Other Diagnostic Tests And Procedures
Other diagnostic tests , such as uroflowmetry and cystourethroscopy, have been used in patients with LUTS. However, their reliability varies considerably, making it difficult to base a diagnosis solely on the results of these techniques. However, they can be used in conjunction with digital rectal examination to estimate prostate volume, although prostate size does not have a significant bearing on the degree of obstruction or symptoms. Postvoid residual volume also has a high degree of intrinsic variability, which limits the value of this test.
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Urinary Symptoms Linked To Sexual Dysfunction
In this study, published in the current issue of Mayo Clinic Proceedings, researchers studied 2,115 men between the ages of 40 and 79. The men completed questionnaires about their sexual function and urinary tract symptoms every two years.
Researchers found that each of the indicators of sexual function was inversely related to the severity of urinary tract symptoms reported by the men. As the men’s urinary symptoms increased, their level of sexual function decreased.
After adjusting for age, urinary tract symptoms resulting from an enlarged prostate that were most strongly associated with sexual dysfunction were:
- A feeling of urgency
- Needing to get up multiple times at night to urinate
- A weak urine stream
These symptoms were associated with:
- Difficulty getting or maintaining an erection
- Sexual satisfaction problems
However, the association with men’s urinary tract symptoms and sexual dysfunction diminished with advancing age. No association between these symptoms and most sexual problems were found in men over age 70.
Researchers say that because both of these conditions are common in aging man, it may be very difficult to see if a true association exists outside of an age-related one.
“This observation shows there may be a common cause that someday may prove amenable to medical treatments that could be effective for treating both conditions,” says researcher Steven Jacobsen, MD, PhD, of the Mayo Clinic College of Medicine in Rochester, Minn., in a news release.
Why Can Prostate Issues Cause Erectile Dysfunction
Why are prostate conditions commonly also associated with ED? Learn more about the connection between these two conditions.
Prostate concerns commonly occur in men as they age, and the first symptoms may be difficulty urinating, or more frequent trips to the bathroom in the middle of the night.
But, is there a correlation between prostate problems and developing erectile dysfunction?
Both of these conditions increase in frequency as men get older, so it is difficult to know if one is definitely correlated with the other, but there may be a few things going on when you have prostate problems that can lead to issues in the bedroom as well.
Below, we will cover just how issues with the prostate gland including benign prostatic hyperplasia , and prostate cancer may have impacts on erectile function.
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What Have I Learned By Reading This
You learned about:
- Why prostate cancer treatment can cause erectile dysfunction
- What can be done about erectile dysfunction
- How erectile dysfunction may affect your sex life
- What your partner can expect
If you have any questions, please talk to your doctor or health care team. It is important that you understand what is going on with your prostate cancer treatment. This knowledge will help you take better care of yourself and feel more in control. It will also help you manage any side effects you may have from your treatment.
How Much Will I Take For Erectile Dysfunction
You usually take tadalafil before having sex. Take 1 tablet at least 30 minutes before you want to have sex. Do not take more than 1 tablet a day.
The usual dose is 10mg. Your doctor may increase or decrease your dose, depending on how well it works and how often you take it.
The effects may last longer than 24 hours, so you’re not recommended to take the 10mg or 20mg tablets every day.
For the tablet to work properly, youll need to be sexually excited.
If you have a private prescription for tadalafil, read the information that comes with your medicine carefully. The strength and dosage instructions can vary.
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Where To Get Prostate Treatment In Nyc
At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.
Call/text today: or make an appointment online.
We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
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An enlarged prostate can also be the cause of other problems. If the enlarged prostate is causing symptoms, the best treatment would be a natural remedy. In the meantime, there are treatments for a wide range of conditions that cause a man to experience pain. A common surgical procedure involves an electric loop, laser, or electro-stimulation. The procedure is a safe and effective option for treating enlarged or symptomatic BPH.
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How Is Benign Prostatic Hyperplasia Treated
The treatment of BPH¹ varies. When diagnosing BPH, doctors can use a specially-designed survey to determine what symptoms youre experiencing and how much your quality of life is affected by it.
If symptoms are mild or do not affect your quality of life much, your doctor might delay treatment and see how the symptoms progress while providing advice about lifestyle changes to manage symptoms. Some changes might include reducing caffeine and alcohol and changing some medications.
Some people’s symptoms are more severe and affect their quality of life, or their mild symptoms might worsen.
In these situations, you may need medication. Your doctor may prescribe several types of medicines depending on how bad your symptoms are and any allergies or other conditions you may have.
Various medications work for different types of BPH. Some people have mainly storage symptoms. Drugs used for this type of BPH include:
Other men have mostly voiding symptoms. Treatments for voiding symptoms include:
Possible associations¹ exist between some medications that treat BPH and sexual problems like ED. These vary from person to person and by drug.
Surgical treatments for BPH are also available. Surgery is often necessary when medication has not relieved symptoms or improved quality of life. Your doctor may suggest it if symptoms are severe and cause other serious health impacts like bladder stones.
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
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What Determines Erection Recovery After Surgery
The most obvious determinant of postoperative erectile dysfunction is preoperative potency status. Some men may experience a decline in erectile function over time, as an age-dependent process. Furthermore, postoperative erectile dysfunction is compounded in some patients by preexisting risk factors that include older age, comorbid disease states , lifestyle factors , and the use of medications such as antihypertensive agents that have antierectile effects.
