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Reverse Retrograde Ejaculation?

My prostate was "re-sectioned" and following that procedure, I now have retrograde ejaculations.  I don't like them and any orgasm I have now is different and not as profound as those when I ejaculated externally.  As a matter of fact, retrograde ejaculations keep me from having any sexual relation with anyone and keeps me from masturbating, as well, since there is an unpleasant feeling in my penis following a retrograde ejaculation.  

Is there anything to be done to reverse retrograde ejaculations, so that my ejaculations would be external?
Russ
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Avatar universal
Anyone who is interested in discussing this on Facebook please let me know:  ***@****
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Damn, I forgot you can't put email addresses in here...
Avatar universal
Retrograde ejaculation doesn't affect your ability to get an erection or have an orgasm — but when you climax, semen goes into your bladder instead of coming out of your penis. Retrograde ejaculation signs and symptoms include:

Orgasms in which you ejaculate very little or no semen out of your penis (dry orgasms)
Urine that is cloudy after orgasm because it contains semen
Inability to get a woman pregnant (male infertility)
When to see a doctor
Retrograde ejaculation isn't harmful and requires treatment only if you're attempting to father a child. However, if you have dry orgasms, see your doctor to be sure your condition isn't caused by an underlying problem that needs attention.

If you and your female partner have had regular, unprotected intercourse for a year or longer and have been unable to conceive, see your doctor. Retrograde ejaculation might be the cause of your problem if you ejaculate very little or no semen.
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Avatar universal
Five weeks ago I had a new form of robotic prostate surgery, Aquablation. It uses water without heat to resection the prostate. The robotics company that created the procedure, PROCEPT BioRobotics, advertises that this procedure has had far fewer cases of RE than with TURP. I talked at length to my urologist about risks of RE. Before and after the surgery he stated that he would take and took extra care to avoid the possibility of RE. Now I find that I have RE in spite of the extra care by my surgeon. He is a very good surgeon that couldn't avoid the inevitable. My spouse doesn't mind but I find sex much less satisfying. By the way, I experienced occasional RE before the surgery due to side effects of Flomax and the Finasteride meds. I am still somewhat hopeful that after I am off the meds ( I still use them to "relax" the prostate) and have a bit more time to heal that the RE will somewhat reverse itself. Wishful thinking? The good news is the my sex drive is strong, I have an amazingly patient spouse, and that I am able to climax but with a retrograde ejaculation.
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4 Comments
If you are still on medications for BPH?  I assume you did not have surgery for prostate cancer.  I had TURP laser surgery 15 months ago.  I was kept on oxybutynin and finally stopped taking it, and my ejaculations are sometimes more normal, but I still have RE.  I was hoping things would "go back to normal", but so far they have not.  I am still having some urgency when I urinate and it seems like my bladder just won't hold much.  I started a new medication yesterday that I hope will help with that (VESIcare).  It is rather expensive, but if it works, I'll continue with it.
No cancer, however BPH. Prostate was 83cm. I don't know if RE is the same for everyone but do have a short pulsing orgasm but there isn't any ejaculation from my penis or in my urine when I empty my bladder. So, where is it going?  I was hoping you would tell me that your RE was only intermittent. I stopped taking all prostate drugs for 5 days before my first orgasm but no ejaculation. I, too, have urgency same as before but I fully empty my bladder now with a good stream. I get a burning in my penis when I urinate and have tried 2 drugs with minimal success.
When I ejaculate, if feels the same as before my surgery, with the "pulsing orgasm".  I always have to check to see if there is anything there.  By the way, this is always when I masturbate.  When I do get some seminal fluid, it is usually when I lean back at an angle when I stroke.  It seems to help when I push down with my thumb on the top of my penis with my "free hand".  The added pressure affects the ejaculation process.  Whether or not I have ejaculate squirt out, I always milk my penis and can usually squeeze out more fluid.  When I don't get any fluid, I'm pretty sure it is going into my bladder.  I think the reason you don't see it is because the urine dilutes it.  If your urine is foamy or produces small bubbles as you urinate, I believe the ejaculate is the cause.  It's good that you have a good stream.  Mine is fairly week and does not feel like it used to.
Lucky man. When I orgasm it's never like it was before. Almost painful and I never ejaculate. My stream is weaker now and I have to urinate more often. I need to wear small  pads as I tend to leak now.
Avatar universal
Wow, thank you all for this information!  I feel like I dodged a bullet.  I went to a urologist for testosterone replacement therapy, and they did a ultrasound to also check for urine retention.  Unbeknownst to me I did have it (holding about 200ml after urination, although it never bothered me).  He did a cystoscopy and recommended the laser surgery.  To his credit he did discuss RE, saying it was about sixty percent (sounds low by the testimony here!).  I was most definitely not wild about that idea, and he gave me the option of intermittent catheters, which I've been using a couple of times a day.  I really don't mind them, and have gotten fairly fast with the whole routine (I have gotten two UTIs in the last six months however).  Unless things get WAY worse I'm not even going to consider this procedure.  If it's a choice between croaking or getting it done then I'll sign off, until then I'll live with the inconvenience (and the occasional UTI).  
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Avatar universal
I would have thought that we could believe that Urologists are people who are medical specialists and who are supposed to tell as the truth. Like telling us about all the different treatments and possible side effects as well as the fact that some side effects might be ok for some men and not for others.I found much more truth on the internet than from my urologist and Im so angry at myself that I believed the urologist. I kept on going back to him to tell him that he changed me from a very happy person to a complete angry and depressed man. Of course he told me to find myself another urologist but the damage is done and another doctor can only tell me that  
he is sorry but he he cant do anything now that the turp is done.. Well I hate RE and the fact that I will never have a good climax again. How can a specialist think that a dry climax is just as good as a wet one. How can it be legal to tell such lies in the name of the medical profession.. Surely they should be obliged to tell you that if you want to ejaculate then you have other options. When I told my urologist that my new much better urologist told me that a urologist should discuss and decide with the patient what is the best treatment for the patient and not the best money making procedure for the doctor he was furious.At least I think we should keep on going back to these urologists and make life hell for them as well.
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2 Comments
I had the same operation done first week of January 2016 and I was not told of any complications. This turned me from my healthy happy and full of life great sex life to a miserable prick ...This doctor then told me to take Andro gel and because of that I developed a DVT and PE...

