Wednesday, December 7, 2022

Does Enlarged Prostate Cause Impotence

Must read

Enlarged Prostate This Treatment Can Help You Avoid Sexual Side Effects

10 Warning Signs of Prostate Cancer

Benign prostatic hyperplasia , or enlarged prostate, is a common condition in men older than age 50. BPH occurs when the prostate gland becomes enlarged and begins to press on the urethra the tube that carries urine out of the body.

When the prostate continues to grow, it can lead to urinary symptoms that include:

  • Leaking or dribbling of urine
  • Frequent nighttime awakenings to urinate
  • Urinary retention or urgency
  • A weak urine stream

BPH is not prostate cancer and it doesnt lead to cancer. However, the two conditions may have similar symptoms in the early stages

So its important that men who experience these symptoms be evaluated by a mens health specialist to rule out cancer and determine the best treatment options to relieve their symptoms.

Without treatment, BPH can lead to serious complications in some men, including incontinence, kidney or bladder damage, urinary tract infections and bladder stones. In some extreme cases, BPH can cause a total inability to urinate and require emergency catheterization.

Are There New Strategies In The Near Future That May Be Helpful In Improving Erection Recovery After Surgery

Neuromodulatory therapy, represents an exciting, rapidly developing approach to revitalize intact nerves and promote nerve growth. Therapeutic prospects include neurotrophins, neuroimmunophilin ligands, neuronal cell death inhibitors, nerve guides, tissue engineering/stem cell therapy, electrical stimulation, and even gene therapy.

Erectile Dysfunction Following Radical Prostatectomy

Assuming the management of erectile dysfunction requires expert diagnosis and treatment.

Diagnosis includes sexual function history, general medical history, psychosocial history, medication history, physical examination, and appropriate laboratory testing.

Psychological treatment is an important adjunct to managing erectile dysfunction. If our diagnosis suggests a psychological association with your erectile dysfunction, we may recommend that you pursue counseling with a qualified psychologist available through the Clinic.For instance, there may be relationship problems that negatively affect sexual functioning with your partner. Referrals can be made to the Johns Hopkins’ noted Sexual Behaviors Consultation Unit.

Erectile dysfunction following radical prostatectomy for clinically localized prostate cancer is a known potential complication of the surgery. With the advent of the nerve-sparing radical prostatectomy technique, many men can expect to recover erectile function in the current era.

However, despite expert application of the nerve-sparing prostatectomy technique, early recovery of natural erectile function is not common. Increasing attention has been given to this problem in recent years with the advancement of possible new therapeutic options to enhance erection function recovery following this surgery. Visit Dr. Burnett’s Neuro-Urology Laboratory

You May Like: How Do You Know You Have Prostate Cancer

Mechanisms Of Ed After Turp

Randomized studies show that after TURP, some men experience worsening erectile function, and some experience improvement.

Did you know?Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.

Cost of Enlarged Prostate Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.

At New York Urology Specialists, we offer a flat-fee all-cost-included Rezum procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

At New York Urology Specialists, we offer a flat-fee all-cost-included Urolift procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.

Treatments For Erection Problems And Penile Rehabilitation

Cialis Super Active: Prostate Enlargement / BPH and Impotence

Different treatments work for different people and they can have side effects. Talk through your options with a doctor or nurse with expertise in this area. Ask them to refer you to your local Erectile Dysfunction Clinic if they are not able to give you this specialist advice.

The aim of penile rehabilitation is to:

  • provide a stimulus for erections

This can hopefully help you to adapt to changes in your sexual function and relationships.

A penile rehabilitation programme includes:

  • counselling and sex therapy
  • healthy living such as exercise, weight control not smoking and pelvic floor exercises

Don’t Miss: How Treatable Is Prostate Cancer

Causes Of An Enlarged Prostate

We dont actually know what causes prostate enlargement. Potential factors include:

We do know that men who have their testicles removed – for example, due to testicular cancer – do not experience prostate enlargement.

