BPH

[DonTriad]

Hello. My urologist recently informed me that my BPH was probably causing a problem know as Anejaculation (failure to ejaculate after orgasm). I do not have any of the conditions normally assoication with anejaculation (surgery, retrograde ejaculation, medication use, etc.) but I haven't read anything in the literature that associates BPH (or prostate cancer for that matter) with a failure to ejaculate. Has anyone else experienced this problem and, if so, was there any followup or remedies recommended? Thanks.

[mrcoyote]

I think your urologist was probably right on this one. Before my laser TURP surgery recently, I experienced (due to BPH) something like what you are referring to, but not completely. I blamed it on
the Flomax I had been taking for years, but I really think it was the advanced BPH that was responsible for it, and, thus made it necessary for me to have surgery. I don't know about your situation and what might help it. Did the urologist suggest anything for this? Let me know.

[DonTriad]

Thanks for the feedback. Beyond noting that BPH can affect the prostate's sexual function, my doctor hasn't recommended anything specifically for that problem. We're currently at the biopsy and Proscar stage (the anejaculation existed before I started taking Proscar). Did your TURP procedure actually help the anejaculation problem? Thanks again for the response.

[mrcoyote]

The laser surgery, as you might know, was supposed to have the result of retrograde ejaculation. It did not, at least so far. So when I found this out, I was very surprised. Not only that there was no retrograde
(that I know of, because you can't really "know" if any is going in your bladder) but the amount and force was much, much greater than before I had the surgery. Again, I have not spoken with the urologist about why no retrograde after my surgery, so I don't know if this is unusual or just me. I know many people have the retrograde result after the surgery, so I don't want people reading this to assume they will not.
I will speak with him in Jan. at my follow up and post what he says about this. In your particular case, I see the doctor is doing something about the BPH with Proscar. He's obviously concerned about more than just the size of the prostate, which is good. The biopsy will reveal samples of different regions of the prostate and hopefully rule out any cancer. This is a must, because letting it go is even worse. Talk to him more about the anejaculation at the time of the biopsy. If it's negative, he may have some thoughts.
Sounds like your guy is on the right track anyway. But, the answer to your question is, definitely yes, it helped me in that department but it was a big surprise. I have no idea if it will remain this way or just a short-term phenomenon related to post surgery. Hope this helps you out in some way.

[DonTriad]

Thanks again for the information and hope your post-surgery continues to go well.