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Ask Dr. Tharun Your Own Question
Dr. Tharun
Dr. Tharun, Urology Resident
Category: Urology
Satisfied Customers: 3682
Experience:  MBBS, DNB surgery and presently working as Urology resident towards the degree of Urologist.
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Is there any urologist online right now where i can seek an

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Is there any urologist online right now where i can seek an advice? Thank you

After the prostate surgery, sperms will be produced as before.But the semen which contains the sperms will not be emitted out after the surgery.The prostate and lower part of the bladder is what prevents the semen from entering the bladder during ejaculation.These structures are removed during the prostate surgery and hence the semen will flow in to the bladder instead of coming out.

So he will not be fertile naturally as the semen is never deposited into the cervix which is required for fertilization.

Although there are other methods to collect semen from the bladder after ejaculation which can be then deposited in the uterus.But the natural process will be lost.

Other way out is sperm banking, where the sperms can be cold preserved and used later when ever required.

I hope this answers your question.

Let me know if you have any doubts.


Customer: replied 4 years ago.
Hi Dr. Tharu. Thank you for you info.
So, either way ( taking the 1/10 part of prostate or taking the whole prostate ) is the same thing. He will not be fertile..
If only the 1/10 be taken out, he could still produce a semen but the ejaculation is very low and possible retrograde?
What do you would be the reason why only 1/10 part will be taken out and not the whole prostate instead?
I am asking this as we were not able to ask this to our doctor and aside from that he is a greek doctor..he could explain better in greek language but quite hard for him to explain further in english.
As we are in greece right now, which our work is based here right now.
I used this site to help me with all that questions popping up in my mind..
Thank you for your help..
HI Cen,

It is because , it is the inner portion of prostate which grows and blocks the outlet of the prostate.This is called the adenoma or the transition zone.So effectively we are removing the part of the gland responsible for the block.

Removal of the prostate is major surgery which involves removal of the whole gland and again re attach the bladder and the urethra.This is only done for prostate cancer . It has more complications than the adenoma removal.


Customer: replied 4 years ago.
Thank you Dr. Tharun
One more question...his PSA is very high it is 6.5... And his maximum uroflowrate is only 6.9 that supposed to be 15 (for norml men) as what the doctor told us.
In your opinion is there an indication that he would possibility to have a prostate cancer? Can you give me the comparison of signs and symptoms between the BPH and prostate cancer?
In additon, if only the adenoma will be taken out, his sexul drive will improve but not fertile anymore, right?
But in removal of whole prostate gland, he will lost both? (Sexual drive and fertility)
Thank you very much.

PSA of 6.5 is not very high.It is in the gray zone.Usually patients who have obstructive prostate can have slightly high PSA levels which may be just reactionary.High PSA is not always cancerous, in fact only 50 % men with high PSA have prostate cancer on biopsy.

So chances of prostate cancer are less if the doctor didn't find any suspicious features of cancer on rectal examination of the prostate gland.

Prostate cancer is usually asymptomatic and presents similar to BPH with obstruction , blood in urine etc.Most of the times it can be symptomless.So we can not diagnose cancer based up on symptoms.

Sexual drive is not prostate related and will not change after the surgery.Only thing that is supposed to change after the surgery is the flow rate of the urine.

Removal of the prostate gland is not in picture here as it will be never an option for BPH.


Dr. Tharun and other Urology Specialists are ready to help you
Customer: replied 4 years ago.
Hi Dr. Tharun,
Thank you very much for that information! I really appreciate it. Now I am much aware about what is going on with my husband.
If I have some more questions I will get in touch with you Doctor. It is a great help for me tonight.
Thank you again
Best regards,