Improvement of sexual dysfunctions after BPH therapy
In so-called benign prostatic hyperplasia (BPH), the glandular tissue of the prostate grows increasingly into the area of the urethra. Due to the narrowing of the urethra, the strength of the urine stream decreases and residual urine sometimes remains in the bladder. The consequences are constant urination, a weak stream of urine and unpleasant dripping.
However, men with benign prostate hyperplasia and symptoms in the lower urinary tract (LUTS) often complain about more than just urination problems. More than half of those affected additionally suffer from sexual dysfunctions such as libido deficiency or sexual performance problems. The frequency of malfunctions increases with the severity of the symptoms.;
Improvement of erectile dysfunction through therapy
If a benign enlarged prostate hinders the emptying of the bladder, the treatment should not be postponed for too long,"emphasizes Dr. Stephan Neubauer, urologist at the West German Prostate Center. Appropriate therapy not only alleviates the problems of urination, but also often improves the sexual function of men.
While the positive influence of drug treatment with alpha-blockers on sexual dysfunction has already been clearly demonstrated in several studies, endoscopic removal of the prostate (TUR-P) was previously regarded as a risk factor for the development of potency disorders. According to the current results of a 12-year follow-up study1, this must be clearly refuted,"explains the Cologne urologist. On the contrary, 15 percent of those who were previously affected had improved their sexual function after TURP.
Provided that the procedure runs without complications. Dr. Neubauer says that it makes sense to use far more gentle laser methods such as the green light laser or the diode laser as therapy of choice instead of conventional peeling. Modern laser therapy has the advantage that side effects such as impotence and incontinence can be largely ruled out and postoperative bleeding is almost completely avoided.
However, the fact that only about one in five BPH patients with sexual dysfunction seek help from their treating physician remains problematic. Dr. Neubauer therefore demands that urologists actively address BPH patients with appropriate interview techniques or with the help of special questionnaires.
- Mishikri SF et al. 2011. TURP and sex: Patient and partner prospective 12 years follow-up study. BJU Int doi: 10.1111