What are the negative effects of having your prostate removed?

Understanding the Side Effects of Prostate Removal

Having your prostate removed—typically through a procedure called a simple prostatectomy—can bring significant relief for men struggling with severe urinary issues caused by an enlarged prostate. But like any major surgery, it comes with risks and potential long-term side effects that are important to consider.

One of the most common concerns is urinary incontinence, where men may find it difficult to control their bladder after surgery. While many regain full control over time, some experience ongoing leakage, especially with physical activity or sudden urges.

Another major impact is on sexual function. Erectile dysfunction is a real possibility, particularly if nerves involved in erections are affected during surgery. Even if sexual function remains, dry ejaculation often occurs—meaning semen travels into the bladder instead of exiting through the penis, a condition known as retrograde ejaculation. While not harmful, it does affect fertility.

Bleeding and the risk of blood clots are immediate post-surgery concerns, especially with open procedures. Infections, such as urinary tract infections, can also develop, though antibiotics usually manage them effectively. Some men experience narrowing of the urethra or bladder neck after open surgery, which can restrict urine flow and may require additional procedures to correct.

Each man’s experience varies based on age, overall health, and the surgical approach used—open, laparoscopic, or robotic. Recovery takes time, and open conversations with your urologist are key to setting realistic expectations.

While the benefits of symptom relief can be life-changing, understanding the potential downsides helps men make informed decisions about their health. It's not just about removing a problem—it's about preparing for what comes after.