If the testicles are removed after prostate enlargement occurs, the prostate begins to shrink

What we do know is that:

  • Your chances of developing an enlarged prostate increase with age
  • Enlarged prostates are so common that its believed all males will eventually experience an enlarged prostate if they live long enough. In fact, over 90% of males over 80 have BPH.
  • There are no specific risk factors for prostate enlargement, other than having testicles.

Bph Medications And Sexual Side Effects

TURP or Transurethral Resection of the Prostate is a surgery that helps relieve the symptoms of an enlarged prostate. But this surgery often results in a lot of sexual issues later.

In less common cases, men who undergo TURP experience erectile dysfunction.

Alpha reductase inhibitors can also cause ED and also result in lower sexual drive.

Men who take BPH medications might also experience an overall decline in sperm health including low sperm count, decrease in sperm volume, and lower sperm movement.

Recommended Reading: Prostate Cancer How Long To Live

You May Like: Can You Feel Enlarged Prostate

Symptoms Of Erectile Dysfunction Caused By Prostate Problems

There are many symptoms of erectile dysfunction that can often be caused by prostate problems. Some of these symptoms include:

  • Difficulty getting or maintaining an erection
  • Reduced sexual desire
  • Pain during sex
  • Problems with urination

If you are experiencing any of these symptoms, it is crucial to see a doctor to determine the cause. Many prostate problems can get treated. This may improve your erectile function.

If your erectile dysfunction’s caused by a psychological problem, such as anxiety or depression, treatment will focus on managing those conditions.

However, if your erectile dysfunction is due to a physical problem, such as prostate cancer or enlarged prostate, treatment will address that condition.

It is important to remember that not all men who experience problems with their prostate will also experience difficulties with erectile function. And not all men who have difficulty getting or maintaining an erection have prostate problems.

However, if you are experiencing any of the symptoms of erectile dysfunction caused by prostate problems, it is important to see a doctor to determine the cause and get appropriate treatment.

If you are having difficulty getting or maintaining an erection, you should always talk to your doctor. Your doctor will be able to help you determine the underlying cause and find the best treatment for you.

Why Does It Take So Long To Recover Erections After The Very Best Surgery

Which is Better – Surgery vs. Radiation for Prostate Cancer?

A number of explanations have been proposed for this phenomenon of delayed recovery, including mechanically induced nerve stretching that may occur during prostate retraction, thermal damage to nerve tissue caused by electrocoagulative cautery during surgical dissection, injury to nerve tissue amid attempts to control surgical bleeding, and local inflammatory effects associated with surgical trauma.

Don’t Miss: What Causes Benign Prostatic Hyperplasia

Does Enlarged Prostate Cause Ed

Of the many symptoms caused by BPH, one of the most common complaints men have when visiting a urologist is Erectile Dysfunction or ED. This is defined as the inability of a man to attain or maintain an erection sufficient for vaginal penetration and satisfactory sexual performance.

BPH does not directly cause ED, but many men with BPH seek medical attention to relieve ED.

How May Erectile Dysfunction Affect My Sex Life

Most men find that their sex life is different after prostate cancer treatment. Some men question their manliness when they cannot have an erection or find that they are not interested in sex. This can happen even if you are not currently in an intimate relationship. You may find this upsetting. Even if one of the medications or erection aids is helpful, having sex using these things may take some getting used to. It may not feel entirely natural. You can talk with your doctor or healthcare team about these feelings. Counseling may also help.

If you have an intimate partner, it is important for you to talk to your partner about how you are feeling. There is an old saying that a problem shared is a problem halved. Not everyone wants a sexual relationship. Dont try to guess or assume what your partner wants. Have an open and honest discussion with your partner.

This may seem unnecessary in long-term relationships as people tend to assume they know all there is to know about their partner but this is not always the case. With time, you and your partner may be able to find satisfying ways to have a sex life even though you have erectile dysfunction. Your partner will also have concerns about your sex life as well as concerns about your health. Talking about your feelings is very important during this time.

