Transurethral resection of the prostate (TURP) is a common surgery for benign prostatic hyperplasia (BPH), also known as an enlarged prostate. TURP removes part of the prostate to improve the flow of urine. Other options for prostate support include pumpkin seed oils for BPH relief.
If you’re considering TURP, you’re probably wondering how it will affect your ability to have an orgasm. You might also want to know about other possible side effects.
After TURP, some men experience retrograde ejaculation (semen flows backward into the bladder instead of out the penis). Some men also experience erectile dysfunction. We’ll discuss these and other potential complications in this article.
Retrograde Ejaculation: What to Expect
One of the most common outcomes after a TURP procedure is retrograde ejaculation. This is when semen flows backward into the bladder instead of exiting the body through the urethra when you climax.
Why does this happen? Well, the TURP procedure can damage or even remove the bladder neck. This structure usually closes during ejaculation to prevent semen from flowing backward. Because of this, a pretty significant number of men – somewhere between 65% and 75% – experience retrograde ejaculation after a TURP.
While the sensation of orgasm usually remains the same, retrograde ejaculation can make natural conception more difficult. If you’re concerned about fertility, there are treatments available. And rest assured, while it might feel a little strange, retrograde ejaculation isn’t typically harmful.
Erectile Dysfunction: A Less Frequent, But Possible, Complication
While most men don’t experience erectile dysfunction (ED) after a TURP, it’s a potential complication that can affect up to 10% of patients.
ED after TURP can be caused by nerve damage during the procedure, psychological factors related to the surgery and its results, or pre-existing conditions that contributed to ED before the surgery.
The good news is that ED is often treatable. Options your doctor might recommend include:
- Options your doctor might recommend include: Medications like PDE5 inhibitors, such as Cialis.
- Vacuum devices
- Injections
- Penile implants
Talk to your doctor about the best approach for you.
Other Potential Impacts on Sexual Function and Sensation
While retrograde ejaculation is the most commonly discussed side effect of TURP, it’s important to be aware of other potential changes to sexual function and sensation.
Urethral Strictures and Pain
Urethral strictures, or a narrowing of the urethra, can sometimes develop after TURP due to scarring from the procedure. This stricture can affect ejaculation and sensation. Some men may experience pain during ejaculation, while others might notice a reduced force of ejaculation.
Urinary Incontinence and its Psychological Impact
Urinary incontinence, or a loss of bladder control, can also occur after TURP. Kegel exercises for men can help improve bladder control. This isn’t directly related to orgasm, but it can impact self-esteem and sexual confidence.
Impact of TURP on Orgasm
TURP can also affect the sensation of orgasm itself. This varies a lot from person to person. Some men report no change in their orgasmic sensation after TURP, while others experience a diminished sensation.
Minimizing Risks and Managing Expectations
Talking to your surgeon before a TURP procedure is vital. You should discuss the potential risks and benefits so you know what to expect.
You might also want to ask your doctor whether a transurethral incision of the prostate (TUIP) is a viable alternative. This procedure may lower the risk of certain side effects.
After surgery, be sure to follow your surgeon’s instructions carefully and seek medical attention right away if you notice any complications.
Finally, have realistic expectations for your recovery and your future sexual function.
Frequently Asked Questions
Do you lose length after TURP surgery?
Some men report a slight perceived shortening of the penis after TURP (Transurethral Resection of the Prostate) surgery. This isn’t typically a physical shortening, but rather a change in how the penis feels due to alterations in the urethra and surrounding tissues. It’s generally not a significant change, but it’s something to be aware of.
What is the gold standard prostate surgery?
There isn’t one single “gold standard” for prostate surgery, as the best option depends on the individual’s specific situation, prostate size, and overall health. However, TURP has traditionally been considered a highly effective and commonly used procedure for BPH (Benign Prostatic Hyperplasia). Newer techniques like laser procedures are also gaining popularity.
What is the rule of 60 in TURP?
The “rule of 60” in TURP refers to the recommendation that TURP is generally most effective for prostates that are less than 60 grams in size. For larger prostates, other surgical options might be more appropriate to ensure optimal outcomes and minimize complications.
How do you pleasure a man after prostate surgery?
After prostate surgery, men may experience changes in their sexual function, including erectile dysfunction or changes in ejaculation. Open communication and exploring different forms of intimacy are key. Focusing on other areas of pleasure, like oral sex, manual stimulation, or other forms of physical affection, can be very satisfying. Patience and understanding are important as the man recovers.
Should you take Flomax after TURP?
Typically, Flomax (tamsulosin) is not prescribed after TURP surgery. Flomax is often used before TURP to help relax the muscles in the prostate and bladder neck, making it easier to urinate. The goal of TURP is to remove the obstructing prostate tissue, so the need for Flomax is usually eliminated after the procedure. However, always follow your doctor’s specific post-operative instructions.
The Bottom Line
A TURP procedure can sometimes change the way you experience climax and sexual function. Although there can be complications, many of them can be treated or managed.
If you have questions or concerns about your sexual health after a TURP procedure, it’s important to talk with your healthcare provider. They can help you understand what’s going on and explore your treatment options.