Abstract
This white paper advances the hypothesis that age- and lifestyle-associated lymphatic stagnation within the pelvic basin is an upstream contributor to erectile dysfunction, prostatitis-like syndromes, and lower urinary tract symptoms. It presents a cranio-caudal congestion model in which declining lymphatic contractility, interstitial stagnation, vascular dysfunction, and tissue remodeling reinforce one another across the male pelvic floor.