Recommended Reading: Do Females Have A Prostate

What Are The Effects Of Benign Prostatic Hyperplasia

BPH can cause many physical changes in men. These changes depend on the size and position of the prostate enlargement. If the prostate is enlarged in certain places, it can block or partially block the bladder outlet. The urethra can also become blocked.

These changes can cause many urinary and sexual symptoms in men. However, the effects arent just physical or medical. BPH and related sexual problems can be distressing and possibly cause relationship difficulties.

Which Bph Symptoms Are Associated With Ed

What does the prostate do, can you live without it and what happens ...

In a study which examined at this issue, the researchers studied 2,115 men between the ages of 40 and 79. The study participants completed questionnaires related to their sexual function and urinary tract symptoms every two years.

The results showed that each of the indicators of sexual function was inversely related to the severity of urinary tract symptoms reported by the participants .

Urinary tract symptoms resulting from BPH which were most strongly associated with sexual dysfunction were:

  • A feeling of urgency
  • Weak urine stream
  • Straining to start urinating

The results show that there may be a common cause for BPH and ED and therefore future medical treatments which may focus on it could prove effective for treating both conditions according to researcher Steven Jacobsen, of the Mayo Clinic College of Medicine 8.

In conclusion, most of the men with lower urinary tract symptoms resulting from BPH also suffer from erectile dysfunction problems, and the two disorders have common mechanisms and risk factors. Therefore, if you have erectile or urinary problems it is recommended to seek medical advice and treatment as soon as possible, in order to prevent symptoms exacerbation.

Elliott SP, Gulati M, Pasta DJ, Spitalny GM, Kane CJ, Yee R et al. Obstructive lower urinary tract symptoms correlate with erectile dysfunction. Urology 2004 63: 1148-1152.

Andersson KE, Wagner G. Physiology of penile erection. Physiol Rev 1995 75: 191-236.

Read Also: Prostate To Bone Cancer Survival Rate

Should I Get Urolift Or Aquablation

While both UroLift and Aquablation are fantastic options for men seeking a BPH treatment that will not cause sexual dysfunction or incontinence, certain aspects of each procedure may make one or the other a more appropriate choice for a particular patient. For example, UroLift can be performed in the office using a local anesthetic and mild sedation, which may be beneficial for patients with little available downtime, whereas Aquablation requires general anesthesia and is performed in a hospital setting.

During your initial consultation for BPH treatment in Jacksonville, FL, Dr. Kasraeian will thoroughly discuss your symptoms and concerns, explain all of your available options at length, and recommend the most suitable treatment or procedure for you. With both Aquablation and UroLift, patients can achieve quick, reliable, and long-lasting relief from BPH symptoms without sacrificing their current level of sexual function.

Dont Miss: How To Detect Prostate Cancer

What Drugs Interact With Cialis

Do not take Cialis if you:

  • take any medicines called nitrates.
  • use recreational drugs called poppers like amyl nitrite and butyl nitrite.
  • take any medicines called guanylate cyclase stimulators, such as riociguat.
  • are allergic to Cialis or Adcirca, or any of its ingredients.

Call your healthcare provider or get help right away if you have any of the symptoms of an allergic reaction listed above.

You May Like: What Is Stage 4 Prostate Cancer

Can Prostate Massage Really Help An Enlarged Prostate

Prostate milking, or prostate massage, has the ability to give men intense relief from prostate problems. The prostate, or the prostate gland is a major organ in the male reproductive system.

Unfortunately, factors like aging and a poor lifestyle can make the prostate weak. This results in an impairment in urinary function, sexual function and prostate inflammation.

> > > Prostate Massage for Optimal Prostate Health

However, by massaging the prostate on a regular basis, blood flow increases in the area. The pain that is related to an inflamed prostate as well as discomfort in the area diminishes.

It is important to know that prostate massage is not a new practice. It is a treatment that has been utilized for thousands of years in Asian culture, and it is still a treatment that is used today.

In fact, many men have reported feeling much better after one prostate massage session.

