Enlarged Prostate And Erectile Dysfunction
Benign prostatic hyperplasia is a non-cancerous enlargement of the prostate gland. The prostate gland continues to grow throughout a manâs life, so, commonly when men get into older age, they may start experiencing urinary issues due to this enlargement. The enlargement of the prostate itself is unlikely to cause ED problems, but some of the medications or therapies used to treat it may lead to erectile disruptions.
âCertain medications like alpha-blockers or 5-alpha reductase inhibitors are commonly used to treat BPH, and they may have the side effect of erectile dysfunction in users.
If you are using these medications for your BPH and developed ED after starting your treatment, you may be able to speak with your doctor about other treatment options that have less risk of ED.
If oral medications fail to help with your BPH symptoms, a doctor may perform a surgical resection of the prostate to help with your BPH. Sometimes this procedure can lead to ED in a small percentage of men.
Sexual Side Effects Of Common Treatments For Bph
Some treatment options for enlarged prostate can cause sexual side effects. Not every man gets these side effects but depending on the treatment some or many men can experience these side effects.
Flomax and Uroxatral : these medications are often used for the treatment of enlarged prostate can have un-ejaculation as a side effect. This is not dangerous but many men can get concerned. What happens is that no semen comes out after sex. Men who are bothered by this side effect can often take a different medication that may not cause the same side effect. Men who are trying to get their partner pregnant and develop un-ejaculation from medications such as Flomax should stop the medication and see us to discuss a different treatment option for BPH.
Proscar : finasteride is often taken by men with an enlarged prostate and smaller doses are used to prevent hair loss. Some men develop side effects to finasteride which may include difficulty obtaining and maintaining erections and decreased libido.
TURP and Laser Surgery for Enlarged Prostate: Many surgical treatment options for enlarged prostate can cause retrograde ejaculation . This is not dangerous but some men are concerned. In addition, a small number of men may develop erection problems after transurethral surgery.
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Can You Take Erectile Dysfunction Medications If You Are Taking Prostate Problems Medications
Actually, yes. Taking medication for erectile dysfunction may also be useful in treating the symptoms of something like benign prostatic hyperplasia .
In fact, there is a medication thatâs used to treat both problems with an erection as well as issues that have occurred from an enlarged prostate.
Letâs take tadalafil for example. This medication can treat both issues, and it can also treat pulmonary hypertension. This medication is more well-known as Cialis or at Adcirca.
It might also be beneficial to know that some men who have an enlarged prostate and erectile dysfunction often experience alleviation of their symptoms after erectile dysfunction medications.
Cialis For Treatment Of Urinary Symptoms Caused By Enlarged Prostate
Cialis 5 mg, when taken daily, can help men with both problems, erection problems, and urinary problems. Cialis works best for men with mild to moderate symptoms of an enlarged prostate. If you are taking Cialis daily and still have to wake up at night to urinate, have frequent urination or slow urine stream, other treatment options for enlarged prostate should be considered. These include medications such as Flomax, Detrol, finasteride and procedures such as the Urolift system for BPH and laser enucleation of the prostate.
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What Are Bph Symptoms
The prostate surrounds part of the urethra the tube through which urine leaves the body. BPH, or an enlarged prostate, can result in this tube getting blocked. The block can cause problems with peeing, such as:1
- Weak stream
- Needing to wake up at night to pee
- Pain during urination or after ejaculation
BPH symptoms can get in the way of life. For example, you might become worried with finding a bathroom when you are away from home. Or you may become scared of leaving an embarrassing wet mark on your clothes if you cannot get to a bathroom in time.
A New Treatment Option For Bph
Experts at University Hospitals now offer a new, minimally invasive approach to treat BPH called UroLift®.
Instead of removing prostate tissue, this procedure implants a device that pulls the prostate away from the urethra on both sides and holds it in place. This widens the urethra and restores normal urine flow.
Its like opening a curtain, says UH urologist Irina Jaeger, MD.
This procedure is a nice alternative, because the side effects are very minimal, it can be done in the doctors office in 15 minutes or less and very little sedation is required, she says. And the results are pretty instant.
UroLift®has been in use for six years. Studies have shown that the procedure is safe, effectively relieves symptoms and does not affect sexual function.
The only side effects are a little irritation immediately after the procedure. Patients are typically back to their normal routines within a day or two.
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Symptoms Of An Enlarged Prostate
Because the prostate is positioned so close to the bladder, penis and rectum, most disorders which cause enlargement of the prostate share several basic symptoms. These include:
- An urgent, at times uncontrollable, need to urinate, which may lead to incontinence if the person canÃ¢t make it to the bathroom in time
- Trouble urinating
- Sexual problems and loss of sex drive
- Postcoital pain
In the case of prostate cancer there may be no immediate symptoms, or there may be urinary symptoms like those listed above. In addition, there may be symptoms such as:
- Hematuria or blood in semen
- New onset of erectile dysfunction
- Back, especially lower back, hip or pelvic pain
- Unexplained weight loss
Good to know: A lot of the urinary symptoms above could also be caused by diabetes or may be related to the use of certain medications. If any of these symptoms are detected, it is of paramount importance that a physician is consulted and the cause diagnosed, so that appropriate next steps can be taken.
Worried you may have an enlarged prostate? Start your free symptom assessment in the Ada app.
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.
