Becoming a Father..

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Date Joined Jul 2010
Total Posts : 3596
   Posted 10/6/2010 8:41 PM (GMT -6)   
Is it POSSIBLE to father a child after undergoing RP?? Not me! Not me! Someone on another board is asking this question.

I told him the first thing he would need is lots and lots of money but he want's a better answer than that..

Forum Moderator

Date Joined Jan 2010
Total Posts : 6855
   Posted 10/6/2010 9:00 PM (GMT -6)   
There is the possibility to extract semen from the testicles. It is not easy, but possible.
My doc was supposed to set up a plan for "banking", but it fell between the cracks, so to speak. That is my "plan B". If I ever meet "the one".

Veteran Member

Date Joined May 2009
Total Posts : 2691
   Posted 10/6/2010 9:00 PM (GMT -6)   
Should have frozen his stuff first.

Isn't there still sperm in the testicals ? Maybe with a big needle .......
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injection
No pads, 1/1/10,  9 month PSA < .01
1 year psa (364 days) .01
15 month PSA <.01

Veteran Member

Date Joined Jul 2010
Total Posts : 3596
   Posted 10/6/2010 9:44 PM (GMT -6)   

Regular Member

Date Joined Feb 2010
Total Posts : 385
   Posted 10/6/2010 10:02 PM (GMT -6)   
If sperm not frozen before surgery, test tube baby. Extract a little bit of sperm from the testicles, extract egg from woman, fertilize in dish, put embryos into mom to be.

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2209
   Posted 10/7/2010 1:14 AM (GMT -6)   
Sperm banking before surgery is the best bet. Though this is actually the storing of semen not sperm. Frozen (thawed) semen can even be used to fertilise a women without using the test-tube.
You need to store plenty as it may take several attempts.

After surgery the testes still carry on making several million sperm every day. It's just a case of extracting them them. I think the technique is called "sperm harvesting" or MESA (=microsurgical epididymal sperm aspiration) and you'll need an IVF expert. And as they will only have sperm and no semen it's a bit more complicated.
see this article (complete with video - not for the squeamish):


Post Edited (English Alf) : 10/7/2010 1:18:12 AM (GMT-6)

Veteran Member

Date Joined Mar 2010
Total Posts : 1146
   Posted 10/7/2010 3:08 AM (GMT -6)   
Having been through two cycles of IVF earlier this year and talking to plenty of other women doing the same - this situation is relatively common, there are plenty of men that for a variety of reasons cannot ejaculate sperm. Often it's a problem with an ejaculatory ducts but of course it can be PC.

Anyway these men go to an andrologist and have their sperm removed from the testes at the IVF clinic. Which apparently is not much fun for the man, a lot less pleasent than providing sperm the standard way. It is for this reason that my IVF doctor had Paul my husband bank two lots of sperm prior to the op so that if we wanted to do more cycles we could.

It does add another layer of complexity in an already complex situation, because for IVF to go right there are so many steps that have to go well - from a good response to the hormones, to even and steady egg growth, to a good crop of eggs at harvest, to a high % of eggs fertilising, to good cell division, and even if this happens then the blastocyst has to implant. And it's not cheap - each cycle costs about $4K out of pocket in Australia per cycle but people in the US often pay $15-20K (andrologist sperm removal is likely to be extra) and it isn't covered by many insurance policies. Each cycle has about 20-30% success rate at a good IVF lab.

Hope this helps.

Husband's age: 52. Sydney Australia.
Family history: Mat. grandfather died of PC at 72. Mat. uncle died of PC at 60. He has hereditary PC.
PSA: Aug07 - 2.5|Feb08 - 1.7|Oct09 - 3.67 (free PSA 27%)|Feb10 - 4.03 (free PSA 31%) |Jun10 - 2.69. DRE normal.
Biopsy 28Apr10: negative for a diagnosis of PC however 3 focal ASAPs “atypical, suspicious but not diagnostic” for PC. Review of biopsy by experienced pathologist, 1/12 core: 10% 3+3 (left transitional), 1/12 core: ASAP (left apex)
Nerve sparing RP, 20Aug10 with Dr Stricker. Post-op path: 3+4 (ISUP 2005). Neg margins, seminal vesicles, extraprostatic extension. Multifocal, with involvement in the peripheral, apex, fibro-muscular and transitional zones.
Post RP PSA, Sep10 – 0.02

Post Edited (An38) : 10/7/2010 6:14:40 AM (GMT-6)

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2209
   Posted 10/7/2010 5:30 AM (GMT -6)   
So lets say congratulations to Robert Edwards for (finally) having been awarded the Nobel Prize for medicine just this week. (My wife's grandmother was related to the late Dr Patrick Steptoe the gynaecologist with whom Prof. Edwards developed IVF)

Regular Member

Date Joined Oct 2009
Total Posts : 103
   Posted 10/7/2010 6:16 AM (GMT -6)   
IVF costs around 12k an attempt at the moment in the US. I saved 7 samples before my surgery. It is possible to extract more using a needle. I blanched at that thought which is why I stored the samples that I did.
Age 40
Pre-op PSA was 5.8 from wellness test on May 19, 09
Follow up test from uro was 4.6 with a 9.3% free psa
Gleason 3+3 in one core, 3+4 in second core of 12 samples taken
Surgery performed 9-19-09.
One side nerves spared. Nerve graft on other side.
One year mark Viagra works 100%. Pump works 100% new PSA on 9-10-10. Last PSA .005
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