Medications that treat lower urinary tract symptoms and enlarged prostates may cause sexual dysfunction, but some urologists do not discuss this with patients, according to a survey of doctors.
Although more than half of the physicians said they discuss ejaculatory dysfunction when prescribing the most common treatments, most do not routinely offer alternatives, the study authors report in World Journal of Urology.
"We need to think about the entire picture as doctors. Even if patients are 100% satisfied with the treatment and can urinate perfectly, they may be unhappy that they can't ejaculate anymore," said lead study author Dr. Simone Giona of King's College Hospital in London.
Lower urinary tract symptoms and prostatic hyperplasia - an enlarged prostate - cause difficulty with urination, urgency and leaking. Patients sometimes wait until symptoms worsen before seeking treatment, often because they know treatments could affect sexual function, Giona said.
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