What is it?

Prostate disease and its effect on sexual function

The prostate gland lies just beneath the bladder and is normally about the size of a chestnut. The urethra (water pipe) runs through the middle of the prostate. The main function of the prostate is during your reproductive life. It produces fluid containing chemicals which nourish sperms to help with fertilisation.

By 65 years

50% of men will experience benign enlargement of the prostate

By 90 years

90% of men have prostatic enlargement

1 in 3

men will suffer prostatic symptoms during their life

1 in 10

men will require surgical treatment for their symptoms

prostate disease and its effect on sexual function


Many diseases of the prostate can affect male sexual function. Because of its anatomical position, conditions of the prostate can affect erectile function. We feel it important to treat both benign and malignant prostate disease with a view to preserving sexual function and quality of life wherever possible and wherever it does not compromise the primary treatment aim.

I think I have prostate cancer

What is the next step?

Book a consultatation with one of our highly experienced doctors. They will be able to give you an accurate diagnosis.

When we treat male patients who have prostate cancer, with robotic keyhole surgery, we make every effort using the Da Vinci robot (with its excellent precision and visualisation) to preserve the nerves important for erectile function and continence. Watch this video to find out more about the benefits of a Da Vinci Robotic Prostatectomy.

Despite the precision and state of the art surgery however, erectile function can be affected. Nevertheless, if erectile function is treated early on results can be very good and avoid fibrosis of the delicate penile muscle and blood vessels. This is important for erectile function.

For some types of prostate cancer focal therapy with High Intensity Focused ultrasound (HIFU) can produce much better outcomes in terms of sexual function than standard therapies. This is also a treatment practised by our team.

I think I have BPH or benign prostatic enlargement

What is the next step?

Book a consultatation with one of our highly experienced doctors. They will be able to give you an accurate diagnosis.

Benign enlargement of the prostate affects nearly all males above the age of 60.

When bladder symptoms occur due to an enlarged prostate compressing the bladder outflow, tablets are the first line of treatment.

If these don’t work, traditionally standard surgery using various devices to cut through the prostate are resorted to. Very often these procedures though effective may be traumatic with one of the consequences being damage to male sexual function.

Before resorting to ‘cutting’ techniques we can often offer patients more minimally invasive surgery with the ‘urolift’ device which essentially ‘clips’ apart the lobes of the prostate reducing the amount of necessary trauma.

Big prostates may still need conventional surgery but the urolift has been practiced by our team for several years now with virtually every patient having a satisfactory outcome.

prostate disease

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What are the treatments for prostate disease

TURP Internal Shaving Of Prostate

Catheter In Bladder After TURP Note Prostate Cavity

Conventional telescopic surgery (TURP) involves resecting the central part of the prostate using a telescope passed into the bladder through the penis (transurethral resection or TURP). There are risks to this procedure so other techniques, such as electrical vaporisation and laser surgery, have been developed which also give good results with less risk.

Sometimes, when the prostate is small, the muscle at the neck of the bladder can be cut telescopically without actually removing the prostate (bladder neck incision or prostatotomy); normally, the surgeon can only decide if this is appropriate after looking inside the bladder.

Download this PDF for more detailed information: TURP for benign

The UroLift® procedure is performed by inserting two to four “tags” through the prostate to pull the obstructing prostate lobes away from the urethra. The advantage of this procedcure is that it has little or no adverse effects on your sexual function (ejaculation & erection) but it is not suitable for everyone.

Download this PDF for more detailed information: Urolift or watch this video about how the Urolift proceedure is done.

What are the treatment costs?

Consultation costs:

Consultations: £195

Follow up appointments: £150

Treatment costs:

Cost of Urolift surgery: £5397 (additional tests may be required to assess suitability prior to surgery)

Cost of TURP surgery: £6019

If you have any further queries regarding finance and your treatment cost – then please contact us on 0117 980 4118

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