The adenoma of the prostate is a male disease more common than the man’s age. So at 65, one man in three has difficulty urinating. Meanwhile, sexuality declines with age. If at 65 years only 10% of men are impotent, sexual activity is kept only in half.
Adenoma of the prostate and sexualitéIl no anatomic relationship between the prostate and the mechanisms of erection. However, it is an essential mechanisms of ejaculation. The prostate contributes one third of the volume of semen. However, during ejaculation, it passes directly into the urethra under-montanal, ie below the zone affected by prostatic hypertrophy. That is why the prostate adenoma of untreated does not affect ejaculation.
The age of patients
Thus, the correlation between the degree of disorder and sexuality mictionnels or impotence is not due to the development of adenoma, but a common denominator which is the age of the patients. Age acts directly on the erectile capacity (deterioration of the relaxation of erectile tissue), ejaculation (a delayed and reduced the force of expulsion) and sexual behavior (decreased libido). He is also on the overall particularly on the cardiovascular system, which may require drug treatment interfering on sexuality.
The consequences of treatment
In contrast, the medical or surgical treatment of adenoma of the prostate can affect sexuality. This influence is primarily ejaculation who becomes retrograde (ie being in the bladder), without modification of the ejaculatory sensation or orgasm. It often occurs after an endoscopic resection of the prostate or more rarely in a drug treatment by alpha-blockers. It’s a bit 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 adenoma of the prostate are more often linked to the idea that patients will do and the deteriorating quality of life caused by the troubles mictionnels. The consequences of treatments do not generally pose problems for patients who have been informed.