Doctor insights on:
Can An Enlarged Prostate Affect Ejaculation
No: Because of the many contradictory beliefs and popular lore regarding masturbation and ejaculation and the absence of good, reproducible, scientific evidence, there is much confusion. In general, the body is very good at self-regulating its glands and it is likely that too little or too much ejaculation (however one defines these) has any significant beneficial or adverse effect on the prostate. ...Read more
Ejaculation occurs with a sexual climax during sex or masturbation or during so called "wet dreams". Pre-cum emission comes from cowper's gland with duct that opens into bulbar or mid- urethra urethra & ? Without warning. Then ejaculation occurs after semen enters urethra from ejaculatory duct, just beyond bladder neck which reflexly contracts followed by ...Read more
For an enlarged prostate - what is the best surgery to minimize erection problems and retrograde ejaculation?
What prostate procedure or surgery will have the least amount of side effects of retrograde ejaculation , no semen, and subdued climax. I have bph.
BPH treatment: 59 y m with BPH & tamsulosin. Depending on the size & complications your urologist can give best option.Minimal invasive procedures are microwave, laser, needle ablation. Then turp, nerve sparing prostatectomy, incision prostate. The later two preserve erection & ejaculation. Turp is 90% done &5% retrograde ejaculation rate. Again size & complications determine the choice of procedure. Thanks. ...Read moreSee 1 more doctor answer
Medication.: The volume of an enlarge prostate can be reduced with medications called 5-alpha-reductase inhibitors, such as Finasteride and dutasteride. It may take a quite a long time, but the size of the prostate will decrease with treatment, as will episodes of urine obstruction. Although these medications are effective, patients that fail to improve with these medications may need a procedure. ...Read moreSee 1 more doctor answer
By Symptoms/Check Up: Only way you will suspect you have enlarged prostate is if you have symptoms and get it checked by your doctor symptoms are 1weak urinary stream 2need to urinate 2to3times/night 3strong and sudden urge to urinate 4straining to urinate 5slow or delayed start of urinary stream 6pain inurination/blood in urine 7incontenance 8inability to urinate 9dribbling at end of urine and rectal digital exam bymd. ...Read more
Nothing or pills: How bad are your symptoms? If you just get up once a night, avoiding drinking in the evening may be the answer. With more severe symptoms there are medicines, alpha blockers( flomax), reductase inhibitors (proscar) sometimes taken together. Cialis taken long term may help which by the way improves erectile dysfunction. Each patient is different. I recommend assessment by an experienced urologist ...Read more
Increase size: Besides increased size. Voiding symptoms in the male. ...Read more
Emptying Prostate: It can. But, not by itself, usually. First one must treat the underlying condition. I often have my guys with this problem start on an herb known as saw palmetto. And, especially the first week to empty their prostate gland with several ejaculations. If after one week the symptoms are improved then I have them stay on saw palmetto for ninety days. ...Read moreSee 1 more doctor answer
Options: Prostate size will shrink by 30% in many men on a combination of Alpha blocker (flomax (tamsulosin)) and 5 Alpha reductase inhibitor (proscar/avodart) after 6 months of therapy. Surgery obviously can reduce the size and is necessary sometimes if there is impingement of the urinary tract causing obstruction. Usually symptoms a re managed with Alpha blockers (flomax (tamsulosin) type meds) to improve urinary flow. ...Read more
The prostate is a gland that lies at the base of the bladder and surrounding a segment of urethra. It secretes a milky fluid that is discharged by excretory ducts into the urethra during the emission of semen. It is clinically important because enlargement of the prostate with age, and prostate cancer are two common ...Read more
Prostate Gland Enlargement (Definition)
The prostate is located between the bladder and the penis in a male. An enlarged prostate refers to a gland that is abnormally large. This can cause an inability to urinate. An enlarged prostate is very common in older men. ...Read more
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