Can you father a child after prostate surgery

There are also options for adoption or using a sperm donor. Always talk with your partner about your options to better determine the best course of action. Talk to your doctor about the risks of infertility based on your prostate surgery. There are also plenty of support groups available to help you cope with infertility and connect with other men who have gone through the same thing. Even though prostate cancer is so common and often curable, surgery will leave you infertile.

If you have severe cases of BPH, the same result occurs. Always talk to your doctor about your risk factors and make sure to get screened early by scheduling yearly appointments with your urologist or doctor. If you need any urological supplies or educational resources, visit our educational support page or our product selection guide.

Byram Healthcare is proud to offer full-service urological care and we have all the high-quality urological supplies that you need. If you need to order any urological supplies, all of your orders can be discreetly delivered to your home, at any time of the day. If you have any urological questions or need personalized, confidential services, our teams of knowledgeable urological customer service specialists are here to help. Coping with Infertility After Prostate Surgery.

September 10, Urology Urology. Byram Healthcare We're Here to Help. Can the Flu Cause a Bladder Infection? Become a Byram Customer Already a customer? Click Here Close. Sperm motility might be preserved by concurrent urinary alkalinization as is performed for fertility preservation in the setting of neurogenic based retrograde ejaculation. Whether the presumed fistulous tract will remain patent, with continued passage of sperm, is unknown. In addition, there was no recent preoperative semen analysis; thus it is not known for sure whether oligoasthenospermia was present prior to surgery or is solely related to the surgically altered anatomy.

A review of a cryopreservation database by Williams IV et. Six percent of the semen samples from men were from men with prostate cancer with a mean age at cryopreservation of Further followup of this patient is needed to see if sperm quality improves with time, or if azoospermia ensues. With the current data, it seems that any attempt to attain normospermia by purposeful incorporation of the vas in the vesicourethral anastomosis during prostatectomy represents a formidable technical challenge.

The morbidity of the outcome presented in this case is not clear. There may be a psychological detriment to informing patients who do not desire fertility that there are sperm in the postejaculatory urine even in spite of the fact that they are nonmotile and unlikely to cause pregnancy.

This patient was monogamous with his postmenopausal wife, so he was not concerned that he could have even a remote possibility of fertility. The current understanding of the pathophysiology of epididymo-orchitis in older men relates to seeding from urinary pathogens [ 6 ]. Thus there might be a theoretical increase in the risk of epididymo-orchitis in these patients since urine may more freely reflux into the vas, analogously to the phenomenon of urethroejaculatory duct reflux described in some children with epididymo-orchitis [ 7 , 8 ].

The risk would most likely be lower in a patient that returns to normal voiding habits as this patient did, without stasis as a risk factor for urinary tract infection. However, this might be a greater consideration in patients that develop high pressure voiding, due to stricture of the bladder neck with associated retention, and stasis. The fact that this patient had mild epididymo-orchitis at 2 months postoperatively raises clinical suspicion; however, this was a single episode in two years of followup.

This case reports, to our knowledge, a previously undescribed finding of postejaculatory spermaturia in a patient status after robotic assisted laparoscopic radical prostatectomy.

This finding is hypothesized to be due to formation of vasovesical fistula. We hypothesize that with future modifications of operative techniques, it may be possible to provide patients that desire to maintain fertility with a method to facilitate ease of sperm retrieval for artificial reproductive methods.

However these techniques might be limited by high primary failure rates and potential added morbidity such as increased risk for epididymo-orchitis. In addition, it is unlikely success rates would be high enough to preclude the need for current methods of preoperative fertility preservation i.

This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Article of the Year Award: Outstanding research contributions of , as selected by our Chief Editors. Read the winning articles. Journal overview. Chad Reichard , 1 Edmund S. Sabanegh, 1 J. Academic Editor: S. Received 18 Jan Accepted 12 Mar Prostate cancer is cancer that starts in the prostate gland, which is a walnut sized gland at the base of the bladder in men.

About Cancer generously supported by Dangoor Education since Questions about cancer? Call freephone 9 to 5 Monday to Friday or email us. Skip to main content. Home About cancer Prostate cancer Living with prostate cancer Sex and relationships Infertility after prostate cancer treatment. Surgery Surgery to remove your prostate gland means that you no longer ejaculate any semen dry orgasms.

If you want to have children, sperm can be saved sperm banking before your treatment. Find out more about sperm collection and storage. Related links.