EP197: Preserving fertility after radical prostatectomy | PUTTING DR G ON THE SPOT - video Dailymotion

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Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, further delves into the woes faced by men who have had undergone radical prostatectomy, this time about fertility problems which can be countered by a procedure called MESA.  Read more at https://tinyurl.com/mr26heyn  WATCH MORE: https://thestartv.com/c/news SUBSCRIBE: https://cutt.ly/TheStar LIKE: https://fb.com/TheStarOnline

Transcript

00:00 This week we're going to talk about do you continue to stay fertile after surgery for radical prostatectomy

00:07 So what does radical prostatectomy mean?

00:14 Radical prostatectomy just means that a removal of the whole prostate plus its accessory organ such as the

00:22 seminal vesicles

00:24 What does the prostate do? In fact, prostate produces the liquid for the sperm to swim in that is a

00:31 lubrication and also nutrition for the sperm. For when the prostate is removed there is literally no

00:38 ejaculation and therefore men will have dry orgasm, but there is no secretions at all

00:46 So what happened to all the sperms? In fact, the sperms continue to stay in the testicles and just

00:53 avoided being

00:55 ejaculated because there's no ejaculation

00:57 But for somebody who continue to want to father a child then there are two options

01:02 Before the operation you can preserve as much sperm as possible and freeze that for

01:09 rainy days in the future so that you can use the sperms

01:12 Alternatively in the event that you continue to want to have the operation despite having no preservation of

01:19 frozen sperm then we can do something called

01:23 PISA, which is

01:25 microscopic epidermal sperm

01:27 aspiration or PISA percutaneous epidermal sperm aspiration

01:33 Basically what it means is directly going to the access to the testicle and epidermis

01:38 Find the sperms and use the sperms for test tube baby or IVF

01:44 With such technology men don't even have to worry about not being able to father a child after treatment of radical prostatectomy

01:53 So there's no reason to avoid the operation for the cure of cancer

01:57 following radical prostatectomy

02:00 So for the following week, we want to discuss the problem about

02:03 hormonal suppressions and erectile dysfunction for men who use hormone for the treatment of prostate cancer

02:10 If you are on hormonal treatment and you're a bit curious about

02:14 How this is affecting you and they need to stay tuned for next week's putting Dr. G on the spot

02:22 You

02:24 You

02:26 You

02:28 [BLANK_AUDIO]

EP197: Preserving fertility after radical prostatectomy | PUTTING DR G ON THE SPOT

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