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Treatment Of Enlarged Prostate And Ed
While an enlarged prostate can cause ED, there are treatment options available to you to facilitate normal sexual function. Luckily many forms of enlarged prostate-associated erectile dysfunction are treatable, and by tackling the underlying problem of an enlarged prostate, many men can restore or greatly improve their sexual performance.
What Can I As A Partner Expect
One of the effects of prostate cancer treatment is erectile dysfunction or impotence. This means that your partner may not be able to have erections that are hard enough for him to have sex with you or that he may not be interested in sex because of the medicine he is taking to treat his prostate cancer. This affects not only the man, but you, too, as his intimate partner. If you are the partner of a man with erectile dysfunction, it can be difficult to cope with changes in your sexual relationship. Sometimes men struggle to come to terms with changes in their body image or their ability to perform sexually. This can sometimes result in him staying away from intimate situations where he may feel under pressure to make love. As a partner you may feel rejected by what seems like a lack of sexual interest or intimacy. This may not have anything to do with his feelings for you, but is a result of his cancer treatment. Erectile dysfunction can be difficult for both of you. You may want to reassure your partner that:
- Sex is not as important as long as he is healthy and that he is no less of a man to you
- You will work through it with him
- You understand his feelings
- He is important to you
It may help if you explain to your partner how important nonsexual touching and intimacy such as kissing and cuddling is to you.
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Causes Of An Enlarged Prostate
We dont actually know what causes prostate enlargement. Potential factors include:
- Family history
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.
Can You Take Viagra With An Enlarged Prostate
Theres no harm in taking Viagra or other erectile dysfunction medications if you have an enlarged prostate. In fact, studies have shown that taking erectile dysfunction medication can actually ease the symptoms of BPH. Viagra and other medications work by relaxing blood vessels in the penis, and its thought that they also relax the bladder, making it easier to pass urine.
However, ED medications are not typically prescribed for enlarged prostates, and you should not use them to self medicate. If you think you are experiencing an enlarged prostate, you should talk to your GP about this. To make this conversation easier, you could also do a questionnaire such as the IPPS to assess the severity of your symptoms.
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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.
Bph And Sexual Dysfunction Explained
Benign prostatic hyperplasia is a condition in which the prostate becomes so enlarged that it begins to put pressure on the urethra. When this happens, the patient begins to experience lower urinary tract symptoms , including frequent urination, urgency, incontinence, nocturia and weak urine flow. For some men, the condition worsens, causing more severe symptoms that include kidney or bladder problems and urinary retention .
Sexual dysfunction refers to persistent and recurring problems with experiencing satisfaction from sexual activity. Problems can include a decrease in sexual pleasure, a reduced sex drive and difficulty in getting or maintaining an erection .
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Prostate Cancer And Erectile Dysfunction
And speaking of a swollen prostate causing ED while prostate cancer may not always be a direct cause of sexual dysfunction, a growing prostate tumor could decrease sexual function by causing lower urinary tract symptoms.
Additionally the psychological effects of the diagnosis itself and the treatments for the cancer can also cause erectile problems.
While these conditions are direct causes of erectile function, treatments to manage their effects may also lead to erectile dysfunction.
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Can An Enlarged Prostate Cause Erectile Dysfunction
benign prostatic hyperplasia . BPH rectile Dysfunction An enlarged prostate may have a number of effects on a person’s health, including their sex life.
a frequent need to urinate a feeling of not emptying the bladder intense urges to urinate a weak urine stream problems starting or stopping urinationProstate issues can also cause sexual problems. The extent of any sexual problem varies according to the condition of the prostate. Some common sexual side effects include:
- erectile dysfunction
Cialis ,Many men will develop an enlarged prostate as they age, because the gland does not stop growing throughout their lifetime. As men age they should get regular prostate screenings to check for prostate cancer. Several medications, lifestyle changes, and surgical options are available to help reduce the effects of living with an enlarged prostate. With proper treatment, men can usually maintain a regular sex life.
Mechanisms Of Ed After Turp
There are two mechanisms for ED after TURP: as men age, the rate of ED increases so for some men its incidental that they have TURP and their ED flares up the heat generated during TURP, especially if the resection is thorough or the prostate is small can damage the nerve fibers that run alongside the prostate gland and innervate the penis. This can lead to ED. The risk of ED attributable to TURP as distinct to aging is somewhere in the range of 15% based on data from randomized controlled studies.
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 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.
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The Basics: How An Erection Occurs
At its most basic level, an erection is a matter of hydraulics. Blood fills the penis, causing it to swell and become firm. But getting to that stage requires extraordinary orchestration of body mechanisms. Blood vessels, nerves, hormones, and, of course, the psyche must work together. Problems with any one of these elements can diminish the quality of an erection or prevent it from happening altogether.
Nerves talk to each other by releasing nitric oxide and other chemical messengers. These messengers boost the production of other important chemicals, including cyclic guanosine monophosphate, prostaglandins, and vasoactive intestinal polypeptide. These chemicals initiate the erection by relaxing the smooth muscle cells lining the tiny arteries that lead to the corpora cavernosa, a pair of flexible cylinders that run the length of the penis .
Figure 1: Anatomy of the penis
The penis is made up of three cylindrical bodies, the corpus spongiosum which contains the urethra and includes the glans of the penisand two corpora cavernosa , that extend from within the body out to the end of the penis to support erection. Blood enters the corpora cavernosa through the central arteries.