Loss of antegrade ejaculation is the commonest long-term consequence of prostate outlet surgery, and it is often mentioned only as a line in the consent form.
Ask directly, before choosing the procedure, whether preserving ejaculation matters to the man. It changes the technique you offer and, for some men, whether they choose surgery, a minimally invasive treatment or continued medication.
- Ask: 'How important is it to you to keep ejaculation?'
- Record the answer in the clinic letter.
- Match the procedure to the answer.
Why it matters
The procedure choice depends on a preference that is rarely asked about directly.
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