Studies have shown a clear relationship
between LUTS suggestive of BPH
and ED, and an increased severity of
urinary symptoms is associated with
higher rates of sexual dissatisfaction.5,7,16,29,53,54
The patient with BPH
should routinely be asked about sexual
dysfunction as part of the pretreatment
evaluation. When it is
discovered as a comorbidity, it should
be managed conservatively at the
same time as the BPH.