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  • Q&A with Australian Health Practitioners

    Which are the procedures for BPH that will maintain a sex life after?

    Related Topic
    Enlarged Prostate
    I am seeking the best treatments for BPH that has the least effect on my sexual life. Please would you rank these procedures as to which has the least effect on a normal sexual life: UROLIFT TUMT TUIP HoLEP GREENLIGHT LASER PROSTATE SURGERY Also, is there another procedure that should be considered?
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    Thanks

    Dr Tony Gianduzzo

    Urologist

    Dr Tony Gianduzzo is a leader in development and delivery of urological services, and has now introduced Robotic-assisted Transperineal Prostatic Biopsy to the state. His … View Profile

    There are several facets to be considered in sexual health. All of the above procedures have minimal, if any, effect on potency (the ability to get an erection). A small number of patient's potency improves as their quality of life and libido benefits from the relief of their bothersome symptoms.

    There is a difference between the procedures in regard to the chances of retrograde ejaculation - semen not coming out with orgasm. The semen "fires backward" into in the bladder. It is then simply passed with the urine next time the patient goes to the toilet. In general, the better a procedure is at relieving the blockage to urine flow, the more likely this will occur.

    UroLift has the lowest rate of retrograde ejaculation, followed by TUIP and TUMT. The highest rates occur in procedures seeking to remove the largest amounts of the abnormal obstructing tissue in the prostate. These include PVP (Greenlight), HoLEP, and classical TURP. 

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