Why Does Erectile Dysfunction Happen With Prostate Cancer Treatment

Radiation Therapy Side Effects for Prostate Cancer Patients

To help you understand why prostate cancer treatment may cause you to have erectile dysfunction, it is good for you to learn how your body may be changed by your treatment. Usually when a man is sexually aroused :

Radical Prostatectomy

Radiation Therapy

Radiation therapy may damage the nerves near your prostate gland that help you have erections. Over time, you may notice that you are not having as many erections as you used to. Some men start having erectile dysfunction six months or more after their radiation therapy. If this happens, the erectile dysfunction usually does not improve.

Hormone Therapy

Don’t Miss: Can Prostatitis Go Away On Its Own

What Is Prostate Enlargement

Enlargement of the prostate occurs when the prostate gland cells begin to multiply and cause the prostate gland to swell. This swelling tends to compress the urethra, limiting urine flow and causing symptoms known as lower urinary tract symptoms . BPH is a condition that many men encounter with aging.

Most of the symptoms of BPH are associated with urinary function. They are:

  • Frequent need to urinate
  • Urinary retention inability to empty the bladder
  • An intense urge to urinate, even shortly after urinating
  • A weak urine stream or an interrupted urine stream
  • Difficulty starting or stopping urination

While BPH itself is not a directly linked cause of sexual problems, most men that suffer from it do indeed find it affects sexual performance. Some common sexual side effects of BPH are:

  • Inability to maintain an erection

What Are The Symptomatic Effects Of Enlarged Prostate

An enlarged prostate pushes against both the bladder and urethra. This complication often might precipitate several urinary tract symptoms such as frequent urination, an uneasy feeling of always having to urinate, an inconsistent, unsteady stream of urine flow, urination difficulties, a painful or burning sensation while urinating, blood in the urine and frequent nighttime urination. In addition, men stricken with BPH may be at greater risk of developing urinary tract infections, urinary incontinence and bladder or kidney damage. Arguably the most uncomfortable and potentially life-altering problems associated with BPH are the sexual side effects. Such manifestations include:

Don’t Miss: How To Self Prostate Massage

How Many Times Should A Man Release Sperm In A Week

An analysis of multiple studies by Chinese researchers found that a men should ideally release sperm around 2-4 times a week. This practice is associated with a low risk for prostate cancer. Having said that, ejaculating more often than the recommended times does not further reduce the risk for prostate cancer.

I Am Experiencing Difficulty Achieving Or Maintaining An Erection Could This Be Due To Prostate Disease

Prostate Surgery Side Effects

Your difficulty achieving or maintaining an erection may be caused by prostate disease. You should discuss your individual situation with your doctor to determine the cause of your ED and find a treatment that may best suit you.

Pay attention to frequency so that you can tell if this is becoming a usual problem.

Read Also: When Should You Get Your Prostate Checked

Can An Enlarged Prostate Cause Ed

While an enlarged prostate does not cause ED, some BPH treatments may affect the ability to keep an erection, so its important to talk to your doctor to understand possible BPH treatment side effects.

Certain BPH medications may cause decreased sex drive and ED as a side effect.4 For instance, studies have shown a connection between certain anti-testosterone drugs and ED.5 If BPH symptoms continue even after medication therapy, your doctor may suggest a surgical treatment to remove the extra prostate tissue causing your BPH. However, surgical treatment also comes with side effects. A common surgical treatment, transurethral resection of the prostate , has also been shown to cause ED in a small percentage of men.5

You and your doctor may discuss a minimally invasive BPH treatment option, Rezm Water Vapor Therapy. Rezm Therapy treats the cause of BPH by using the natural energy stored in water vapor to remove the extra prostate tissue that is causing urinary issues while preserving sexual function. A five-year clinical study showed that men who had treatment with Rezm Therapy for their BPH did not suffer any procedure-related ED.6 It also showed that the quality of life improved for those men who had Rezm Therapy.6 Learn more about how Rezm Therapy works.

More articles

Popular Articles