Adenoma of the prostate and sexuality

The adenoma of the prostate is a male disease more common than people advance in age. So at 65, one in three has difficulty urinating. Meanwhile, sexuality declines with age. If at 65 years only 10% of men are impotent, sexual activity is retained only in half.

 
There is no direct anatomical relationship between the prostate and the mechanism of erection. However, it is an essential mechanisms of ejaculation. The prostate is participating for the third volume of semen. However, during ejaculation, it goes directly into the urethra under-montanales, that is to say, below the area affected by prostatic hypertrophy. Therefore, benign prostate untreated did not affect ejaculation.

Patient age

Thus, the correlation between the degree of voiding disorders, and sexuality or impotence is not due to the development of adenoma, but a common denominator which is the age of the patients. Age has a direct effect on erectile capacity (degradation of the relaxation of erectile tissue), ejaculation (retarded character and decrease the force of expulsion) and sexual behavior (decreased libido). It also affects the general condition especially on the cardiovascular system, which may require drug treatment interfering with sexuality.

The consequences of treatment
In contrast, medical or surgical treatment of benign prostate can affect sexuality. This mainly concerns the influence that ejaculation becomes retrograde (that is to say, making himself into the bladder), without modification of the ejaculatory sensation or orgasm. It often occurs after an endoscopic resection of the prostate or more rarely during drug treatment by alpha-blockers. It's just the price of the increased effectiveness of these therapies in relation to prostatic obstruction by opening the bladder neck. However, impotence is exceptional.

Disturbances of sexuality in patients with benign prostate are most often linked to the idea that patients have of it and the deteriorating quality of life caused by voiding disorders. The effects of treatment does not generally pose problems for patients who have been informed.

 

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