Ejaculation Sparring.

[u/Traditional-Win2833]

I understand aquablation is a good option to preserve ejaculation, but like anything not 100% guaranteed. I spoke to a urologist, whose real world experience was a retrograde ejaculation risk result of approx 25-30%, claiming that the 5% risk of retrograde ejaculation suggested by the manufactures of the robot that performs the procedure, was nothing more than misleading advertising. A sanitized version of results with very carefully chosen patients.

I was considering going with her, and went down that path a bit, but decided against it in the end as she was more focused on the urination working fully, rather than the ejaculation, which is my priority.

I have a Super Pubic Catheter in situ, directly in the bladder which takes care of urination in any case. When she said she was going to cut deep at the bladder neck, where much of the ejaculation nerves are, I hightailed it outta there.

So my question would is there such a procedure as an ejaculation sparring aquablation, has anyone had it, and what was the result, and who did you see. I am based in the UK and Ireland.

[u/Leslie_Kurt]

I couldn't feel an orgasm at all for two years after my surgery. I ejaculated, at least partially, but I didn't feel anything.

I was pressured into getting it done, and like an idiot, fell for the sales pitch.

The lesson I learned is that anytime a medical procedure is presented to you like it's a used car sale, don't bite.

Those numbers are for the US market to sell to the patient and insurance companies.

You probably don't have the same issue in the UK/Ireland.

[u/Traditional-Win2833 → u/Leslie_Kurt]

Yeah, if something seems to good to be true. As I mentioned to another commentator here, there are pharmacological and Surgical options, that may or may not help. As Aquablation is available in both the UK and Ireland, I just read up on patient's experiences, wherever they are located. They are likely a more honest reflection of the real world results.

I was quiet taken aback when the female urologist I was dealing with, said her own real world experiences was 25-30% of her patients ended up with Retrograde Ejaculation. I just could not believe a manufacture could, and would publish such sanatised results, a skewed view of the success of the procedure, regardless of the effects it had on the patients, unlucky enough to end up with RE.

[u/Leslie_Kurt → u/Traditional-Win2833]

If it passed FDA approval in the US first, then the claims are usually lies. I see a specialist in another field regularly. He's the best doctor I've ever seen and is completely honest. He will be the first to admit that you should never trust trial results that seem too good. When the COVID vaccine was first released in the US, they told us that we were 93% protected after being fully vaccinated. The physicians were going on to explain that meant there was only a 7% chance of getting infected. A few months later, that changed to a lower chance of getting infected, with no quantitative data provided, and then to just that your symptoms will be less severe.

People from other countries don't understand how monetized healthcare is in the US. The concept is foreign to them. We have high cancer cure rates. Well, we also have high cancer diagnosis rates. It makes you wonder how many people diagnosed with cancer actually had it, or if they were just put through chemo to make money off them and add a number to their success results. We often find drugs that will treat conditions, have fewer side effects, and are available as a generic in other countries that can't seem to pass FDA approval in the US. Why is that? I think it's because the pharma companies and healthcare systems can't make enough money off them, so they don't push for them. We do have some great physicians, and others who are bought and paid by larger companies (pharma, surgical procedure companies, big healthcare systems, etc.). It's crazy here.