75: Ejaculation-Preserving Transurethral Resection of the Prostate – Garrett Pohlman, M.D.
The Prostate Health PodcastShow Notes
There is a continuous emergence of new and innovative techniques that help to preserve men's sexual function after undergoing surgical therapy for an enlarged prostate. Those newer techniques have contributed significantly to our field, particularly for men who might not be candidates for less invasive approaches. When compared with the traditional technique for Transurethral Resection of the Prostate (or TURP), two of the newer techniques have been providing a significant improvement in the sparing of men's ejaculatory function, as well as improving their symptoms and quality of life. In this episode, Dr. Pohlman reviews the two ejaculation-preserving TURP techniques. Benign Prostatic Hyperplasia (BPH) is a common condition for many men as they age. Approximately half of all men between the ages of fifty-one and sixty, and up to ninety percent of men over eighty have it. BPH is a benign or non-cancerous condition that does not lead to prostate cancer. BPH and prostate cancer can co-exist simultaneously, so men getting evaluated for BPH should still get screened for prostate cancer when appropriate. Listen in today to hear about the new and innovative techniques that help to preserve sexual function for men undergoing surgical therapy for an enlarged prostate. Today, we circle back and bring Episode 47 out of the vault. It covers a topic that is getting more attention because more men are doing the research and seeking treatment options for an enlarged prostate that will preserve their sexual function. Since airing that episode, Dr. Pohlman has continued to successfully utilize a technique that can spare ejaculatory function when performing a transurethral resection of the prostate. Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation. Show highlights: What happens when the prostate enlarges with age? Some of the more common urinary symptoms that occur when the prostate enlarges with age. Dr. Pohlman discusses one of the driving factors for a paradigm shift in the treatment of BPH. What retrograde ejaculation is and how it affects men. Many men have been shifting to MIST therapies that have no risk of retrograde ejaculation. Dr. Pohlman discusses some of those therapies. Dr. Pohlman explains why retrograde ejaculation can result from the TURP procedure. Dr. Pohlman talks about how the theory that the bladder neck musculature needs to contract for the process to work normally, has been challenged. Dr. Pohlman reviews two ejaculation-preserving TURP techniques, both of which he has incorporated into his practice.
Links: Follow Dr. Pohlman on Twitter and Instagram - @gpohlmanmd Get your free What To Expect Guide (or find the link here, on our podcast website) Join our Facebook group Follow Dr. Pohlman on Twitter and Instagram Go to the Prostate Health Academy to sign up for the wait-list for our bonus video content. You can access Dr. Pohlman's free mini webinar, where he discusses his top three tips to promote men's prostate health, longevity, and quality of life here.
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