The majority of men over 50 years old have some degree of urinary symptoms due to an enlarge prostate. Both medications and surgery for the treatment of these symptoms can have side effects, including sexual side effects such as erectile dysfunction and loss of ejaculation. There is a misconception that as men age they no longer worry about the sexual side effects. However, a recent survey clearly showed that nearly 2/3rds of men over 70 still consider sexual function to be an important consideration when choosing treatment. Discussing this sexual side effects is of utmost importance when throughly counseling a patient. In these patients UroLift should certainly be discussed as it has demonstrated minimal effects on both ejaculation and erectile function.