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Yes, it is sometimes possible to have a child after prostate surgery. But the real answer is: it all depends on the condition being treated and the type of procedure performed<\/strong> . <\/p>\n This is a crucial question, and one that is too often asked too late. When prostate surgery is being considered, it’s not enough to just talk about urinary symptoms or cancer treatment. Fertility<\/strong> , ejaculation<\/strong> , and plans to have children<\/strong> must also be discussed. <\/p>\n First and foremost, it is necessary to distinguish between the two main situations that lead to prostate surgery today:<\/p>\n The consequences are not the same, and neither are the solutions.<\/p>\n Prostate adenoma is a benign condition. It may require intervention when medication is no longer sufficient or when symptoms become too bothersome. <\/p>\n In terms of fertility, the key point is not just the ability to produce sperm. The real issue is often ejaculation<\/strong> . <\/p>\n The traditional procedure, formerly known as “scraping,” corresponds to prostate resection. Today, it is very often performed using a laser. <\/p>\n This type of treatment results in retrograde ejaculation<\/a><\/strong> in more than 99% of cases<\/strong> .<\/p>\n In practical terms, orgasm can still occur, but the semen no longer flows out. It flows back towards the bladder. This is called retrograde ejaculation. <\/p>\n And in practical terms, this generally means natural infertility<\/strong> . Even if the testicles continue to produce sperm, they are no longer released normally during intercourse. <\/p>\n Today, there are minimally invasive techniques that result in far fewer ejaculation problems, including:<\/p>\n Their benefit, when indicated, is precisely to better preserve ejaculatory function.<\/p>\n In other words, for a man still considering fatherhood, these techniques can be particularly beneficial. Of course, the choice of treatment always depends on the size of the prostate, the symptoms, the anatomy, and the medical indication. <\/p>\n Prostate embolization<\/a> is another possibility in certain cases of adenoma. It is performed by an interventional radiologist. <\/p>\n The principle is to inject small beads into the prostatic arteries to block them. This causes a kind of infarction of the adenoma, which will then decrease in size and, above all, soften. <\/p>\n The advantage of this technique is that it results in very little retrograde ejaculation<\/strong> .<\/p>\n On the other hand, its downside must be known: the volume of ejaculate is often significantly reduced<\/strong> , and its quality is less good for fertility<\/strong> .<\/p>\n Therefore, even if ejaculation is not completely suppressed, this does not necessarily mean that fertility is intact.<\/p>\n The situation is very different in the case of cancer.<\/p>\n\n
When it comes to a prostate adenoma<\/h2>\n
Prostate resection or laser surgery: a very high risk of retrograde ejaculation<\/h3>\n
Urolift and Rezum: options more favorable to ejaculation<\/h3>\n
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Prostate embolization: little retrograde ejaculation, but reduced ejaculate quality<\/h3>\n
When it comes to prostate cancer<\/h2>\n