Some men retain orgasm after BPH treatment but experience retrograde ejaculation, where semen flows back into the bladder.
Retrograde ejaculation after BPH treatment
Some men who undergo a procedure for benign prostatic hyperplasia (BPH) may still experience orgasm but no longer ejaculate semen. This can occur when semen flows back into the bladder instead of exiting the body, a condition known as retrograde ejaculation.Impact on sexual experience
This situation does not necessarily mean that a man can no longer have an erection or feel pleasure. However, it can be unexpected and worrying if it was not discussed before the treatment. It is important to note that this applies specifically to BPH procedures, not to cancer-related surgeries like radical prostatectomy, which have different outcomes.Importance of pre-treatment discussion
Dr. Gérard Kierzek emphasizes the need for patients to ask about ejaculation before undergoing a BPH procedure. He states that this information is crucial for making an informed decision, as it is not a minor detail but a significant aspect of the treatment's effects.Understanding the differences
Erection, orgasm, and ejaculation are distinct processes. Erection involves the rigidity of the penis, orgasm is the feeling of pleasure, and ejaculation is the release of semen. After certain BPH treatments, ejaculation may change, but orgasm can still occur, leading some men to describe it as a "dry orgasm" due to the absence of visible semen release.