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.
BPH surgery. For benign prostatic enlargement, TURP has the highest rate. Tumt, tuna and laser ablation have somewhat lower incidence. Ejaculatory dysfunction is possible with any BPH surgical treatment though.

Related Questions

I had a TUMT procedure for BPH and now have retrograde ejaculation. It is very unpleasant having climaxes that are not there. Is there a cure?

No cure. The microwave procedure permanently interferes with the Alpha nerve receptors to create a more open bladder outlet. Unfortunately, this results in retrograde ejaculation. Your profile suggests that you continue to take Tamsulosin, which can also exacerbate the problem. Usually, the goal of TUMT is to eliminate the need for medication. If successful, you should be able to stop Tamsulosin. Read more...
No cure/trial and er. There is no specific cure for retrograde ejaculation and it is a result of treating your prostate enlargement issue. There are certain things one can try though-one example is to take an over the counter sudafed 1-2 hours prior to intercourse(be careful if you have high blood pressure though). The only downside is it could temporarily cause your urinary issues to regress while on the sudafed. Read more...

For an enlarged prostate - what is the best surgery to minimize erection problems and retrograde ejaculation?

Retrograde ejaculati. Most of the drugs for prostate like Flomax (tamsulosin) are Alpha blockers and will cause ejaculate to go into bladder; other drugs like Proscar can have ejaculate and other sexual side effects; most if not all prostate surgeries will effect ejaculatipn in some way. Read more...
Depends. The complications you mentioned are largely dependent on the experience of the urologist and the procedure selected. Potentially however, any thermal treatment of the prostate can damage the sphincter or the nerves that allow erection. Read more...

Is retrograde ejaculation an outcome of the evolve BPH laser surgery, or just a possible side effect? If so what are the chances? Of it happening?

See below. Retrograde ejaculation is a common side effect of all bladder outlet procedures designed to improve flow of urine that has been impaired by enlarged prostate. It is slightly less common in some of the newer procedures like laser and microwave therapy, but is still possible. Importantly, even man who experience this side effect have a normal sensation of orgasm, just little/no ejaculation. Read more...