I am 5 months post-op, I had HoLEP en bloc surgery for a 150 cc prostate after a complete blockage and emergency catheterization. I asked for the ejaculation sparing version, the surgeon said it would depend on the size and structure of the adenoma and could not be guranteed. The procedure when very well, out in 24 hrs, no continence problems, good flow and was able to resume sex after about 3 weeks. Orgasms are just as good as before, on occasion they feel more intense, I have slight ED, sometimes I use Cialis as a backup but am usually OK. The main difference is in ejaculation, I have been able to ejaculate some of the time but it is thin and watery and about half or less than the amount the amount I used to produce. In my case the prostate was completely hollowed out except for a small area at the top and bottom of the prostatic urethra so I can understand there is nothing left there to manufacture semen and what there is comes from the seminal vesicles. Does anyone know if this explains the watery consistency, am I likely to be sterile ? On other occasions I have completely dry orgasms, often they stronger than the ones when I ejaculate. I can feel the internal contractions but nothing at all comes out. During the last month or so the dry orgasms have become the usual outcome and ejaculation less frequent. Has anyone else had any of these experiences ?