RESUMO
Troublesome lower urinary tract symptoms TS] and sexual dysfunction are common and often problematic in older men. We prospectively evaluated the effect treatment of LUTS on sexual function. In all, 167 men aged between 48 77 years with LUTS suggestive of benign prostatic hyperplasia [BPH] were enrolled in this study. In addition to the diagnostic work up of BPH, only 136 patients were setected and assessed at baseline and three months after tment by means ofICS sex questionnaire items concerned i erectile stiffness, ejaculatory volume, pain or discomfort on ejaculation and whether sex life was spoilt by urinary symptoms. Treatment modalities included surgical [Transurethral resection of the prostate [TURP], transurethral incision of the prostate [TUIP], or open prostatectomy] and medical treatment [alphablocke, doxazosin]. At the baseline assessment before BPH treatment, stile dysfunction, abnormal ejaculatory volume, pain or;omfort on ejaculation and sex life spoilt by LUTS were in 63%, 60%, 31% and 50% patients respectively. lowing treatment, erectile dysfunction was significantly roved [29.4%] after both surgical and medical treatment, the no significant difference between both treatment modal: All patients who underwent surgical treatment suffered from retrograde ejaculation except 50% of those treated by TUIP. Meanwhile, reduced ejaculation was reported in 32.8% patients on medical treatment. Pain or discomfort on ejaculation and sex life spoilt by LUTS were observed after treatment in 12.5% and 32.4% of patients respectively. The over all sexual satisfaction was better in patients who were on midical treatment [78.1%] compared to those on surgical III [58.3%]. Sexual dysfunction is strongly associated with LUTS. Therefore, sexual function should be carefully ssessed in the initial evaluation of patients with LUTS and deciding the appropriate treatment modality as it may have legative impact on sexual life. However, a large scale ilticenter randomized controlled study is now required to laluate the different invasive and non-invasive surgical idalities and different medical treatment options on sexual BCtion or patients complaining of BPH.