The Effect of LUTS/BPH and Treatments on Ejaculatory Function

Area of Science:

• Urology
• Andrology
• Men's Health

Background:

• Lower urinary tract symptoms (LUTS) are common in aging men, frequently caused by benign prostatic hyperplasia (BPH).
• LUTS and BPH treatments can significantly impact male sexual function, particularly ejaculation.
• Effective patient counseling requires understanding these treatment-related sexual side effects.

Purpose of the Study:

• To comprehensively review the effects of various LUTS/BPH treatments on male ejaculation.
• To provide clinicians with information to better counsel patients concerned about sexual function.
• To highlight the impact of medical, surgical, and investigational therapies on ejaculatory function.

Main Methods:

• Literature review of medications, surgical procedures, minimally invasive treatments, and investigational options for LUTS/BPH.
• Analysis of reported effects on ejaculatory function for each treatment modality.
• Synthesis of findings to inform clinical practice.

Main Results:

• Pharmacological treatments for BPH can lead to ejaculatory disturbances.
• Surgical interventions, including TURP, often result in altered or absent ejaculation.
• Minimally invasive and investigational procedures show varied impacts on ejaculation, with some preserving function better than others.

Conclusions:

• Understanding the specific effects of LUTS/BPH treatments on ejaculation is crucial for patient-centered care.
• Clinicians should discuss potential ejaculatory side effects proactively with patients.
• Informed decision-making regarding LUTS/BPH management can optimize both symptom relief and sexual quality of life.