Having an enlarged prostate can affect libido and sexual function. Most treatments (both surgical and medical) make this worse.
But two recent studies published in the journal Sexual Medicine back a fairly natural therapy for this annoying prostate condition. It is effective and does not cause sexual dysfunction.
Benign prostatic hyperplasia is marked by the prostate becoming so big that it presses on the urethra. As a result, urine cannot pass freely, which tends to cause incomplete bladder emptying, frequent urination, dribbling, and other symptoms that doctors call lower urinary tract symptoms (LUTS).
While an enlarged prostate is almost never a health risk, the symptoms are annoying and most men want them treated—but not at the cost of sexual function.
In the most recent of these two studies, published in October 2021, scientists decided to assess the long-term effects of a single session of water vapor thermal therapy on their participants’ sexual function.
They recruited 197 men from 15 medical centers, all with enlarged prostates and LUTS. They divided them into a group that received the real water vapor thermal therapy procedure and a group that received a dummy procedure.
The scientists measured the participants’ erectile and ejaculatory functions before the procedure and then each year for five more years.
At the end of the study, they found that the men had experienced real and lasting improvement in their LUTS, and they found no difference in sexual function between the groups that received the real and sham treatments.
In other words, the treatment was effective and did not affect sexual function.
In another study, from December 2018, researchers compared sexual function outcomes for men who had received water vapor thermal therapy and men who had received drugs such as alpha-blockers (doxazosin) and 5-alpha reductase inhibitors (finasteride) to treat enlarged prostate.
This study included 1,209 participants who had either taken these drugs daily or received a single session of water vapor thermal therapy. Their sexual function was assessed before and after the treatment period of three years.
After three years, the drug-takers reported a significant reduction in sexual desire and erectile and ejaculatory function, while the sexual function of the men in the water vapor thermal therapy was unaffected.
Additionally, the water vapor thermal therapy led to greater improvements in LUTS symptoms than the drugs did, showing that it effectively treats enlarged prostate while preserving sexual function.
Water vapor thermal therapy uses the energy naturally present in steam to shrink the prostatic tissue that obstructs your urethra.
Although few men would describe it as a pleasant procedure, it is over in 10 minutes and you can go home in two hours and resume your life.