One simple operation change my whole happy life with my wife who has needs that I can no longer fufill
Most the urologist only care about getting u to have the procedure and make the money.
Avatar universal
The truth is doctor´s don´t care about us or they simply don´t know what i am about to tell you now and to be honest that´s something that i´ve found all by myself with persisting google searches.

The hormone that triggers ejaculation is called Norepinephrine, so what you and everybody who has retrograde ejaculation needs, is to take a
Norepinephrine reuptake inhibitor before sex.

I´m talking about Reboxetine ( Edronax ) 4mg, and i ejaculate every single time :)

https://en.wikipedia.org/wiki/Reboxetine

If Reboxetine is not avaiable in U.S. there are others Norepinephrine reuptake inhibitors:

https://en.wikipedia.org/wiki/Norepinephrine_reuptake_inhibitor

Good luck to you all!

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2 Comments
Did you really read the Wiki articles? There is not a single reference to the use of these drugs for RE or anything even close to the subject.

Reboxetine is primarily an antidepressant drug.

Norepinephrine reuptake inhibitor: NRIs are commonly used in the treatment of conditions like ADHD and narcolepsy due to their psychostimulant effects and in obesity due to their appetite suppressant effects. They are also frequently used as antidepressants for the treatment of major depressive disorder, anxiety and panic disorder. Additionally, many drugs of abuse such as cocaine and methylphenidate possess NRI activity, though it is important to mention that NRIs without combined dopamine reuptake inhibitor (DRI) properties are not significantly rewarding and hence are considered to have a negligible abuse potential.[1][2] However, norepinephrine has been implicated as acting synergistically with dopamine when actions on the two neurotransmitters are combined (e.g., in the case of NDRIs) to produce rewarding effects in psychostimulant drugs of abuse.[3]

How about providing some references on point for your claims!
There is not a single reference to the use of these drugs for retrogade ejaculation because nobody cares about it.

Do you want to know what a doctor told me once? He said: No urologist or neurologist will bother to search deeply for retrogade ejaculation treatment because it is too rare to care.

Reboxetine is primarily an antidepressant drug. So?

Do you know that imipramine, one of the most known drugs for retrogade ejaculation is also an antidepressant and with way more side effects than reboxetine?

This is a drug to take only before sex, not everyday so i don´t see the problem of being primarily an antidepressant.

Everything you said about Norepinephrine reuptake inhibitors is true, but Reboxetine only reuptakes norepinephrine, not dopamine like methylphenidate, so the abuse potencial or adiction in my opinion is almost non existence.



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