The testicles still make sperm cells, but then the body simply reabsorbs them. This is not harmful. After these cancer surgeries, a man will have a dry orgasm.
Other operations can cause the ejaculate semen to go back inside the body rather than come out. This is called retrograde ejaculation.
At the moment of orgasm, the semen shoots backward into the bladder rather than out through the penis. This is because the valve between the bladder and urethra stays open after some surgical procedures. This valve normally shuts tightly during ejaculation.
This is not painful or harmful, although when a man urinates after this type of dry orgasm, his urine might look cloudy because the semen mixes in with it during the orgasm. A transurethral resection of the prostate TURP is an example of an operation that usually causes retrograde ejaculation because it damages the bladder valve. This surgery cores out the prostate by passing a special scope into it through the urethra. We have already discussed the nerve bundles that sit on both sides of the prostate and help cause erections.
Here, we will talk about the nerves that come from the spine and control ejaculation. Cancer operations that can cause dry orgasm by damaging the nerves that control emission the mixing of the sperm and fluid to make semen include:. Some of the nerves that control emission run close to the lower colon and are damaged by AP resection or a TME.
Lymph node dissection can damage the nerves higher up, where they surround the aorta the large main artery in the abdomen. The effects of these operations are probably very much alike, but more is known about sexual function after RPLND. Sometimes this surgery only causes retrograde ejaculation. But it usually stops emission as well.
When this happens, the prostate and seminal vesicles cannot contract to mix the semen with the sperm cells. In either case the result is a dry orgasm. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight loss Stay on top of latest health news from Harvard Medical School.
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Retrograde Ejaculation December 18, Some men report cloudy urine immediately after ejaculating, which is likely because semen has mixed with urine. Men with retrograde ejaculation may also have trouble getting their partners pregnant. Men who want to get their partners pregnant still have options. Treatment usually begins with removing the sperm after ejaculation; this may involve isolating sperm from the bladder.
Some medications attempt to encourage forward antegrade ejaculation. If these attempts fail, a doctor may try to extract sperm without requiring the man to ejaculate.
Surgical procedures for removing the sperm include :. Treatment for retrograde ejaculation depends on the cause of the problem. When men experience retrograde ejaculation due to medication, changing medications usually resolves the problem. When retrograde ejaculation is due to severe nerve damage, it may not be reversible. Removal of part of the prostate through surgery is one of the most common causes of retrograde ejaculation.
About 10 to 15 percent of people who undergo this surgery can expect to experience retrograde ejaculation because surgery may damage the muscles and nerves of the bladder. Men who have had a radical prostatectomy —prostate removal—cannot ejaculate at all. This is distinct from retrograde ejaculation and occurs because ejaculate can no longer travel to the penis.
Retrograde ejaculation is neither dangerous nor painful and does not always require treatment. It can, however, be a symptom of another medical condition. A study detailed a case in which retrograde ejaculation was the first and only symptom of type 1 diabetes. So men who experience retrograde ejaculation should talk to their doctors.
Men who need treatment for an enlarged prostate should consider surgeries that are less invasive, such as transurethral microwave thermotherapy TUMT or transurethral needle ablation TUNA of the prostate. These surgeries are less likely to cause nerve and muscle damage.
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