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Enhanced recovery after surgery in transurethral surgery for benign prostatic hyperplasia

Asian Journal of Andrology 2023年第3期25卷 356-360页

作者： Jing Zhou Zhu-Feng Peng Pan Song Lu-Chen Yang Zheng-Huan Liu Shuai-Ke Shi Lin-Chun Wang Jun-Hao Chen Liang-Ren Liu Qiang Dong Department of Urology/Institute of Urology West China HospitalSichuan UniversityChengdu 610041China West China School of Medicine Sichuan UniversityChengdu 610000ChinaJing ZhouThese author

Enhanced recovery after surgery(ERAS)measures have not been systematically applied in transurethral surgery for benign prostatic hyperplasia(BPH).This study was performed on patients with BPH who required surgical *** July 2019 to June 2020,the ERAS program was applied to 248 patients,and the conventional program was applied to 238 *** 1 year of follow-up,the differences between the ERAS group and the conventional group were *** ERAS group had a shorter time of urinary catheterization compared with the conventional group(mean±standard deviation[s.d.]:1.0±0.4 days vs 2.7±0.8 days,P<0.01),and the pain(mean±s.d.)was significantly reduced through postoperative hospitalization days(PODs)0-2(POD 0:1.7±0.8 vs 2.4±1.0,P<0.01;POD 1:1.6±0.9 vs 3.5±1.3,P<0.01;POD 2:1.2±0.7 vs 3.0±1.3,P<0.01).No statistically significant difference was found in the rate of postoperative complications,such as postoperative bleeding(P=0.79),urinary retention(P=0.40),fever(P=0.55),and readmission(P=0.71).The hospitalization cost of the ERAS group was similar to that of the conventional group(mean±s.d.:16927.8±5808.1 Chinese Yuan[CNY]vs 17044.1±5830.7 CNY,P=0.85).The International Prostate Symptom Scores(IPSS)and quality of life(QoL)scores in the two groups were also similar when compared at 1 month,3 months,6 months,and 12 months after *** ERAS program we conducted was safe,repeatable,and *** conclusion,patients undergoing the ERAS program experienced less postoperative stress than those undergoing the conventional program.

关键词： aging male benign prostatic hyperplasia enhanced recovery after surgery prostate transurethral surgery

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Hormonal replacement therapy and aging: Asian practical recommendations on testosterone supplementation

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Asian Journal of Andrology 2003年第4期5卷 339-344页

作者： Young Chan Kim Yonsei University College of Medicine Korean Sexual and Men's Health Center 135-911 Seoul Korea

Profound and diffuse alterations in the production of gonadal and adrenal androgens as well as growth hormone are associated with aging. To convey this concept more appropriately, partial endocrine deficiency in the aging male (PEDAM) was introduced as a term for the phenomenon of hormonal alterations in the aging male. Hormones responsible for some of the manifestations associated with male aging are testosterone, growth hormone, dehydroepiansdrosterone (DHEA), melatonin, thyroid hormones and leptin. Of these, testosterone has been widely investigated and its beneficial and adverse effects on male bodily systems are relatively well established. However, a serious body of confusion and misunderstandings surrounding the diagnosis, treatment and monitoring of men suspected of having androgen deficiency has been raised. Therefore, it is timely to provide practical criteria for diagnosis and treatment to avoid misconception about the use of testosterone in the aging male. To provide an understanding and information of the issues, the following headings are summarized: (1) Important clinical consideration on testosterone supplementation in the aging male; (2) Asian practical recommendations on testosterone supplementation in the aging male.

关键词： hormone alteration recommendation testosterone supplementation aging male

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The effects of advanced paternal age on fertility

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Asian Journal of Andrology 2013年第6期15卷 723-728,I0005页

作者： Jason R Kovac Josephine Addai Ryan P Smith Robert M Coward Dolores J Lamb Larry I Lipshultz Scott Department of Urology Department of Molecular and Cellular Biology The Center for Reproductive Medicine Baylor College of Medicine Houston TX 77030 USA

Modern societal pressures and expectations over the past several decades have resulted in the tendency for couples to delay conception. While women experience a notable decrease in oocyte production in their late thirties, the effect of age on spermatogenesis is less well described. While there are no known limits to the age at which men can father children, the effects of advanced paternal age are incompletely understood. This review summarizes the current state of knowledge regarding advanced paternal age and its implications on semen quality, reproductive success and offspring health. This review will serve as a guide to physicians in counseling men about the decision to delay paternity and the risks involved with conception later in life.

