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An enlarged prostate does not impair the ability to ejaculate. However, some of the therapies used for management of urinary symptoms may cause ejaculatory dysfunction. Historically, BPH treatment starts with medications, including pills: Flomax, finasteride, dutasteride, Proscar, Avodart, etc.
Compared with the other procedures, TURP also results in more sexual side effects, such as ED and ejaculation problems.
Ejaculation is a complex phenomenon with two phases: emission and expulsion. In the emission phase, there are contractions of the deferential ampullae, the seminal vesicles, and the prostate. The bladder neck and the striated urethral sphincter close. This phase is mediated by sympathetic innervation (T10-L2).
A common surgery called TURP (transurethral resection of the prostate) has been linked to ejaculation problems and erectile dysfunction.
Sexual problems, such as erectile dysfunction or ejaculation problems, may occur in men with noncancerous enlargement of the prostate (benign prostatic hyperplasia or BPH). Sexual dysfunction in BPH usually results from the treatment rather than the disease.
Depending on the treatment, sexual side effects can include erectile dysfunction (ED), low libido, reduced volume of ejaculation, or retrograde ejaculation (in which semen travels backward into the bladder rather than out through the penis).
Men who take alpha-blockers such as doxazosin (Cardura) and terazosin (Hytrin) may experience decreased ejaculation. This is because alpha-blockers relax the bladder and prostate muscle...