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Do BPH treatments affect sexual function?

How do the treatments for BPH affect sexual function?

Whether a patient chooses medication, surgery, or both, they may experience changes to their sexual function.

Medications for BPH and sexual function

The most common side effect to medication like alpha blockers, in treating BPH, is retrograde ejaculation. The man may notice that very little or no sperm is released during ejaculation. This is because the sperm travels backwards into the bladder instead of being released at the end of the penis. The sperm will then be expelled from the body when the man next urinates. Retrograde ejaculation is not harmful in any way and does not stop a man from reaching climax.

Surgery for BPH and difficulty with sexual function

When surgery is used to treat prostate enlargement men may find the strength of their erection is weakened. This happens in around 5% of surgeries.

Mr Christopher Eden
Consultant Urologist