关键词： aging male fertility outcomes male infertility paternal age

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Profile of men＇s health in Malaysia： problems and ：hallenges

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Asian Journal of Andrology 2011年第4期13卷 526-533页

作者： Seng Fah Tong Wah Yun Low Chirk Jenn Ng Department of Family Medicine Universiti Kebangsaan Malaysia Kuala Lumpur 56000 Malaysia PhD candidate University of Sydney Sydney NSW 2006 Australia Medica Education and Research Development Unit （MERDU） Faculty of Medicine University of Malaya Kuala Lumpur 50603 Malaysia Department of Primary Care Medicine Faculty of Medicine University of Malaya Kuala Lumpur 50603 Malaysia

Men＇s health concerns have evolved from the traditional andrology and male sexual health to a more holistic approach that encompasses male psychological, social and physical health. The poor state of health in men compared to their female counterparts is well documented. A review of the epidemiological data from Malaysia noted a similar trend in which men die at higher rates in under 1 and above 15 years old groups and most disease categories compared to women. In Malaysia, the main causes of death in men are non-communicable diseases and injuries. Risk factors, such as risk-taking behaviour, smoking and hypertension, are prevalent and amenable to early interventions. Erectile dysfunction, premature ejaculation and prostate disorders are also prevalent. However, many of these morbidities go unreported and are not diagnosed early; therefore, opportunities for early intervention are missed. This reflects poor health knowledge and inadequate health-care utilisation among Malaysian men. Their health-seeking behaviour has been shown to be strongly influenced by family members and friends. However, more research is needed to identify men＇s unmet health-care needs and to develop optimal strategies for addressing them. Because the Malaysian population is aging and there is an increase in sedentary lifestyles, optimizing men＇s health will remain a challenge unless effective measures are implemented. The existing male-unfriendly health-care system and the negative influence of masculinity on men＇s health behaviour must be addressed. A national men＇s health policy based on a male-friendly approach to health-care delivery is urgently needed to provide a framework for addressing these challenges.

关键词： aging male cause of death epidemiology health promotion Malaysia men's health non-communicable diseases risk factors

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Erectile dysfunction as a predictor of asymptomatic coronary artery disease in elderly men with type 2 diabetes

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Journal of Geriatric Cardiology 2016年第6期13卷 552-556页

作者： Carmine Gazzaruso Adriana Coppola Arturo Pujia Colomba Falcone Silvia Collaviti Mariangela Fodaro Pietro Gallotti Sebastiano B Solerte Andrea Giustina Gabriele Pelissero Livio Luzi Tiziana Montalcini Internal medicine diabetes endocrine-metabolic diseases Unit and the Centre for Applied Clinical Research (Ce.R.CA.) Clinical Institute 'Beato Matteo Vigevano Italy Department of Clinical and Experimental Medicine University of Catanzaro Catanzaro Italy Cardiology Unit Clinical Institute 'Citta di Pavia ' University of Pavia Pavia Italy Department of lnternal Medicine University of Pavia Pavia Italy Department of Medical and Surgical Sciences University of Brescia Brescia Italy IRCCS Policlinico San Donato and University of Pavia Pavia Italy IRCCS Policlinico San Donato and University of Milan Milan Italy

1 Introduction Erectile dysfunction （ED） and coronary artery disease （CAD） are closely linked, as both conditions share the same cardiovascular risk factors. Indeed, these risk factors can determine endothelial dysfunction that represents the common underlying mechanism of both ED and CAD. The prevalence of ED is about three-fold higher among diabetic patients than in the general population and a higher prevalence of CAD has been observed in people with diabetes when compared to non-diabetic *** studies showed that ED can be a powerful marker of silent CAD and a strong predictor of cardiovascular events in apparently uncomplicated type 2 diabetic patients Therefore ED is now considered as a sentinel symptom of silent CAD, as ED often precedes the onset of myocardial ischemia itself by many years.

关键词： aging male Diabetes mellitus Erectile dysfunction Silent coronary artery disease

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Observation on lower urinary tract symptoms and erectile dysfunction in Chinese middle-aged men

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Asian Journal of Andrology 2004年第4期6卷 342-342页

作者： JingLeng Xu-YuanHuang Xian-ShengZhang Yi-RanHuang DepartmentofUrology AffiliatedRenjiHospitalofShanghaiSecondMedicalUniversityShanghai200001China

Aim: To observe the incidence of lower urinary tract symptoms (LUTS) and erectile dysfunction (ED) in Chinese middle-aged men in Shanghai. Methods: In annual medical physical examination, 681 Chinese men over 50 years old were evaluated. Each men completed an International Prostate Symptoms Score (IPSS), Quality of Life Assessment (QoL) and International Index for Erectile Funtion (IIEF-5). Results: The incidence of moderate-severe LUTS (IPSS ≥ 8) in the age group 50 - 59, 60 - 69 and above 70 was 19.1 %, 30.3 % and 36.8 % respectively, while the ED incidence was 82.5 %, 88.0 % and 96.6 % respectively. The ED incidence in the mild (IPSS: 0-7), moderate (IPSS: 8-19) and severe LUTS (IPSS:20-35) groups were 71.8 %, 92.4 % and 96.4 % respectively. Conclusion: The incidence of LUTS and ED in Chinese middle-aged men is high and there is a significant correlation between the LUTS severity and the incidence of ED.

关键词： LUTS ED aging male

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