Testosterone replacement therapy and voiding dysfunction

被引:21
作者
Baas, Wesley [1 ]
Koehler, Tobias S. [1 ]
机构
[1] Southern Illinois Univ, Sch Med, Div Urol, Springfield, IL 62702 USA
关键词
Benign prostatic hyperplasia (BPH); lower urinary tract symptoms (LUTS); testosterone replacement therapy (TRT); hypogonadism; BENIGN PROSTATIC HYPERPLASIA; LOWER URINARY-TRACT; QUALITY-OF-LIFE; LATE-ONSET HYPOGONADISM; RANDOMIZED CONTROLLED-TRIAL; HEALTHY-YOUNG MEN; OLDER MEN; ERECTILE DYSFUNCTION; SERUM TESTOSTERONE; METABOLIC SYNDROME;
D O I
10.21037/tau.2016.08.11
中图分类号
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
摘要
Testosterone replacement therapy (TRT) represents an increasing popular treatment option for men with late-onset hypogonadism (LOH). Because of unsubstantiated beliefs of testosterone's effect on the prostate, the FDA has recently placed a warning on testosterone products, stating that TRT may worsen benign prostatic hyperplasia (BPH). Within this review article we have demonstrated the current understanding of the physiology of testosterone and its relationship with prostatic and lower urinary tract physiology. The current evidence suggests that not only does TRT not worsen lower urinary tract symptoms (LUTS), but that hypogonadism itself is an important risk factor for LUTS/BPH.
引用
收藏
页码:890 / 897
页数:8
相关论文
共 75 条
[1]   Quality of life in patients with lower urinary tract symptoms associated with BPH: change over time in real-life practice according to treatment-the QUALIPROST study [J].
Alcaraz, Antonio ;
Carballido-Rodriguez, Joaquin ;
Unda-Urzaiz, Miguel ;
Medina-Lopez, Rafael ;
Ruiz-Cerda, Jose L. ;
Rodriguez-Rubio, Federico ;
Garcia-Rojo, Dario ;
Brenes-Bermudez, Francisco J. ;
Cozar-Olmo, Jose M. ;
Baena-Gonzalez, Victor ;
Manasanch, Jose .
INTERNATIONAL UROLOGY AND NEPHROLOGY, 2016, 48 (05) :645-656
[2]   The effects of testosterone on sleep and sleep-disordered breathing in men: Its bidirectional interaction with erectile function [J].
Andersen, Monica Levy ;
Tufik, Sergio .
SLEEP MEDICINE REVIEWS, 2008, 12 (05) :365-379
[3]   Prevalence and incidence of androgen deficiency in middle-aged and older men: Estimates from the Massachusetts Male Aging Study [J].
Araujo, AB ;
O'Donnell, AB ;
Brambilla, DJ ;
Simpson, WB ;
Longcope, C ;
Matsumoto, AM ;
McKinlay, JB .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (12) :5920-5926
[4]   Endogenous Testosterone and Mortality in Men: A Systematic Review and Meta-Analysis [J].
Araujo, Andre B. ;
Dixon, Julia M. ;
Suarez, Elizabeth A. ;
Murad, M. Hassan ;
Guey, Lin T. ;
Wittert, Gary A. .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2011, 96 (10) :3007-3019
[5]   Testosterone Replacement Therapy and BPH/LUTS. What is the Evidence? [J].
Baas, Wesley ;
Koehler, Tobias S. .
CURRENT UROLOGY REPORTS, 2016, 17 (06)
[6]   RELATIONSHIP OF SYMPTOMS OF PROSTATISM TO COMMONLY USED PHYSIOLOGICAL AND ANATOMICAL MEASURES OF THE SEVERITY OF BENIGN PROSTATIC HYPERPLASIA [J].
BARRY, MJ ;
COCKETT, ATK ;
HOLTGREWE, HL ;
MCCONNELL, JD ;
SIHELNIK, SA ;
WINFIELD, HN .
JOURNAL OF UROLOGY, 1993, 150 (02) :351-358
[7]   Older men are as responsive as young men to the anabolic effects of graded doses of testosterone on the skeletal muscle [J].
Bhasin, S ;
Woodhouse, L ;
Casaburi, R ;
Singh, AB ;
Mac, RP ;
Lee, M ;
Yarasheski, KE ;
Sinha-Hikim, I ;
Dzekov, C ;
Dzekov, J ;
Magliano, L ;
Storer, TW .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2005, 90 (02) :678-688
[8]   Testosterone dose-response relationships in healthy young men [J].
Bhasin, S ;
Woodhouse, L ;
Casaburi, R ;
Singh, AB ;
Bhasin, D ;
Berman, N ;
Chen, XH ;
Yarasheski, KE ;
Magliano, L ;
Dzekov, C ;
Dzekov, J ;
Bross, R ;
Phillips, J ;
Sinha-Hikim, I ;
Shen, RQ ;
Storer, TW .
AMERICAN JOURNAL OF PHYSIOLOGY-ENDOCRINOLOGY AND METABOLISM, 2001, 281 (06) :E1172-E1181
[9]  
Bloch W, 1997, PROSTATE, V33, P1
[10]  
Blute M, 2009, FRONT HORM RES, V37, P108, DOI 10.1159/000176048