No urologist has ever asked me how is your sex life, isn't that at least mildly related to prostate health, and never a mention of herbal alternatives?

Some do some dont. Some urologists will ask specifically about sex life, others feel that patient will bring it up if a problem. Feel free to discuss with your urologist. Herbals are waste of time and do not work in spite of commercial claims. None have undergone independent trials. Viagra and Levitra (vardenafil) are almost identical, Cialis is longer acting, also available in daily low dose form. Ejaculation good for prostate.