Can a man without a prostate get a woman pregnant?

The prostate produces the fluid that helps keep semen liquid. Once the prostate is removed a man no longer has the ability to make semen or ejaculate semen, so infertility is an unavoidable and permanent consequence of surgery.

zerocancer.org - Infertility | ZERO - The End of Prostate Cancer

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What is infertility?

Infertility is the inability to father children through sexual intercourse. Some men do not know that the loss of fertility is a common side effect of prostate cancer treatment.

What causes infertility?

Many types of prostate cancer treatment cause infertility. The prostate produces the fluid that helps keep semen liquid. Once the prostate is removed a man no longer has the ability to make semen or ejaculate semen, so infertility is an unavoidable and permanent consequence of surgery. Radiation may also damage the prostate’s ability to produce semen or damage the sperm cells in the testicles.

What if I have prostate cancer and want to have children?

If maintaining the possibility of fatherhood is important to you, be sure to discuss that with your doctor. Men with low-risk, slow-growing prostate cancer may be able to avoid infertility by choosing active surveillance. However, if your cancer requires treatment, there are some options you can pursue to maintain the possibility of fathering children:

Sperm Banking

Freezing (cryopreservation) of sperm is the most successful way for men to preserve fertility before cancer treatment. The most common way to collect the semen sample is through masturbation. Men who cannot ejaculate may have vibrational or electrical stimulation to help them do so. The sperm will stay frozen, or “banked,” until you need them. Freezing—even for many years—does not damage sperm.

Testicular Sperm Extraction

Even if a man cannot ejaculate sperm, he may still have sperm in the testicles. In testicular sperm extraction, a surgeon removes small pieces of testicular tissue (biopsy) while the patient is sedated or under local or general anesthesia. If the tissue contains sperm, the sperm are either frozen or used to fertilize a female partner’s eggs. This technique may be an option before or after cancer treatment.

Where can I learn more?

If you are interested in fertility preservation, ask for a referral to a physician who specialized in treating male fertility. This may be an endocrinologist, andrologist, or urologist.

Visit the following links to learn more:

LIVESTRONG Fertility for Men

American Society for Reproductive Medicine

Oncofertility Consortium

Save My Fertility

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What can you not do after a TURP?

Most people can return to work or many of their usual tasks in 1 to 3 weeks. But for about 6 weeks, try to avoid heavy lifting and strenuous activities that might put extra pressure on your bladder. Most people still can have erections after surgery (if they were able to have them before surgery).

myhealth.alberta.ca - Transurethral Resection of the Prostate (TURP): What to Expect at ...

Your Recovery

Transurethral resection of the prostate (TURP) is surgery to remove prostate tissue. It is done when an overgrown prostate gland is pressing on the urethra and making it hard to urinate. You may need a urinary catheter for a short time. It is a flexible plastic tube used to drain urine from your bladder when you can't urinate on your own. If it's still in place when you go home, your doctor will give you instructions on how to care for your catheter. For several days after surgery, you may feel burning when you urinate. Your urine may be pink for 1 to 3 weeks after surgery. You also may have bladder cramps, or spasms. Your doctor may give you medicine to help control the spasms. You may still feel like you need to urinate often in the weeks after your surgery. It often takes up to 6 weeks for this to get better. After you have healed, you may have less trouble urinating. You may have better control over starting and stopping your urine stream. And you may feel like you get more relief when you urinate. Most people can return to work or many of their usual tasks in 1 to 3 weeks. But for about 6 weeks, try to avoid heavy lifting and strenuous activities that might put extra pressure on your bladder. Most people still can have erections after surgery (if they were able to have them before surgery). But they may not ejaculate when they have an orgasm. Semen may go into the bladder instead of out through the penis. This is called retrograde ejaculation. It does not hurt and is not harmful to your health.

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