The multinational study of the aging male reviewed over 14,000 men from seven countries who were between the ages of 50 and 80 years. This was reported by Rosen at the American Urologic Association meeting in 2002. Sixty-five per cent to 92% of men in that age bracket had sex three to 7.6 times in the previous four weeks. We also saw that there was a 25% to 55% decrease in sexual activity if they had a mild to moderate (<20) score on the IPSS. buy asthma inhalers
It has also been reported in numerous studies that surgery, regardless of type, can cause a 1% to 15% incidence of ED and a 2% to 98% incidence of retrograde ejaculation . Consequently, there has been a shift away from the surgical management of BPH over the past number of years toward the less invasive medical management. However, even though the 5-alpha reductase inhibitor, finasteride, demonstrated a 22% increase in the uroflow rate and a 21% decrease in the IPSS , the reported incidence of ejaculation disorder, impotence or decreased libido ranged from 0.8% to 9.0% in a review of some of the long term Finasteride (PROSCAR) trials, such as the Proscar Long-term Efficacy and Safety Study (PLESS) reported by McConnell and others.
The alpha blockers reported a 1 to 2.2 mL/second absolute or a 10% to 28% improvement in uroflow rates . In the same review, Chapple reported a 6% to 20% improvement in the IPSS of patients who weretreated with the various alpha blockers.
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