In my clinical practice, I frequently see patients complaining sexual disturbances becoming apparent after unwise administration of alpha-blockers for BPH. Frequent misuse by the urologists is the mot common mistake. How can we change this?
Many times, tadalafil low doses can be used safely improving quality of life of patients with positive impacts on sexual life
I not agree with u . I inform my patient about that and if sexual problem was seen sildenafil or tadalafil can be used safly.
I am not meaning that anyone of the readers is doing that! I meant that it is frequent to occur in clinical practice. It is a common error and if you don't do it, it is good. But I see a patient every week complaining ejaculatory/sexual dysf due to inappropriate prescription of alpha-blockers for BPH
Silodosin and other alpha blockers do not "change the sexuality", but they are likely to give sex-related side effects. If patients are correctly counselled in advance and they know which side effects they may undergo, there is no big issue. moreover, Although tadalafil is licensed for both LUTS and ED, I would better use it for patients with ED and LUTS associated rather than patients with LUTS (and poor flow) with some ED associated.
Patient's age (young-old) and active sexual life suggest tad use instead, irrespective of the ED severity. I use alpha-blockers in old-old patients without sexual interests as well
Tadalafil improves IPSS, but if your goal is to improve Qmax or PVR?
Just consider to use same drug eithr. Take a look over this research, please. It is not on Pubmed yet
What sort of sexual disturbance does the alpha blockers cause?
The retrograde ejaculation is a side effect that indicates that the drug gives its action. no other sexual side effect is noted or mentioned by the patients.
and we mentioned that to the patient, as a symptom of drug effect.
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