Robotic simple prostatectomy
Robotic Simple Prostatectomy: will I have ejaculation changes?
By Advanced Urology · November 10, 2026
Will robotic simple prostatectomy change ejaculation?
Quick answer
Often, yes. Most men have dry or reduced ejaculation afterward, because semen flows back into the bladder.
Going deeper
Orgasm and erections are usually not affected. This change isn't harmful, but it can affect fertility. If ejaculation matters to you, other options may fit better. At a visit, share your priorities and we can fit the option to your goals.
For our Cherokee patients
Cherokee County patients are seen at our Canton Clinic on Riverstone Blvd, which has its own lab and ultrasound. Should you need a procedure, we'll arrange it in Marietta for you.
The full explainer from Advanced Urology
Robotic simple prostatectomy: learn more with Advanced Urology
Starting in Canton, surgery in Marietta
Cherokee County men with large prostates often begin with a visit at our Canton office, and our urologists perform robotic simple prostatectomy at our Marietta Clinic & Surgery Center. We'll review imaging of the gland, your symptoms and what treatments you've tried.
How our urologists talk about side effects
Because the inner blocking tissue is removed, retrograde ejaculation is a possible effect afterward, meaning little or no fluid comes out at climax. Sensation of orgasm is usually still present. If preserving ejaculation matters to you, tell us, and we'll compare options such as UroLift or Aquablation.
Call promptly after surgery about
- Fever or chills
- Inability to urinate after the catheter comes out
- Heavy bleeding or clots
For Cherokee men
Follow-up visits can happen back in Canton. Men from Canton, Ball Ground and Holly Springs can call (678) 344-8900 with questions before or after surgery.
Common questions
Does it affect erections?
Erection changes are uncommon after simple prostatectomy, because the nerves outside the prostate are left in place. Most men do notice dry or reduced ejaculation afterward.
How long is recovery?
Most men return to light activity within a few weeks and avoid heavy lifting for several weeks. Some urgency or leaking can last a few weeks while the bladder adjusts.
Bring questions from your partner as well; decisions about sexual side effects often involve both of you.
Expect a brief hospital stay and a catheter at home for a short while; our team teaches you how to look after it before discharge.
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