Prostatic Urethral Lift Versus Medical Therapy: Examining the Impact on Sexual Function in Men with Benign Prostatic Hyperplasia

Sexual function is an important aspect of the aging male's quality of life and a valuable outcome to consider for men undergoing treatment for benign prostatic hyperplasia (BPH). In this non–head-to-head comparison, we demonstrate that the prostatic urethral lift (PUL) is superior in three sexual function domains (erectile function, ejaculatory function, and sexual satisfaction) compared to medical therapy. Our findings challenge the idea that medical therapy is the most conservative minimally invasive BPH treatment and demonstrate that PUL is a suitable treatment for BPH patients who wish to preserve and possibly improve sexual function.