Standard surgery for urinary symptoms leaves men with less sexual dysfunction

In men who need treatment for lower urinary tract symptoms, standard surgery (transurethral resection of the prostate) results in lower levels of sexual dysfunction and less pain or discomfort on ejaculation compared with non-contact laser therapy or conservative management (watchful waiting). In a multicentre randomised controlled trial of various treatments for urinary tract symptoms Brookes and colleagues (p 1059) found that erectile function was significantly improved after standard surgery and pain on ejaculation was significantly less. Older men who need treatment for urinary symptoms and want to retain or improve sexual function may want to consider standard surgery rather than non-contact laser therapy.

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Sexual dysfunction in men after treatment for lower urinary tract symptoms: evidence from randomised controlled trial

Sara T Brookes, Jenny L Donovan, Tim J Peters, Paul Abrams, and David E Neal
BMJ 2002 324: 1059. [Abstract] [Full Text] [PDF]