occurs when the ejaculate fluid travels up into the bladder rather than out through the urethra, the tube that runs through the penis. Yes, it is true that it occurs in over 90% of men that undergo a TURP, because the ejaculate fluid enters the urethra at an angle oriented outwards, and removing the inner core of an enlarged prostate also removes the final curve so that the ejaculate fluid is no longer oriented outwards.

Retrograde ejaculation can occur from other reasons, including medicines used for treatment of prostatic hypertrophy, although it occurs much less often with these medicines.

From the man's perspective, the only difference is that there is no ejaculate fluid that is expressed during an orgasm. The remainder of the sensation of an orgasm remains the same, so sex is still just as enjoyable as it was before retrograde ejaculation developed.

However, yes, retrograde ejaculation will typically cause problems with fertility, since the sperm is no longer deposited in the vagina during sex. Most men are not concerned about this, because most men are done having children when they are at an age that they would need a TURP. But if maintaining fertility is important, this would be a reason to avoid having a TURP.

If you have any further questions, please let me know.

Dr. D. Love and 3 other Medical Specialists are ready to help you
Customer: replied 3 years ago.
What is the possibility of a TURP operation leading to erection dysfunctional in men and what percentage of men experience this?
Expert:  Dr. D. Love replied 3 years ago.
Erectile dysfunction also can occur from a TURP, although it is much less common, occurring in about 15% of men. It is worth noting that major surgery alone, even on a distant body part, can cause erectile dysfunction in about 4-5% of men, presumably because of the general physical stress of surgery. The erectile dysfunction from a TURP would be a combination of the general effect of surgery and the specific effect of surgery in this area.

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