Retrograde Ejaculation After Holep? How common is this side effect? What you did about it?

Retrograde ejaculation is a potential side effect of Holmium laser enucleation of the prostate (HoLEP) surgery, which is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH). During the surgery, a laser is used to remove excess prostate tissue, which can help alleviate urinary symptoms such as frequency and urgency.

Retrograde ejaculation occurs when semen is redirected from the urethra into the bladder, rather than being expelled through the penis during ejaculation. While it can be a distressing side effect, it is generally not harmful and does not affect a man's ability to achieve an erection or experience sexual pleasure.

The incidence of retrograde ejaculation after HoLEP is estimated to be around 5-10%, which is lower than other BPH surgeries such as transurethral resection of the prostate (TURP). However, the risk may be higher in older men or those with certain medical conditions.

Some men may choose to use medications such as pseudoephedrine or imipramine to help improve the function of the bladder sphincter muscle, which can help reduce the incidence of retrograde ejaculation. Others may choose to undergo further surgery to correct the issue.

Ultimately, the decision to pursue further treatment will depend on your individual symptoms and preferences, and should be made in consultation with your doctor.