After prostate removal, the sperm has to go somewhere – but where?

    Men who are facing prostate removal due to cancer will surely wonder where their sperm will go after removal of the prostate gland. It’s fair to wonder about this.

    First of all, sperm is produced in the testicles.

    The testicles continue to make sperm, but because the vas deferens is clipped and cut, and because there is no prostate or seminal vesicles, there is no ejaculate,” explains Michael Herman, MD, director of urologic oncology at South Nassau Communities Hospital in Oceanside, NY.

    “People can continue to have orgasms, though, because the nerves that have to do with climax are unaffected, and are actually not related to whether or not someone ejaculates.

    The sperm gets broken down and reabsorbed by the body. This is the same process as if someone were abstinent or had a vasectomy.”

    In short, prostate removal will not affect sperm production or quantity. It only affects what happens to the sperm once it’s produced.

    Unfortunately, removal of the prostate may be more of an issue to a woman than to the man, if she believes she can’t enjoy intimate relations without ejaculations.

    Men who have partners like this should focus on all that can be done to treat their prostate cancer and prevent a recurrence.

    Women who feel deprived without the ejaculate need a harsh lesson in priorities.

    Prostate cancer affects one out of six men as a lifetime risk, and the number it kills every year in the U.S. averages in the high 20,000’s.

    Where the sperm goes, though an interesting question, should not rank high on the overall questions list, when all things are considered.

    Dr. Herman’s interests include reducing the over-diagnosis and over-treatment of prostate cancer by utilizing the latest biomarkers and imaging techniques. He is at the forefront of treatment and research of urologic cancers.
    Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 


    Top image: Shutterstock/Chinnapong
    What happens to sperm when the prostate is removed?
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    Is sperm still produced after prostate is removed?
    After radical prostatectomy (removal of the prostate) or cystectomy (removal of the bladder), a man will no longer produce any semen because the prostate and seminal vesicles have been removed. The testicles still make sperm cells, but then the body simply reabsorbs them. more
    Do dogs have sperm?
    Normal dog semen contains 300 million to 2 billion sperm. The quantity of sperm varies depending on the weight and size of your dog, with the bare minimum sitting at around 10 million sperm cells per pound of bodyweight. For example, a 30-pound dog should have at least 300 million sperm cells in his ejaculate. more
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    If you have had sex in the past 12 to 24 hours, there is a good chance we will be able to see the remnants of sperm, lubricant, spermicide, etc. The problem with this is that those fluids can make it difficult to get an honest look at your vagina and cervix and are prone to causing “abnormal” results on your pap smear. more
    Is male sperm vegan?
    Although it's produced by mammals, there's no material you wouldn't find from a non-animal source. You can get amino acids from soy, minerals and sugars from vegetables and fruit. more
    Can sperm contain gluten?
    Is there gluten in other body fluids such as semen, urine, sweat, etc? A. The only body fluid which has been shown to contain gluten has been breast milk. However, scientific studies are lacking for gluten in semen, urine, and sweat. more
    Does vaping affect sperm?
    Lower Sperm Quality in Males Vaping has also been known to reduce sperm quality, count, and motility in males. The lack of quality sperm production makes egg fertilization nearly impossible for couples hoping to conceive. more
    Do sperm banks wash sperm?
    The washing process removes all seminal fluid, including cellular debris and most of the nonmotile sperm, resulting in a clean sample that contains only the most vigorous sperm. Many of our recipients have reported pregnancies from vaginal inseminations with washed, IUI-ready samples. more


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