Prostate and Sexuality: An Overview

Bürger, B; Weidner, W.; Altwein, Jens E.

doi:10.1159/000019844

Cited by 45 publications

(35 citation statements)

References 32 publications

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“…Proven data describing the relationship between different aspects of sexual function and their importance to elderly men are rare [15]. For Swedish men, one study [16] provides basic information on sexual desire, erection, orgasm and disturbed ejaculation and the overall distribution of these findings in men aged 50-80 years.…”

Section: Decreased Sexual Activity and Agingmentioning

confidence: 99%

“…a significantly low testosterone level, are a thinkable cause of the dysfunction in only 4 % of men before 50 years and up to 9 % of men 50 years and older [20]. Nevertheless, hormonal treatment with estrogens, progestins, corticosteroids and gonadotropinreleasing hormone are accepted risk factors for medication-induced disturbed sexuality disorders and erectile dysfunction [15].…”

Section: Alterations In Libido Ejaculation and Sperm Qualitymentioning

confidence: 99%

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Sexuality of the Elderly

Weidner

Altwein²,

Hauck³

et al. 2001

Urol Int

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Section: Decreased Sexual Activity and Agingmentioning

confidence: 99%

Section: Alterations In Libido Ejaculation and Sperm Qualitymentioning

confidence: 99%

Sexuality of the Elderly

Weidner

Altwein²,

Hauck³

et al. 2001

Urol Int

Self Cite

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“…Another study identified a correlation between lower urinary tract symptoms and other sexual dysfunctions, including ejaculation disorders, a decreased sexual desire, and a diminished satisfaction (Burger et al, 1999).…”

mentioning

confidence: 99%

Change of Sexual Function in Patients Before and After Ho:YAG Laser Enucleation of the Prostate

Meng

Gao

Fu³

et al. 2007

Journal of Andrology

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The aim of this study is to evaluate the effect of Ho:YAG laser enucleation of the prostate (HOLEP) to the sexual function of patients with benign prostatic hyperplasia (BPH). In the course of the study, 108 patients with BPH were recruited and accepted treatment with HOLEP. The effectiveness of treatment was evaluated by flow rate and the International Prostate Symptom Score (IPSS) before HOLEP and 6 months afterwards. Meanwhile, the sexual functions were evaluated with the Danish Prostate Symptom Score Sexual Function Questionnaire (DanPSS Sex). Before and 6 months after HOLEP treatment, the mean residual urine volume was reduced from 106.0 6 51.7 mL to 5.6 6 1.7 mL (P , .01), maximum flow rate was improved from 7.2 6 3.9 mL/s to 21.7 6 1.3 mL/s (P , .01), nocturia frequency was reduced from 5.5 to 1.5 (P , .01), and the mean IPSS score was decreased from 19.4 6 5.6 to 7.4 6 2.6 (P , .01). The proportion of patients satisfied with their libido was 55% before HOLEP and 57% 6 months afterwards, while 23.5% of the patients had no libido before and after HOLEP; 37% of the patients were satisfied with their erection before HOLEP and 40% after 6 months; 30% of the patients had completely satisfactory sex life before HOLEP, and 32% did 6 months later. The corresponding percentages of fully impotent patients increased from 33% before the procedure to 35% 6 months postoperation. Early morning erections were reported by 45% of the patients before the procedure and by 62% 6 months later (P , .01). In 70% of the patients with normal sex life, ejaculation was retrograde 6 months after HOLEP (P , .01). HOLEP does not affect the sexual function of patients with BPH but does did improve the ability of early morning erection, while causing retrograde ejaculation.

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“…[6,7]. LUTS can led to sleep disturbances and erectile dysfunction, and as a result to considerable impairment of quality of life [1,6].…”

Section: Abstract: Benign Prostatic Hyperplasia; Prostate-specifi C mentioning

confidence: 99%

“…[6,7]. LUTS can led to sleep disturbances and erectile dysfunction, and as a result to considerable impairment of quality of life [1,6].Surgical treatment is most effective in BPH, but it is associated with a number of complications [5] and can be contraindicated to elderly patients because of concomitant diseases. Moreover, many patients refuse surgical treatment and prefer less traumatic drug therapy, especially in cases of mild and uncomplicated urination disorders.…”

mentioning

confidence: 99%