Urologists' Says

Sorry epistemology is a philosophical construct and is not a factor in statistical medical studies. But feel free to dismiss any evidence that conflicts with your worldview.

 

Well that’s just bollocks. In order to extrapolate from statistics to conclusions about the real world one needs a sound epistemology. And one of the most basic things you’d learn in philosophy 101 is that correlation is not cause

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1733829/pdf/v030p00131.pdf

 

I am not invested in this debate at all, I’m not bothered about risks of prostate cancer nor desperately trying to rationalise a wanking addiction. I just find a lack of rigour in thinking mildly irritating.

 

More. He is a purveyor of cake and a lardarse; thus he has a twofold vested interest in promoting cake eating. Similarly this urologist earns his living fuelling people’s health anxieties and gets his jollies advocating unrestrained jerkfests. It wouldn’t surprise me if at the next appointment there’s a biscuit*in the middle of the consulting room.
*cookie (for American readers)

 

I am SHOCKED by your cynicism. SHOCKED!

Next you'll say that the vicar doesn't want us all to be better, otherwise his flock will shrink. He needs the fear of god in us all to ward off his own bankruptcy.

 

Vicar? Is that like a goalie?

 

Kinda.

 

My urologist stated emphatically that I could go the rest of my life without an Orgasm with no additional risk (other than psychological, lol). He was well aware of the Harvard study and said it certainly did not prove the opposite in any way (that reduced orgasms increased prostate cancer risk).

I was being treated for urinary tract issues and was referred to him as one of the best in the area (turned out to be a benign cyst) and we had several discussions around this.

 

So there ARE urologists who aren’t shills for the masturbation industry (“Big Wanka” as it’s come to be known).

 

Did you ask your urologist about a vasectomy by any chance? If not ejaculating caused infections I would expect that they would not be able to perform a vasectomy because they literally cut your vas, tie the tubes off, and cauterize the end till it's permanently sealed shut before shoving everything back in and putting a couple stitches in your scrotum.

 

There are so many people, so many opinions!
Orgasm control is not about refusing to ejaculate. This is the meaning of chastity.

 

Vasectomy merely blocks sperm from joining the ejaculatory fluid. What we're talking about here is prostatic fluid, which is still released in the same mechanism with or without vasectomy.

 

The balls and your prostate are three different things. Your prostate remains after vasectomy.

 

Yes but opinions and facts sometimes differ.

 

That he has been referred to be the best doesnt mean he is the best in matters of your question.

 

The question relates to not ejaculating, not orgasm control. as stated in the OP: "The main point of this question is to see if anyone has any health concerns when you don't cum for a long period of time, or if you've ever had issues from not cumming."

 

After vasectomy sperm is released into the abdomen where it is absorbed, IE. It is not retained in the testicles.

 

That's not true. Where do people get this stuff?

The vas are cut and sealed, typically cauterized and sealed with either stitches or titanium clips. Some procedures now do "open-ended" on the testicular side, with the thinking it will reduce instances of PVPS, but this is proving false because the open part gradually seals up with sperm granulomas anyway.

The sperm in your testicles gradually gets reabsorbed by the body, yes. Also, it is common for the sperm to get backe d up, pressure to build up in the epididymus, and eventually to rupture, causing sperm to leak into the scrotum (not the abdomin). The immune system then attacks this leaked sperm, with the immune system creating antibodies against your own sperm (having now been identified as a "foreign" material). This is why fertility cannot always be restored with vasectomy reversal... the plumbing is restored, but the sperm counts never get to a viable level again, constantly being damaged and destroyed. The longer the vasectomy prior to reversal, the more likely that a rupture and resultant immune response has occurred. So reversal in the first couple years is typically successful, but after decades it may not be.

The epididymal pressure/rupture thing is also very individual. I have had issues with mine since my vasectomy, resulting in moderate to severe pain (and swelling) about once per month, lasting 2 or 3 days. I just had this occur a few days ago. However, most men don't experience the back-pressure buildup to that degree, and never notice any issues. For some, the pain is so bad and debilitating that they undergo more and more severe interventions, up to and including complete nerve destruction and even testicle removal.

There seems to be increasing evidence that doctors and medical statistics under portray the rate of vasectomy complications, likely due to the fact most men don't want to talk about these things, or to pursue any remedies. Not to mention, as a sufferer myself, there aren't really many reliable courses of action available to pursue anyway. The stated rate of complication is often said to be under 1%, but some doctors (particularly those that deal with this issue, reversals, etc) say it is more like 10-20% of vasectomies that later lead to reports of pain or complications.

 

From my surgeon when I had my vasectomy nearly 40 years ago, techniques will have changed since then.
My vasectomy has been completely trouble free.

 

Not a bad "Story".

 

My understanding was that it makes a small negative difference if younger men don't ejaculate, but for older guys there is no increased risk of prostate cancer from denial. I could be wrong, and more clear data would be good.

 

Close, but the study findings suggested the opposite. Frequency of ejaculation in younger men didn't change much, but older men benefitted from reduced prostate cancer (it may have just been prostatic cancer indicators) if they had a higher frequency of ejaculation. But again, this was a correlation relationship, so while it could suggest a possible link, the study findings alone was not enough to establish a direct causal link.

 

First, my apologies as my reply came off heavy handed and rude.

Second, you must have misunderstood or misremembered (perhaps given the 40 years). How would the sperm get from your testicles to your abdomen? The surgeon may have mentioned that blood vessels that feed your testicles pass through from your abdomen, which is partly why being injured in your testicles will cause pain in the stomach area (and the surgeon also may have mentioned that during the vasectomy you may feel a pulling/tugging sensation in the abdomen when they isolate the vas for surgical sectioning).

I suppose it is possible that the sperm that can escape from a epididymal rupture could somehow migrate to the abdomen simply from proximity, but the key point is that sperm are constantly being created and old dead or non-viable sperm are constantly being reabsorbed in the testicles (vasectomy or no).

 

I've had a very small number of ejaculations over the past few years in the cage. One at night was horribly painful.

But I generally don't go for more than a week without PIV and a full release.

 

WHAT?!?!?!

I can't even anymore!!!