Impact of UroLift Side Effects on Ejaculation During Masturbation - Urology

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The side effects of taking Urofollitropin on masturbation?


Hello, doctor.
I would like to ask about an issue I have been experiencing.
I have been having difficulty urinating, so I visited a urologist.
The doctor prescribed Uroflow, and one of the side effects of the medication is ejaculation disorders.
After masturbating today, I noticed that I indeed have a problem with the semen not being expelled normally.
This issue started occurring after I began taking the medication, so it seems to be a result of the drug.
However, to address my prostate issues, I have decided to continue taking the medication as prescribed.
I would like to ask the following questions:
1.
Given that I cannot expel semen after masturbation, does this condition indicate retrograde ejaculation? If so, will it cause any permanent effects on my reproductive system?
2.
In this case, is it still possible to masturbate, or should I refrain from doing so until the treatment course is completed?
3.
Will the semen that cannot be expelled eventually be expelled with urine, or could it remain in the bladder and potentially lead to inflammation or other issues?
Thank you for your guidance!

Jank, 20~29 year old female. Ask Date: 2023/10/18

Dr. Du Shixi reply Urology


Hello: 1.
Is the inability to normally ejaculate semen after masturbation a condition known as retrograde ejaculation? If so, will it cause permanent damage to the reproductive system? --> No.
2.
In that case, can I still masturbate, or should I wait until the treatment is over before engaging in masturbation? --> DIY is possible, but try to limit the frequency.
3.
Will the semen that cannot be expelled eventually be expelled with urine, or will it remain in the bladder and potentially cause inflammation? --> It will be expelled, but a follow-up visit is necessary.
Wishing you good health.

Reply Date: 2023/10/18

More Info


The UroLift procedure is designed to alleviate urinary symptoms associated with benign prostatic hyperplasia (BPH) by lifting and holding the enlarged prostate tissue out of the way of the urethra. While it can be effective in improving urinary flow, one of the potential side effects that some patients may experience is ejaculation disorders, including retrograde ejaculation.

1. Understanding Retrograde Ejaculation: Retrograde ejaculation occurs when semen enters the bladder instead of exiting through the penis during ejaculation. This can happen due to the effects of medications like UroLift, which may alter the normal function of the bladder neck and prostate. If you are experiencing difficulty in expelling semen during masturbation, it is possible that this is indeed retrograde ejaculation.
In terms of long-term effects, retrograde ejaculation is generally not considered to cause permanent damage to the reproductive system. However, it can affect fertility since sperm may not be expelled in the usual manner. If you are concerned about fertility, it is advisable to discuss this with your healthcare provider, who may suggest alternative methods for conception if needed.

2. Masturbation During Treatment: It is typically safe to continue masturbation while undergoing treatment with UroLift, even if you are experiencing changes in ejaculation. However, if you find it uncomfortable or distressing, you may choose to abstain until you have completed your treatment. It’s important to listen to your body and do what feels right for you. If you have concerns about how the medication is affecting your sexual health, it would be beneficial to discuss these with your doctor.

3. Semen Retention and Urinary Health: Regarding the semen that is not expelled, it typically does not remain trapped in the bladder indefinitely. Instead, it is likely to be reabsorbed by the body or expelled during urination. The body has mechanisms to manage such occurrences, and it is unlikely to lead to inflammation or infection solely due to retrograde ejaculation. However, if you experience any unusual symptoms, such as pain, discomfort, or signs of infection, it is crucial to seek medical attention.

In summary, while UroLift can lead to changes in ejaculation, including retrograde ejaculation, these effects are generally not permanent and do not typically cause significant harm to the reproductive system. Continuing to engage in masturbation is usually safe, but if you have any concerns or experience discomfort, it is always best to consult with your healthcare provider for personalized advice. They can provide guidance based on your specific situation and help address any worries you may have regarding your sexual health and overall well-being during your treatment.

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