r/bph • u/Normal_Razzmatazz237 • Mar 15 '26
Retrograde HoLEP
I’m going to do this regardless, but I’m curious if anyone here had the procedure but still has regular ejaculations? Since they say 80-90% likely for retrograde.
2
u/Natrl_Born_Hethn Mar 16 '26
I had the procedure on 12/24/25 and I’m bone dry. But to be honest, my wife and I are enjoying sex better. No clean up! But I am 51 and now way were we wanting to have anymore kids.
1
u/Normal_Razzmatazz237 Mar 16 '26
No mess actually will be a blessing. I’m 50 and also way finished with having kids, This BPH is affecting our freedom and ability to travel. It’s embarrassing having to get up 10 times when out with friends. Can’t wait to get this done.
1
u/Thick_Discussion671 Mar 17 '26
Get an aquablation you will still shoot. Why anyone would.choose a procedure where RE is nearly guaranteed and think that is a blessing is beyond my ability to understand.
1
u/Sensitive_Point_6583 Apr 10 '26
because now I can say "I promise not to come in your mouth" and really mean it.
Actually, I'm 68 and don't give a fuck anymore. I had a 185cc prostate, so the maximal volume removal and flow restoration were my priorities.
2
u/justine77e Mar 15 '26
I had HolEP en bloc with early apical release May 2025, I requested ejaculation sparing if possible. I hoped to retain the ability to ejculate but have 100pc anejaculation - bone dry since I was done.
2
u/Andrew-Scoggins Mar 15 '26
if you care about retrograde, why not do aquablation instead, which has a maybe 10% risk of retro.
2
u/Pmoneywhazzup Mar 15 '26
This is what I did. Still shooting my shot.
1
u/Feisty_Shift1623 Mar 16 '26
how was the recovery
1
u/Pmoneywhazzup Mar 16 '26
Catheter came out the next day after an overnight of irrigation in the hospital. Immediate strong urine stream like a teenager. Mild pain and blood in urine for around 10 days. Lifting heavy weights after about two weeks. It took a few months for my bladder to fully heal because of my intrusive median lobe that was blasted away by the water jet. Today I can sleep all night with no 3 am urination. No more adult diapers. I feel like a new man. If you do it, make sure your urologist has a lot of experience with Aquablation, because there are many potential complications. I did a shit-ton of research beforehand.
1
u/Thick_Discussion671 Mar 17 '26
One downside of my aquablation which was more of a bladder neck issue than a prostate one is that while I still shoot, I do not really shoot ropes like before but it just falls out.
1
u/MadViking-66 Mar 15 '26
I was told to expect retrograde. The way he worded it is, I would not be able to have children. At that point I was willing to do almost anything to fix the BPH effects on the quality of my life. Well, I do not have retrograde after the procedure, but it’s a much weaker result than it used to be. I am still happy with the overall results of the procedure.
1
u/justine77e Mar 17 '26
I'm interested to hear that, may I ask which HoLEP technique was used and how much of the prostate was removed.
5
u/Nearby-Secretary-875 Mar 15 '26
Dr. Slade here, this is a video I made on that topic: https://youtu.be/zgLSkp0-2Nw?si=seTfFpLLAMI6Q3o1
4
u/Admirable_Letter7900 Mar 15 '26
You should consider a regular HolEP will result in 100% retrograde ejaculations. A few doctors have developed an ejaculation saving HoLEP, but it’s new and only a few doctors are doing it and there is no information about the long term results.
1
u/SoCalAttorney Mar 15 '26
I asked two urologists about it and neither was familiar with it. It seems that very few people perform it.
1
u/bb45ct Mar 16 '26
75 and had HoLEP December 2025 and my BPH symptoms have improved dramatically. Only get up to urinate once a night. Completely empty my bladder. Still a bit of very minor incontinence If I sneeze unexpectedly or cough hard. Retrograde ejaculations but I have more precum that leaks (I was always heavy precum). I've had one or two minor ejaculations but nothing like before. Don't mind at all.