E d i t ö r ’ e M e k t u p L e t t e r s t o E d i t o r Alt Üriner Sistem Semptomlarının Medikal Tedavisi / Medical Treatment of Lower Urinary Tract Symptoms Yiğit Akın 1 , Tümay İpekçi 2 , Mustafa Burak Hoşcan 2 1 Harran University, Faculty of Medicine, Department of Urology, Sanliurfa, 2 Başkent University, Faculty of Medicine, Department of Urology, Alanya Practice and Research Center, Alanya, Turkey Does Medical Treatment of Lower Urinary Tract Symptoms Really Contribute Sexual Functions in Men? Alt Üriner Sistem Semptomlarının Medikal Tedavisi Gerçekten Erkeklerde Cinsel İşlevlere Katkıda mı? DOI: 10.4328/JCAM.2440 Received: 26.03.2014 Accepted: 26.03.2014 Printed: 01.09.2015 Corresponding Author: Mustafa Burak Hoşcan, Baskent University Alanya Research and Practice Center, Department of Urology Alanya, Antalya, Turkey. GSM: +905324364855 F.: +90 2425115563 E-Mail: drburakhoscan@yahoo.com To the editor: Tunckiran reported the effects of lower urinary tract symptoms on sexual dysfunction [1]. In our opinion, author pointed an in- teresting subject. However, he mentioned that some of treatment options in LUTS can provide sexual well-being. At this point, we would like to affix contemporary medical treatment options of LUTS due to benign prostate hyperplasia (BPH). The dutasteride and finasteride as 5-alpha-reductase inhibitors are widely used for medical treatment, in BPH [2,3]. These medical treatments provide to increase urinary flow rate and to decrease in prostate volume in terms of regular daily usage during 6 months. However, they may delay surgery, they cause erectile dysfunction (ED) and decreased libido [2]. On the other hand, patients have LUTS due to BPH and with erectile dysfunction, can be benefitted from daily usage of tadalafil [4]. Never- theless, clinical evaluation is essential for usage of these drugs. Clinicians may prefer 5-alpha-reductase inhibitors in BPH patients without ED, or they may prefer tadalafil for BPH patients with ED. The combination of these drugs with alpha blockers separately may be come into question. We agree with Tunckiran in terms of treatment of LUTS due to BPH may increase quality of life [1]. References 1. Tunckiran MA. Do lower urinary tract symptoms suggestive of benign prostatic hyperplasia affect sexual functions? J Clin Anal Med 2014;5(5):397-400. 2. Atılgan D, Yasar A, Erdemir F, Parlaktas BS, Uluocak N, Fırat F. Comparison the efficacy of four different alpha blockers in the treatment of benign prostatic hyperplasia. J Clin Anal Med 2011;2(2):27-31. 3. Oelke M, Bachmann A, Descazeaud A, Emberton M, Gravas S, Michel MC et al. EAU guidelines on the treatment and follow-up of non-neurogenic male lower urinary tract symptoms including benign prostatic obstruction. Eur Urol 2013;64(1):118-40. 4. Park HJ, Won JE, Sorsaburu S, Rivera PD, Lee SW. Urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) and LUTS/BPH with erectile dysfunction in asian men: A systematic review focusing on tadalafil. World J Mens Health 2013;31(3):193-207. How to cite this article: Akın Y, İpekçi T, Hoşcan MB. Does Medical Treatment of Lower Urinary Tract Symptoms Really Contribute Sexual Functions in Men? J Clin Anal Med 2015; DOI: 10.4328/JCAM.2440.