BPH (Benign Prostatic Hyperplasia) and ED (Erectile Dysfunction) are two separate medical conditions that can affect the male reproductive system. Although they are distinct conditions, they can sometimes be interrelated and occur simultaneously in some individuals. Another condition that may cause ED is prostatitis, an inflammation of the prostate gland. Shockwave therapy for ED, including ED related to BPH and prostatitis is an advanced treatment option. When you see our erectile dysfunction doctor at ReBalance, we treat you holistically, assessing your general health and all possible factors that could cause ED.

Benign Prostatic Hyperplasia (BPH)

Benign Prostatic Hyperplasia, also known as prostate gland enlargement, is a common condition among aging men. It involves the non-cancerous growth of the prostate gland, which surrounds the urethra—the tube responsible for carrying urine from the bladder out through the penis.

As the prostate gland enlarges, it can squeeze the urethra, causing a variety of urinary symptoms. These may include:

  1. Increased frequency of urination
  2. Urgency to urinate
  3. Weak urine flow
  4. Incomplete bladder emptying
  5. Nocturia (frequent urination at night)
  6. Difficulty starting and stopping urination
  7. Urinary retention (in severe cases)

BPH is a result of hormonal changes in the aging male body, specifically involving the hormone dihydrotestosterone (DHT). Although BPH is non-cancerous and unrelated to prostate cancer, it can significantly impact a person’s quality of life by affecting urinary function.

Erectile Dysfunction (ED)

Erectile Dysfunction refers to the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It is a prevalent condition that can affect men of all ages, although its prevalence increases with age. ED can have various causes, including:

  1. Physical factors: Conditions such as diabetes, heart disease, high blood pressure, obesity, hormonal imbalances, and neurological disorders can contribute to ED.
  2. Psychological factors: Stress, anxiety, depression, relationship issues, and performance anxiety can contribute to ED.
  3. Lifestyle factors: Smoking, excessive alcohol consumption, drug abuse, and a sedentary lifestyle can increase the risk of developing ED.

ED can have a profound impact on a person’s self-esteem, relationships, and overall well-being. It is important to note that occasional difficulty achieving or maintaining an erection is not necessarily indicative of ED. The condition typically requires a persistent or recurrent pattern of difficulty.

Relationship between BPH and ED

BPH and ED are separate conditions, but they can coexist in some individuals due to shared risk factors and physiological mechanisms. The relationship between BPH and ED can be multifaceted:

Shared risk factors: Both BPH and ED share common risk factors such as age, obesity, diabetes, and cardiovascular disease. These risk factors can contribute to the development of both conditions.

Medications: Some medications used to treat BPH, such as alpha-blockers (e.g., tamsulosin), can have side effects that may impact erectile function. These medications can cause relaxation of smooth muscle in the prostate and bladder neck, but they can also affect blood flow to the penis, potentially contributing to ED.

Psychological factors: Both BPH and ED can have a psychological impact on an individual. The urinary symptoms associated with BPH can cause anxiety and distress, which may indirectly contribute to the development or exacerbation of ED.

Shared physiological factors: The exact mechanisms underlying the relationship between BPH and ED are not fully understood. However, it is believed that changes in hormonal levels, specifically involving testosterone and DHT, may play a role in both conditions.

Having BPH does not necessarily mean that an individual will develop ED, and vice versa. However, if an individual experiences symptoms of BPH or ED, it is essential to seek medical advice from a healthcare professional. Treatment options are available for both conditions, ranging from lifestyle


Prostatitis, inflammation of the prostate gland, is a painful and stressful condition affecting men of all ages. Prostatitis may manifest itself in many different forms; acute bacterial prostatitis, chronic bacterial prostatitis, chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), and asymptomatic inflammatory prostatitis are just some of the various forms it takes.

Prostatitis and ED

Let’s examine the relationship between prostatitis and erectile dysfunction (ED).

  • Physical Factors: Prostatitis can cause physical discomfort in the pelvic region. This pain can lead to anxiety, stress and tension which in turn affect sexual function and increase chances of ED.
  • Inflammation and Nerve Function: Prostatitis-related inflammation can disrupt nerves and blood vessels in the pelvic area, disrupting their normal function and possibly leading to difficulty with obtaining or maintaining erections.
  • Psychological Aspects: Coping with chronic conditions like prostatitis can have lasting psychological repercussions. The pain, discomfort, and frustration experienced can cause anxiety, depression and decreased sexual desire – factors which may contribute to Erectile Dysfunction (ED).
  • Medications and Treatments: Certain antibiotics used to treat prostatitis may have side effects that affect sexual function temporarily.

Not all individuals with prostatitis experience erectile dysfunction (ED). The severity and frequency of any issues related to prostatitis vary among people; some individuals may experience no issues related to erectile function at all. But for those experiencing any problems in conjunction with prostatitis symptoms and experiencing ED symptoms, it’s essential they seek professional medical advice immediately.

How Shockwave Therapy Can Help BPH-related and Prostatitis-related ED

Shockwave therapy has proven its worth as an effective means of improving erectile function for people experiencing ED. Although not directly targeting BPH, shockwave therapy can indirectly benefit individuals suffering from it by improving overall erectile function and increasing overall erectile performance. Allow me to break it down for you:

Shockwave therapy increases blood flow by stimulating new blood vessel formation within the penis, increasing circulation. Increased circulation makes erections easier to achieve and maintain.

Tissue Rejuvenation: This therapy unleashes growth factors to induce new cell production within the penis and rejuvenate and regenerate its tissue, potentially leading to improved erectile function.

Nerve Stimulation: Shockwaves may stimulate nerve regeneration and promote the release of growth factors, helping improve nerve function and penile sensation while making the entire erectile process more responsive.

Reducing Penile Fibrosis: When BPH causes erectile dysfunction (ED), its side effects can include penile fibrosis. Shockwave therapy has been shown to be effective at reducing fibrous tissue within the penis and encouraging healthier tissue, potentially aiding with improving ED issues.

If you are seeking shockwave therapy to treat erectile dysfunction or have concerns related to BPH or Prostatitis, consult with a ReBalance erectile dysfunction doctor, who will evaluate your situation, and discuss shockwave treatment as a possible option for your specific situation. Call us at 212-380-1764 to book a free consultation. We offer experience, knowledge, and advanced treatment options.

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