TURP Procedure......

3 months after procedure, I was at an appointment (Urologist) He needed a sperm sample. After this surgury you no longer have ejaculate (or at least very much) both the nurse and doctor worked trying to obtain a sample. It took about 15 min to get just a "very small) sample. They both apooigized afterward.... I was hoping they would not stop!!!!

ACE

When you say that both the doctor and nurse "worked" to get a sample, what exactly do you mean?

Since virtually anyone connected with medicine knows that 999 out of 1000 Turps results in a male who has retrograde ejaculation, I cannot believe any doctor would attempt to get a clean semen sample from one who has had a Turp.

Speed

There is a very SMALL amount of precum that comes out. I am not sure why it was needed

ACE

For anyone wondering what a TURPS stands for it is

Trans Urethral Resection of the Prostate

Once the patient is anaesthetised and his legs are placed in stirrups giving the surgeon clear open access to the genital area. With a syringe fitted with a special pointed rubber tip sterile KY Gel is injected into to the urethra via the external meatus. The urethra is the dilated with urethral dilators (Bougie) Then the Cystoscope is inserted into the urethra giving surgeon detail view of the prostate down at the base of the penis. He can then pass fine instruments down the scope to cut away the prostate tissue from the inside.

Very well explained. They can also take samples. The resection also (most of the time) causes retrograde ejacation where semen is pushed into the bladder. Sensstion of ejaculation is there most of the time, but not always. First urination after sex or masturbation will show ejaculate in urine

Ace

How does the surgeon cut away part of the prostate with cutting away part of the urethra?

In response to therealskyking, in general terms, there are two major procedures used to address the prostate surgically. If the enlarged prostate is benign (not cancerous), then a cystoscope is used and a heated wire loop passed through the scope and essentially carves away slivers of prostate tissue which eliminates the obstruction. Since the urethra passes through the prostate, this is what is being cut. A catheter is used to drain urine and blood clots since there will be swelling and some bleeding after the surgery.

If the prostate is cancerous, then one option is to remove it either by an operation that opens the abdomen, or a robot that works through a number of small punctures in the abdomen (much shorter recovery time this way). In this case, the prostate and one of the two urinary sphincters is removed completely (males have two sphincters, females have one). The severed distal end of the urethra is then stitched directly to the bladder and a catheter is used as a stent to allow urine and blood clot drainage and to support the urethra while it heals.

If one is curious about the TURP, various laser ablation procedures, the less intense surgical interventions for BPH, a Google search is strongly advisable. There are literally thousands of sites dealing with treatments for BPH.

Prostate cancer treatments can be a wide range of procedures too. My personal preference is the radical protatectomy, especially using the da Vinci robot. The radiation treatments all come with two major issues, IMHO. The first is collateral damage to the rectum and bladder. The second is that there is really no recourse except more radiation if the cancer returns.

Speed

Just makes me even more happy that I'm a woman. We can get into some ugly procedures too, but having to make that decision (shakes her head), I don't envy you one bit.

While the final decision on what procedure to use is a highly individual one to be decided between the patient and doctor, I agree with Speed about the collateral damage associated with radiation therapy. I had a close family member who took that route and while the cancer was cured, the damage to the bladder and rectum lasted the rest of his life. It was really bad and I would not want to go through that. That's now two votes for the radical prostatectomy-- get it out of me!