Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy

The vast majority of men undergoing prostatectomy experience permanent retrograde ejaculation (RE). While newer, selective techniques of prostatectomy result in lower rates of RE by preserving the innervation to the urethra, the vast majority of men undergoing the classical techniques experience per...

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Main Authors: Gideon Koren MD FRCPC, FACMT, Dan Koren BSc
Format: Article
Language:English
Published: SAGE Publishing 2020-03-01
Series:American Journal of Men's Health
Online Access:https://doi.org/10.1177/1557988320910870
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spelling doaj-67a4b37b8bc540b1b2776894c2b232922020-11-25T03:26:27ZengSAGE PublishingAmerican Journal of Men's Health1557-98912020-03-011410.1177/1557988320910870Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic HypertrophyGideon Koren MD FRCPC, FACMT0Dan Koren BSc1Adelson Faculty of Medicine, Ariel University, IsraelKoren Enterprise, Ramot Hashavim, IsraelThe vast majority of men undergoing prostatectomy experience permanent retrograde ejaculation (RE). While newer, selective techniques of prostatectomy result in lower rates of RE by preserving the innervation to the urethra, the vast majority of men undergoing the classical techniques experience permanent RE due to destruction of the natural mechanisms preventing backflow of the ejaculate into the urinary bladder. A review of online information available to men reveals a lack of information on the importance of RE and explanation of the methods used for prostatectomy. This review provides evidence that the true effects of RE in men can be serious. With the lack of studies aiming at the psychological effects of RE on men’s response, it is important for practicing family physicians and urologists to present RE as a serious adverse effect and not to trivialize it.https://doi.org/10.1177/1557988320910870
collection DOAJ
language English
format Article
sources DOAJ
author Gideon Koren MD FRCPC, FACMT
Dan Koren BSc
spellingShingle Gideon Koren MD FRCPC, FACMT
Dan Koren BSc
Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy
American Journal of Men's Health
author_facet Gideon Koren MD FRCPC, FACMT
Dan Koren BSc
author_sort Gideon Koren MD FRCPC, FACMT
title Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy
title_short Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy
title_full Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy
title_fullStr Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy
title_full_unstemmed Retrograde Ejaculation—a Commonly Unspoken Aspect of Prostatectomy for Benign Prostatic Hypertrophy
title_sort retrograde ejaculation—a commonly unspoken aspect of prostatectomy for benign prostatic hypertrophy
publisher SAGE Publishing
series American Journal of Men's Health
issn 1557-9891
publishDate 2020-03-01
description The vast majority of men undergoing prostatectomy experience permanent retrograde ejaculation (RE). While newer, selective techniques of prostatectomy result in lower rates of RE by preserving the innervation to the urethra, the vast majority of men undergoing the classical techniques experience permanent RE due to destruction of the natural mechanisms preventing backflow of the ejaculate into the urinary bladder. A review of online information available to men reveals a lack of information on the importance of RE and explanation of the methods used for prostatectomy. This review provides evidence that the true effects of RE in men can be serious. With the lack of studies aiming at the psychological effects of RE on men’s response, it is important for practicing family physicians and urologists to present RE as a serious adverse effect and not to trivialize it.
url https://doi.org/10.1177/1557988320910870
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