VIDEO ANSWER

What is retrograde ejaculation?

Name: Can I Have Sex After HoLEP?
Uploaded: 2026-04-02T14:03:37Z
Duration: 314 s
Description: One of the most common questions from patients considering prostate surgery: will I still be able to have sex afterwards? Dr. Fernando Gómez Sancha — urologist with 32+ years of experience and over 10,000 prostate laser surgeries — gives you an honest answer about retrograde ejaculation, sexual function, and what to really expect after HoLEP.

Dr. Fernando Gómez Sancha · Urologist · Medical Director of ICUA

Video published: 2026-04-02 · 0:37 · Excerpt 1:47–2:25

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1:48 change is ejaculation. In 80 or 90% of cases, after laser enucleation of the prostate, after classic transurethral resection, it could also occur. After old-fashioned open prostatectomy, this retrograde ejaculation also occurred.

2:05 What does it mean? It means that during orgasm, the semen goes towards the bladder instead of [music] coming out. In other words, an inward ejaculation occurs. This happens because by removing all that prostate tissue, by leaving the room empty, the ejaculatory [music] mechanism changes. The semen prefers to go backwards rather than forwards.