An enlarged prostate, also called benign prostatic hyperplasia (BPH), is one of the most common prostate conditions affecting men age 50 and older. At Arkansas Urology, we know that when urinary and sexual issues arise, they can take a toll on a man’s confidence and relationships. Fortunately, with the right treatment options, most men can maintain a healthy sex life and strong sexual function.
The prostate gland surrounds the urethra, the tube that carries urine and semen out of the body. When it enlarges, it can squeeze this passage and lead to urinary symptoms such as frequent urination, weak stream, or difficulty starting and stopping flow. Over time, these issues can also affect a man sexually, impacting both performance and satisfaction.
What Happens When the Prostate Enlarges
As men age, hormone changes and natural growth of the prostate can cause it to expand. This condition—benign prostatic hyperplasia (BPH)—is not prostate cancer, but it can still lead to significant sexual side effects. When left untreated, it may cause sexual dysfunction, difficulty during sexual intercourse, or even erectile dysfunction. Some medications used for BPH symptoms, including alpha blockers, can also influence erectile function or cause retrograde ejaculation, where semen goes into the bladder instead of out through the penis.
How Does an Enlarged Prostate Affect a Man’s Sexual Health?
Many men are surprised to learn just how much the prostate can influence sexual health. When the gland becomes enlarged, it can disrupt normal blood flow, interfere with nerve signals, and contribute to sexual problems. Below are the main ways BPH can impact sexual health and confidence.
Blood Flow and Nerve Function
When the prostate grows, it can press against surrounding blood vessels and nerves. This may limit blood flow, making it harder to achieve or maintain an erection. Reduced circulation can weaken erectile function, causing erectile dysfunction (ED). Because testosterone levels naturally decrease with age, these circulation issues can compound, making sexual intercourse more difficult.
Urinary and Ejaculatory Problems
Urinary issues like frequent urination or a constant urge to use the restroom can disrupt intimacy. Many men also report discomfort during ejaculation or a burning sensation after sex. In some cases, retrograde ejaculation or reduced semen volume can occur, which may contribute to low sperm count or frustration during sexual activity. These symptoms are not dangerous but can greatly affect a man’s confidence and satisfaction.
Emotional and Relationship Strain
Beyond physical challenges, an enlarged prostate often leads to performance anxiety or emotional stress. Concerns about bladder control or sexual performance can make men avoid intimacy. Over time, this can strain relationships and lower self-esteem. Arkansas Urology encourages open conversations with a doctor because addressing these issues early can restore both comfort and connection.
Overall Sexual Function and Confidence
The enlarged prostate affect is different for every man. Some experience mild symptoms, while others find that sexual side effects disrupt daily life. What’s important is that most men can return to normal sexual activity with the right treatment. Advanced, minimally invasive procedures now allow men to improve urinary flow and sexual function without long recovery times or major prostate surgery.
Effective Treatment Options That Protect Sexual Health
At Arkansas Urology, our goal is to relieve BPH symptoms while helping patients maintain or improve erectile function. We offer proven minimally invasive treatments that can be performed on an outpatient basis, reducing downtime and helping men return to their regular routines quickly.
The UroLift System
The UroLift System is another excellent minimally invasive treatment that lifts and holds the enlarged tissue away from the urethra. It preserves sexual function, prevents retrograde ejaculation, and avoids the risks associated with traditional prostate surgery. Because it’s performed on an outpatient basis, men typically return to normal sexual activity and daily routines quickly.
Both options can make a significant difference in reducing urinary symptoms, improving sexual health, and restoring confidence. At Arkansas Urology, our experienced team tailors treatment to your medical history, lifestyle, and goals so you can get back to living life comfortably.
Transurethral Resection of the Prostate (TURP)
Transurethral Resection of the Prostate (TURP) is the traditional gold-standard surgical treatment for Benign Prostatic Hyperplasia (BPH), a noncancerous enlargement of the prostate that can obstruct urinary flow.
Procedure:
A resectoscope is passed through the urethra (no external incision). Using electric current or laser energy, the surgeon shaves away excess prostatic tissue from the transitional zone that’s compressing the urethra. Continuous irrigation keeps the field clear, and the tissue chips are removed for histologic examination.
Why we use it:
TURP is performed to relieve bladder outlet obstruction and improve lower urinary tract symptoms when:
- Medical therapy (e.g., α-blockers, 5-α-reductase inhibitors) fails
- There’s acute urinary retention, recurrent infections, bladder stones, hematuria, or renal impairment due to obstruction
Benefits:
- Significant, durable improvement in urine flow and symptom scores
- Quick recovery and no external incision
Main risks:
Bleeding, infection, TUR syndrome (rare, from fluid absorption), and retrograde ejaculation.
