To date, erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) are the most frequent andrological diseases in men over 40 years old.
In most cases, these diseases of male genitourinary system can be interrelated. Risk of developing ED increases in the presence of BPH in a history of such comorbid conditions as:
The main reasons for development of ED in BPH are hormonal imbalance and endothelial dysfunction, which leads to:
- penile blood vessel damage
- reduction of nitrogen oxide production.
Such common symptoms of BPH as pain in the genital area may cause cortical ED.
In addition, absence of erection in a man with BPH can be caused by fear of such symptoms of the lower urinary tract as:
- urinary incontinence
- unstable flow of urine
- urinary urgency
- frequent urge to urinate
- urethral diseases.
Surgical treatment of BPH may also cause erectile dysfunction. This is associated with a risk of organs trauma or circulatory disorders in organs of the genitourinary system that may cause a man’s inability to achieve or maintain hardness of the penis.
Risk of ED increases in men with BPH, who use for treatment of this disease such surgical methods as:
- transurethral resection of the prostate, in which tissue blocking the urethra is removed using a resectoscope.
- vaporization (evaporation) of adenomatous tissue by means of laser.
- transurethral incision of the prostate, in which several small incisions are performed on the prostate tissue and bladder neck.
- open adenomectomy, which involves surgical removal of the prostate gland.
The safest surgical methods for alleviating BPH symptoms that do not affect erectile function or urination are:
- Transurethral microwave therapy, during which the prostate is heated to 44 ° C by means of microwaves.
- Transurethral needle ablation, which involves heating and destruction of prostate tissues by radio waves.
Despite high safety profile, these methods are aimed exclusively at alleviating BPH symptoms, but not at treating this disease.