Enlarged Prostate (BPH)
Enlarged Prostate: will BPH treatment affect my sex life?
What is the short answer?
It depends.
Some medicines and procedures can change ejaculation.
What else should I know?
Others are designed to protect it.
Erections usually aren't affected by procedures.
When should I make an appointment?
Get checked if BPH symptoms bother you, and tell us what matters to you.
Asking about Rezum?
We don’t perform Rezum. For Gwinnett patients asking about it, options include UroLift, Aquablation, HoLEP, TURP and prostate artery embolization, and our urologists can walk you through each.
Advanced Urology BPH overview · BPH procedures compared (learn.advancedurology.com)
What happens at a visit?
Our two Gwinnett offices each include a surgery center: Snellville at 1557 Janmar Rd, Snellville, GA 30078 and Lawrenceville at 501 Crown Pointe Way, Lawrenceville, GA 30046. Let us know which part of the county you call home, and we’ll take it from there.
How do our urologists approach this?
Our Gwinnett urologists believe this question belongs at the start of the conversation, not the end. Some BPH medicines and procedures can change ejaculation, and others are designed to protect it. UroLift and prostate artery embolization are two options many men ask about for that reason. We check the size of your prostate and how completely you empty. Then we tell you plainly what each choice may mean for your sex life.
What happens at a visit?
We’ll ask about your urinary symptoms and also about erections and ejaculation, in a private and respectful way. A urine test, a prostate exam and a flow or bladder scan are common. Bring a list of your medicines, since some affect sexual function too.
When should I call?
Call us if a new BPH medicine causes side effects that bother you, or if your stream suddenly weakens or stops.
What do patients often ask?
These are the questions we hear most, each with a short answer.
Do BPH procedures affect erections?
Erections usually aren’t affected by procedures. Ejaculation is the change men ask about most, and we’ll go over it option by option.
Is there a video on this?
Dr. A. Dev Mally, who practices in Snellville, explains two options in these short videos.
- Watch: UroLift in 60 Seconds: Opening an Enlarged Prostate Without Cutting What the video covers: Dr. Dev Mally explains how an enlarged prostate can squeeze the urethra, and how UroLift opens the channel without cutting or removing prostate tissue.
- Watch: Enlarged Prostate but Dread Surgery? What to Know About PAE | Advanced Urology What the video covers: Dr. Dev Mally explains prostate artery embolization (PAE) for an enlarged prostate, a procedure performed at Advanced Urology by our interventional radiologists.
What should I read next?
Educational content; your own care plan comes from a visit. Back to the reading room