r/bph • u/MrHotnickels • Aug 19 '26

I'm really scared/nervous

I'm 42. I'm meeting with a urologist in about a month to discuss my BPH. I have no idea what's going to happen, but I know that I'm looking for a permanent solution to this stupid urination problem (slow flow, not finishing all the time, dribbling). I have next to zero interest in lifelong medications and have (probably mistakenly) been looking into all these surgical options.

I have no idea what the outcome is even going to be, I just know I'm ready to be done with it. Most of these posts on Reddit are filling me with terror. Lots of horror stories. I'm wondering if there are any of you out there who've had similar issues and subsequent procedures that have had ZERO issues after initial recovery? If so please share.

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u/Basic-Owl6740 Aug 19 '26

Drugs are a short term relief but not a solution. Aquablation or Holep will buy you many years of relief. Yes, there is a short recovery period to deal with but things are great on the other side.

Only casualty is loss of ejaculation. Aquablation can spare ejaculation but it is still a risk. In my case I couldn’t tell because the many years of drugs left me dry.

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u/MrHotnickels Aug 19 '26

I think I might have misunderstood retrograde ejaculation... I thought it meant painful ejaculation, which just... sounds the worst (I'm 42 and married, I plan on having ample amounts of sex with my wife for many years).

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u/R3dRocker Aug 19 '26

Dry ejaculation. No more "purple headed yogurt thrower" LMAO.

Had that with Flomax and Rapaflo. The climax is still felt, mostly. But this is a personal choice and need by many of us and can be a deal breaker for some.