Prostate Artery Embolization
PAE is another alternative to more invasive surgical procedures for benign prostate hypertrophy (BPH).
In PAE, small particles are injected directly into the arteries (blood vessels) that supply blood to the prostate, leading to reduced blood flow to the enlarged portions of the prostate.
As the prostate reduces in size (because the blood supply is slowed), blockage along the urinary pathway is lessened and pressure on the bladder is reduced.
When to Talk to Your Doctor
If you’re noticing urinary symptoms, changes in sexual performance, or discomfort during sexual activity, it’s important to talk with your doctor. While an enlarged prostate can cause frustration and worry, early attention makes a major difference in protecting your sexual health. At Arkansas Urology, we often remind patients that these issues are common—and treatable. There’s no need to feel embarrassed or to ignore symptoms that affect your quality of life.
Signs It’s Time for Evaluation
- Frequent urination during the day or night
- Weak urine stream or difficulty starting and stopping flow
- Pain or burning sensation during urination or ejaculation
- Trouble getting or keeping an erection
- Concerns about low sperm count or sexual dysfunction
These can all be signs of benign prostatic hyperplasia (BPH) or another prostate condition. By discussing them early, your urologist can recommend proper treatment and help you maintain both urinary comfort and a healthy sex life.
Additional Treatment Options for an Enlarged Prostate
Beyond Rezum and UroLift, there are other ways to manage BPH symptoms and restore comfort. At Arkansas Urology, your care team will review your medical history, medications, and lifestyle to create a plan that supports both your sexual function and overall health.
Lifestyle and Medication Management
Simple changes—such as limiting caffeine, managing fluid intake before bedtime, and maintaining a healthy weight—can reduce urinary issues and help improve sexual confidence. For some patients, mild medications may help relax the prostate and bladder muscles. However, some of these drugs can influence erectile function, so your doctor will guide you toward the safest options.
Advanced, Low-Impact Procedures
For men who want long-term relief, there are gentle options that protect sexual health. Procedures like prostate artery embolization can reduce prostate size by improving circulation. While not every patient is a candidate, it’s one of several methods designed to relieve pressure on the urethra while minimizing recovery time.
Other treatments may include newer, less invasive forms of prostate surgery when necessary. The goal of all care at Arkansas Urology is to improve urinary comfort, restore natural blood flow, and help men regain confidence in their sexual performance.
Protecting Your Sexual Function and Health
An enlarged prostate doesn’t have to mean giving up intimacy or comfort. With modern minimally invasive treatment and skilled guidance, most men can continue to enjoy normal sexual intercourse and strong erectile function. The team at Arkansas Urology provides compassionate, discreet care focused on helping every man overcome erectile dysfunction and maintain overall prostate health.
When you visit us, we’ll talk about your goals, discuss how your prostate condition may be affecting your sexual health, and review treatment options that fit your needs. Whether it’s managing mild BPH symptoms or recovering after a past prostate surgery, we’re here to help you take charge of your health and restore your confidence.
Take the Next Step Toward Better Prostate and Sexual Health
If you’re ready to find relief from enlarged prostate symptoms and get back to feeling your best, contact Arkansas Urology today. Our specialists can guide you through your choices, from Rezum Water Vapor Therapy and UroLift to other personalized options. With the right care, you can protect your sexual function, reduce urinary symptoms, and enjoy a stronger, healthier future.
Visit Arkansas Urology to schedule a consultation and learn how advanced, minimally invasive treatments can help you regain comfort, confidence, and control.
Frequently Asked Questions About BPH and Sexual Health
- Does BPH cause permanent sexual dysfunction?
Usually not. Most men experience improvement once urinary symptoms are treated or medication is adjusted. - Are there natural ways to improve BPH symptoms?
Yes. A healthy diet, regular exercise, and reduced caffeine or alcohol can support prostate health and improve blood flow. - Can ejaculation frequency affect prostate size?
Some studies suggest regular ejaculation may help reduce mild prostate congestion, though it is not a cure for BPH. - Do surgical procedures always cause sexual side effects?
No. Modern treatments like Rezum and UroLift are designed to avoid damage to the nerves and structures involved in erection and ejaculation. - How does BPH differ from prostate cancer in terms of symptoms?
While both conditions can cause urinary changes, BPH is benign and not life-threatening. Regular screenings help rule out cancer and ensure early detection if needed. - What if I’m too embarrassed to talk about sexual symptoms?
You’re not alone. At Arkansas Urology, our specialists approach every conversation with professionalism and discretion. Open communication helps us create a care plan that truly fits your needs.
