Ejaculation after Bipolar TURP (Transurethral Resection of Prostate) and Traditional Monopolar TURP
by Dr. Alex Shteynshlyuger, a board-certified urologist, and specialist in the treatment of enlarged prostate and complex urinary problems using minimally invasive approaches. He is one of the first urologists in the US and NYC to offer Urolift as a treatment for enlarged prostate.
Do Men Ejaculate Normally after TURP Procedure?
Most prostate surgery procedures to remove obstructing prostate tissue including TURP and bipolar TURP lead to lack of ejaculation or unejaculation, sometimes called ‘retrograde ejaculation”. Unejaculation is a very common side effect of prostate surgery affecting more than 80% of patients who undergo TURP procedure. Unejaculation after TURP is irreversible.
Other treatment options for enlarged prostate such as laser ablation with holmium and Greenlight laser and enucleation also cause similar side effects.
Does Bipolar TURP Improve Ejaculation Function in Men?
There is no difference in reported frequency of an ejaculation in men who undergo traditional unipolar TURP compared to those who undergo bipolar TURP for treatment of enlarged prostate and urinary retention.
Can Ejaculation Function be Preserved in Men who Undergo TURP Procedure?
For men who desire to preserve ejaculatory function, an attempt at ejaculation-preserving TURP procedure can be made by limiting removal of prostate tissue close to verumontanum. Studies show that in as many as 50-70% of men, ejaculation may be preserved after TURP procedure aimed at preserving ejaculatory function.
The downside of ejaculation-preserving TURP procedure is that it is a partial TURP and not a complete TURP procedure. As a result, the full benefit of TURP procedure for treatment of urinary obstruction may not be achieved: improvement in urinary symptoms may be less than what can be achieved with a complete resection of the prostate (complete TURP).
For men who understand the risks that attempt at ejaculation-preserving TURP may not always be successful and that improvement in symptoms may be less than optimal, the procedure can be performed by our experienced urologists at New York Urology Specialists.
Other alternatives to ejaculation-preserving TURP include Urolift for BPH and Rezum treatment which do not have an ejaculatory function related side effects. In fact, men report improved ejaculation after Urolift and Rezum procedures. Both Urolift procedure and Rezum surgery can be performed in New York Urology Specialists offices by our experienced urologists.
Why Choose New York Urology Specialists for Treatment of Enlarged Prostate (BPH) with Transurethral Resection of Prostate or Enucleation?
- All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
- We are one of the few practices in the region to offer a full range of options for treatment of BPH.
- We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
- Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
- We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).
When it comes to experience and innovation – New York Urology Specialists are a step ahead. Better Science Means Better Care. We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.
Medicare and major insurances accepted. We offer affordable rates and financing options.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board-certified with expertise in evaluation and treatment of urinary problems in men. He uses modern effective and proven treatment methods including Urolift for BPH. He is highly recommended by top primary care physicians in the New York area.
He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.