Difficulties with urination become more and more common over age 50. Often the cause is the noncancerous enlargement of the prostate gland, or benign prostatic hyperplasia (BPH). Some men have both BPH and erectile dysfunction (ED). The ED drug tadalafil is approved for use in men with both ED and BPH, but its use for urinary symptoms is less well established than standard medications. Tadalafil is not the best starting medication for treating moderate to severe BPH. Use standard medications and take ED drugs as needed.
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