{"id":3566,"date":"2017-12-27T05:52:13","date_gmt":"2017-12-27T05:52:13","guid":{"rendered":"https:\/\/www.newyorkurologyspecialists.com\/bph\/?page_id=3566"},"modified":"2020-12-16T01:15:59","modified_gmt":"2020-12-16T01:15:59","slug":"ejaculation","status":"publish","type":"page","link":"https:\/\/www.newyorkurologyspecialists.com\/bph\/ejaculation\/","title":{"rendered":"Ejaculation Preservation Prostate Surgery – Ejaculation Problems after Prostate Treatment"},"content":{"rendered":"

Preservation of Ejaculation in Men Undergoing Surgery for Enlarged Prostate in NYC:  Bipolar TURP, Greenlight Laser, Holmium Laser, and Laser Prostate Enucleation.<\/h1>\n

Enlarged Prostate Treatment<\/strong> in New York City – 2020<\/strong><\/h1>\n

by Alex Shteynshlyuger MD<\/a><\/strong><\/p>\n

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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: 1-646-663-4044<\/a><\/span><\/strong>.<\/strong><\/p>\n

We have excellent reviews from patients <\/a><\/strong>and their partners.  Information for out-of-state and international patients<\/a>.  <\/strong><\/span><\/p>\n

We offer affordable prices<\/a> with or without insurance.  Same-day virtual video appointments and in-person appointments are available.<\/strong><\/span><\/p>\n

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Ejaculation Preserving Treatment for Men with Enlarged Prostate and Urinary Retention in NYC<\/strong><\/h2>\n

Can Ejaculation Problems be Avoided in Surgical Treatment of Enlarged Prostate?<\/h2>\n

\"\"Traditional prostate surgeries such as TURP, bipolar TURP<\/a><\/strong>, and laser enucleation of the prostate<\/a><\/strong> result in a high incidence of ejaculation problems. Lack of ejaculation,<\/strong> also known as retrograde ejaculation or anejaculation, is one of the most common side effects of prostate surgeries.<\/p>\n

While anejaculation or lack of ejaculation is not dangerous, it can be bothersome to patients and their sexual partners<\/strong> who are conditioned to expect ejaculation after intercourse and masturbation.<\/p>\n

Orgasm and Ejaculation: Important Distinctions<\/strong><\/h2>\n

While orgasm and ejaculation are separate events because they occur simultaneously, many men associate orgasm with ejaculation<\/strong>.  Many men who need to have treatment for enlarged prostate or urinary retention worry that they will not have an orgasm if they do not have ejaculation after undergoing a procedure such as bipolar TURP<\/a><\/strong> and Greenlight laser ablation of the prostate<\/a>.<\/p>\n

It is important to realize that ejaculation and orgasm at 2 separate events.  Patients who have a normal orgasm before prostate surgery can expect to have normal orgasm after treatment for enlarged prostate<\/strong> with procedures such as TURP, bipolar TURP, and ablation or enucleation procedures with Greenlight laser or Holmium laser (HoLEP \/ HoLAP).  Orgasm will be preserved even if there is no ejaculation.<\/strong>  <\/p>\n

Where to Get Ejaculation-Preserving Prostate Surgery in NYC?<\/h2>\n

At New York Urology Specialists, we offer specialized treatment for enlarged prostate<\/strong> for men.  Same-day virtual video appointments<\/strong> and in-person<\/strong> appointments are available.<\/p>\n

Call\/text today: 1-646-663-4044<\/a><\/span> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online.  <\/span><\/span><\/strong><\/p>\n

We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office.  We offer Urolift procedure<\/a><\/strong>, Rezum water-vapor procedure<\/a><\/strong> in our office, and laser enucleation of the prostate in a hospital setting.  We treat urinary<\/strong> and erection problems<\/a><\/strong>. We offer confidential<\/strong> appointments.<\/p>\n

Our appointment costs<\/a> are affordable with or without insurance<\/strong>.  We offer free insurance verification<\/strong>.<\/p>\n

Men Who Cannot Ejaculate or Orgasm Before Prostate Surgery<\/strong><\/h2>\n

Some men with neuropathy<\/strong> (most often caused by diabetes) experience a lack of orgasm, which is unrelated to prostate surgery.<\/p>\n

