In a nutshell
This study looked the effect of treatments for BPH and lower urinary tract symptoms on male sexual function and health. It concluded that more invasive surgeries had more of an impact on sexual function.
Benign Prostatic Hyperplasia (BPH) is a non-cancerous enlargement of the prostate gland. An enlarged prostate can affect bladder function and have a negative impact on quality of life. Treatments for BPH may include medication or surgery to remove excess prostate tissue. Medications for BPH often result in many side effects while surgery can lead to complications. Complications often include sexual dysfunction.
Methods & findings
Transurethral resection of the prostate (TURP) is the most common surgery for BPH treatment. TURP carries a sexual dysfunction risk of 60-90%. One study reported 30% of men had improved sexual function, while 20% of men had worsened sexual function after TURP.
Photoselective vaporization of the prostate (PVP), transurethral needle ablation (TUNA), transurethral microwave therapy (TUMT) and Aquablation all involve breakdown of prostate tissue. These treatments have all shown less sexual dysfunction after surgery than TURP patients. In one study, PVP patients had sexual dysfunction rates 22-35% lower than TURP patients. Laser breakdown of prostate tissues has shown mixed results for sexual function after surgery. Patients who have prostatic urethral lift (moving the tube which carries urine out of the body) and water vapor techniques showed improved sexual function. Though, the study notes that these surgeries may not be as effective in patients with larger prostates.
The bottom line
This study concluded that more invasive surgeries could affect male sexual function.
The fine print
The authors note that patients may confuse ejaculatory function and erectile function. Studies were small and did not focus on sexual function after surgery. These factors may affect the study outcomes.
If you are interested in any of the surgical treatment for BPH and lower urinary tract symptoms, contact your doctor.
Published By :
Current urology reports
Jun 19, 2018
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