Benign Prostatic Hyperplasia Treatment Options and Their Effects on Sexual Function

Abstract Introduction The goal of any medical or surgical treatment for benign prostatic hyperplasia (BPH) is to improve quality of life. It is important to consider the sexual side effects of these treatments, which can directly affect quality of life. Aim To review the published literature on the sexual side effects of different medical and surgical treatments for BPH. Methods A literature review was performed of the various approved medical and surgical treatments for BPH and their respective sexual side effects. Main Outcome Measures The main outcome measure was sexual dysfunction associated with different treatments in the form of ejaculatory dysfunction, erectile dysfunction, decreased libido, and sexual dissatisfaction. Results The most common side effect for medical and surgical treatments of BPH is ejaculatory dysfunction, although its prevalence after any individual treatment varies greatly. Surgical therapies have a greater relative impact on erectile dysfunction compared with medical therapies; the exact mechanism of this erectile dysfunction has yet to be fully elucidated. The degree of decreased libido and sexual dissatisfaction associated with most treatments is poorly described in the literature and often contradictory. Conclusion There are numerous medical and surgical therapies available for treating BPH. Most of these therapies have sexual side effects that can negatively affect a patient's quality of life. It is important for physicians to consider these sexual side effects and to discuss them with their patients before initiating treatment.