There are some men who are unable to have an orgasm for one reason or another. Most commonly, this occurs in people with diabetes or other neurological conditions that affect the nerves that control orgasmic function.  Having prostate surgery will not have a noticeable change since these men lack orgasm to start with.<\/strong> <\/p>\n

Similarly, men who are unable to ejaculate prior to surgery<\/strong>, which is common in men with an enlarged prostate, will not see a noticeable change after surgery since they did not have ejaculation prior to surgery.  There are no established effective treatments to recover ejaculation or orgasm in men who are unable to either orgasm or to ejaculate. <\/p>\n

While the Urolift procedure<\/a><\/strong> is associated with some improvement in ejaculatory function, it may be of limited benefit to patients with very large prostates and patients with neurological problems such as diabetes.<\/p>\n

Surgical Technique to Preserve Ejaculation in Men Undergoing Prostate Surgery.<\/strong><\/h2>\n

Modern treatment for an enlarged prostate<\/a> has evolved.  Procedures such as the Urolift stent<\/a><\/strong> and Rezum procedure for BPH<\/a><\/strong> do not affect ejaculation function, and as a matter of fact, the ejaculatory function is improved in many men who undergo these procedures.  Urolift and Rezum are good options for men with small and medium-sized prostate and moderate urinary symptoms.<\/p>\n

For men with severe symptoms of an enlarged prostate<\/a><\/strong>, high postvoid residual, and urine retention<\/a><\/strong>, Urolift and Rezum for BPH procedure are not likely to be sufficiently beneficial.  For these men, new surgical techniques have been developed in an effort to minimize the chances of anejaculation<\/strong> after surgical procedures for enlarged prostate, such as bipolar TURP<\/a><\/strong> (epTURP), laser enucleation of the prostate<\/a><\/strong>, Greenlight laser, Aquablation<\/a><\/strong>, and Holmium laser.<\/p>\n

Ejaculation Preserving Prostate Surgery in New York City<\/h2>\n

At New York Urology Specialists, we perform prostate surgery with ejaculation preserving intent<\/strong> if so desired by the patient.  It is important to understand that there is no guarantee that ejaculation preserving surgery will succeed in its intent to preserve ejaculation<\/strong>.  However, studies show that 70-80% of men preserve ejaculation function after ejaculation-preserving TURP surgery<\/strong>.  Similar results are achievable with ejaculation preserving laser enucleation of the prostate and laser ablation of the prostate.<\/p>\n

Technical Considerations<\/strong><\/h2>\n

Performing prostate procedures with ejaculation preserving intent requires the preservation of about 1 cm of tissue at the apex of the prostate.  The desired benefit of this modification to the standard TURP procedure is the preservation of ejaculatory function.  The downside of ejaculation-preserving modification to prostate surgery<\/strong> is that prostate tissue is incompletely removed which may result in suboptimal surgical benefit when it comes to improvements in the urine stream, postvoid residual volume, and improvement in urinary symptoms.  Usually, the difference in urinary function is not significantly between standard and ejaculation-preserving technique. With both approaches, expected improvement in urinary function is very significant compared to what men experienced before surgery.<\/p>\n

Did you know?<\/strong><\/span> Dr. Shteynshlyuger<\/a><\/strong> has performed over 1,000 surgeries and procedures for enlarged prostate,<\/strong> including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP.  He performs over 100 prostate procedures a year.<\/p>\n

Cost of Enlarged Prostate Treatment without Insurance<\/h2>\n

At New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Rezum procedure<\/a><\/strong>.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles<\/strong>.<\/p>\n

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Urolift procedure<\/a><\/strong>.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. <\/p>\n

Cost of Treatment and Insurance<\/h2>\n

\"InexpensiveAt New York Urology Specialists, we offer affordable treatment for men<\/strong><\/a>. Our prices are low<\/strong> for patients without insurance<\/strong><\/span> and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. <\/p>\n

We accept many health insurance plans.<\/strong>  We would be happy to verify your eligibility and benefits<\/strong> and provide you with detailed information on your health plan’s coverage.  Financing options<\/a> <\/strong>and credit options are available to help you pay for medical care.<\/p>\n

Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists<\/a><\/strong><\/h2>\n

We offer treatment for prostate problems,<\/strong> including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.<\/p>\n