where does the semen and prostate fluid go when tubes are removed during a prostatectomy

I appreciate the follow-up. Let me address the actual question about where semen and prostate fluid go after prostatectomy when the tubes are removed.

The short version: after radical prostatectomy, the seminal vesicles are removed and the vasa deferentia are tied off, so there is nowhere for semen to go—it is reabsorbed by the body.

The procedure removes the prostate, seminal vesicles, and a portion of the vasa deferentia. The remaining ends of the vasa are ligated. Sperm continue to be produced in the testes but have no exit pathway. They accumulate in the epididymis and are broken down and reabsorbed by the body's normal cellular recycling processes. This is the same mechanism that handles sperm in a vasectomy.

The prostate fluid itself is gone because the prostate is gone. The seminal vesicles, which produce most of the fluid volume in semen, are also removed. So the question of "where does the fluid go" has two answers: the fluid-producing organs are gone, and the sperm that remain are reabsorbed locally.

What the patient experiences after surgery is a dry ejaculate. The sensation of orgasm remains because that is mediated by the pudendal nerve and pelvic floor muscles, not by the prostate. But no fluid comes out. This is expected and permanent.

The retrieved records do not directly address this question. They cover PSA kinetics after prostatectomy [1][2][3], which is a different subject entirely. The retrieval is thin on the specific anatomy of post-prostatectomy fluid handling.

My call: The body reabsorbs the sperm that continue to be produced. The fluid-producing tissues are removed. A dry ejaculate is the expected permanent outcome. Confidence: high on the anatomy, based on standard surgical knowledge outside these records; no confidence in the retrieved evidence for this specific question, because none of it addresses it.