Erectile dysfunction is a common problem for patients with benign prostatic hyperplasia (BPH). Between 43-75% of all BPH patients experience erectile dysfunction, depending on their age. The problem affects the patient’s sexual activity and can bring about emotional issues. In this video, Dr. Neil Baum, of New Orleans, La., explains the daily use of low doses of the drug Cialis to address the problem of erectile dysfunction in BPH patients.
Baum explains the first line of treatment for BPH, also known as enlarged prostate, is medication but minimally invasive procedures and surgical options exist.
Cialis (tadalafil) tablets are approved by the U.S. Food and Drug Administration (FDA) for the treatment of erectile dysfunction. The mechanism of Cialis is not fully understood, but it is thought to relax the muscle cells in the prostate which results in decreased pressure to the urethra.
Cialis has been studied by the pharmaceutical Eli Lilly and Company as initial treatment. When taken for about 26 weeks in combination with finasteride, Cialis has been shown effective in decreasing erectile dysfunction symptoms. Side effects could include back pain, occasional muscle aches, facial flushing, and nasal congestion. Rarely, the drug can cause an erection that lasts more than four hours.
According to the National Institutes of Health (NIH), tadalafil belongs to a group of medicines called phosphodiesterase 5 (PDE5) inhibitors: “These medicines prevent an enzyme called phosphodiesterase type-5 from working too quickly. The penis is one of the areas where this enzyme works. By controlling the enzyme, tadalafil helps to maintain an erection after the penis is stroked by increasing blood flow to the penis. Without physical action to the penis, such as that occurring during sexual intercourse, tadalafil will not work to cause an erection.”
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