How Long Does Erectile Dysfunction Last After Prostate Surgery
Prostate surgery doesnt always result in ED. This depends on the type of operation and other personal factors like pre-existing sexual dysfunction. Studies have found that some procedures, like prostatic urethral LIFT,¹ largely preserve sexual function.
In most surgeries, sexual activity tends to return to normal within a year¹¹ if the surgery affects it. This is provided that no rare complications like nerve damage occur.
Its important to note that ED is very common in those with BPH, and many find that their erectile function is recovered after surgery for BPH.
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Prevalence Of Erectile Dysfunction
On the contrary, the prevalence of ED in this study is higher than the finding obtained in a population-based multinational study in regions of the UK , Netherland , France , Korea linking ED and LUTS due to BPE in 4800 men aged 40 to70 years. The study observed a prevalence of 21.1%. The difference in this observation may be due to the fact that larger group of patients with LUTS due to BPE were enrolled compared to the 117 patients with symptomatic BPE enrolled in this study . However, the consistent observation is that ED and symptomatic BPE were significantly associated with increasing age .
Do Statins Cause Erectile Dysfunction Does Medication For Enlarged Prostate Cause Erectile Dysfunction
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Why Choose New York Urology Specialists For Treatment Of Enlarged Prostate Problems
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
- We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.
- Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
Prostate Cancer Treatments And Erectile Dysfunction
Overcoming erectile dysfunction after cancer is possible as long as the nerves were not destroyed during the treatment process. However, even though the process of recovery is possible, it may be slow. On average, it takes 4 to 24 months to reach a full erection during sexual intercourse.
There are several treatments for ED such as medicines, devices, penile injections and implants, suppositories, and pumps. Your doctor can run through the pros and cons of each treatment with you.
Prostatitis
Prostatitis is a condition where the prostate gland is inflamed and tender. Prostatitis is often very painful. Men may experience pain when peeing, pain in the groin, genitals, or pelvic area. Thankfully, prostatitis is a noncancerous condition that is treatable with certain medications.
There are four different types of prostatitis and each comes with its own set of symptoms.
Acute bacterial prostatitis
This is a prostate bacterial infection that often happens very quickly. Bacteria may have found its way to your prostate through your urinary tract. This form of prostatitis can be very severe and painful. If you are experiencing any of the symptoms below, it’s best to immediately contact your doctor.
Symptoms may include an emergency sense of having to pee, but only a little bit of urine actually comes out. Additional symptoms include chills, high fever, difficulty peeing, cloudy urine, and pain behind the scrotum.
Chronic bacterial prostatitis
Asymptomatic inflammatory prostatitis
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The Initial Causes Does Enlarged Prostate Cause Erectile Dysfunction
One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.
Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.
If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.
Why Does Erectile Dysfunction Happen With Prostate Cancer Treatment
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
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Does An Enlarged Prostate Affect A Man Sexually
Enlarged prostate, or BPH, is one of the most common urological conditions that a man can encounter as he gets older. Statistics show that 50% of men over the age of 50 will have BPH, then 60% over 60, and so forth, increasing by 10% with every decade of life.
As men get BPH, they will often start noticing some significant disturbances in their urine flow like a weakened or straining to urinate, waking up at night to urinate, and increase in urinary frequency and urgency. But do these disturbances in urine flow affect their sexual function? Most of the time, they do not lead to sexual dysfunction.
While there are relationships between BPH and erectile dysfunction, in general, these relationships are due to patients with BPH who may have other numerous medical conditions that are also associated with erectile dysfunction like hypertension, lipid abnormalities, diabetes, heart disease, etc.
However, some of the therapies that we offer for BPH, including pills and surgeries, have significant sexual dysfunction side effects including erectile dysfunction and ejaculatory dysfunction. Furthermore, medications used for the management of enlarged prostates may lead to sexual dysfunction, which may be problematic for patients who are still sexually active.
Surgical Treatments For Bph
While many doctors claim to treat prostate enlargement with surgery, such claims are almost always related to improving urinary function. Since the prostate surrounds the urethra, symptoms of BPH almost always involve urinary function. If a man has severe urinary issues or blockage, surgery may help.
Some doctors recommend removing the prostate to resolve the urinary issues in severe cases. The prostatectomy will likely resolve the urinary issues, but the surgerys side effects will surely deteriorate the mans quality of life.
Surgery should never be the first choice to relieve problems associated with BPH. Any urologist recommending surgery as a first-line treatment for BPH is not providing patients with the best advice. Every surgery has side effects. Some can be minor and others life-altering. Many solutions can make BPH more tolerable without destroying a mans quality of life.
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Natural Treatment For Ed And Bph
Many men may actually experience improved sexual function after treatment for BPH. Certainly, while medical treatment is important, it is a good idea to integrate other modalities into the care plan. We know for a fact that weight loss and exercise can boost sexual function and improve libido and can help urinary function as well.
A good Mediterranean diet can actually prevent ED over the long-term general medical care such as good control of blood pressure, cholesterol, and diabetes are important. Men with BPH should also see a primary care doctor for a general check-up. Some men may have low testosterone levels and may benefit from supplemental testosterone if they are symptomatic.