Dr Milind Bapat | Urologist | Kidney Doctor | Kidney Treatment | Kidney Specialist | Andrologist | Pune The effects of smoking on urologic health can range from increased risk of erectile dysfunction (ED) to increased risk of lower sperm quality, decreased sperm motility, abnormal sperm morphology, and increased risk of bladder cancer. Erectile dysfunction is a condition in which men are unable to get or maintain enough of an erection to have sexual intercourse. Smoking is a risk factor for erectile dysfunction. Lower sperm quality: Smoking can have a negative impact on sperm quality. Decreased sperm motility: Smoking can have negative effects on sperm motility. Increased risk of bladder cancer: Tobacco smoke contains chemicals that enter your bloodstream and are excreted into your urine. Smoking can increase the risk of developing bladder cancer. Decreased kidney cancer risk: Smoking can increase your risk of developing kidney cancer. Lower urinary tract symptoms: LUTS (lower urinary tract symptoms) can be worsened by smoking