Hypogonadism
Hypogonadism is a clinical syndrome, which results from the failure of the testes to produce physiologic levels of testosterone and a normal number of spermatozoa due to defects at one…
Physiology of the Hypothalamic Pituitary Gonadal Axis in the Male
Key points • Testosterone synthesis and male fertility are controlled by a negative feedback mechanism between the hypothalamus, the pituitary, and the testis. • Congenital or acquired conditions leading to…
Hypogonadism
Joseph P. Alukal, MD, Editor Hypogonadism (testosterone deficiency) is a prevalent condition that has become increasingly controversial. Recent studies raise the question of whether or not testosterone replacement is overprescribed…
Hypogonadism
Samir S. Taneja, MD, Consulting Editor My interest in Urology was originally sparked by the relationship of testosterone to prostate cancer. As a medical student interested in everything and nothing,…
Testosterone and the Prostate
Despite a lack of evidence, there have been stated concerns that testosterone replacement therapy (TRT) can pose a risk to men suffering with lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia…
Sexual Side Effects of Medical and Surgical Benign Prostatic Hyperplasia Treatments
Treatments for lower urinary tract symptoms due to benign prostatic hyperplasia can be evaluated by multiple metrics. A balance within the confines of patient expectations is key to determining the…
Robotic-Assisted Simple Prostatectomy
Despite widespread use of medical therapy for benign prostatic hyperplasia, a need remains for robust surgical therapy in select patients. Robotic-assisted simple prostatectomy (RASP) is an efficacious and safe therapy…
Bipolar, Monopolar, Photovaporization of the Prostate, or Holmium Laser Enucleation of the Prostate
Endoscopic management of benign prostatic obstruction is based on resection, vaporization, or enucleation. Enucleation provides the best efficacy and long-term outcome. Lasers have advantages in patients at high risk of…
Convective Water Vapor Energy for Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia
Benign prostatic hyperplasia (BPH) refers to proliferation of smooth muscle and epithelial cells within the transition zone of the prostate. Half of men over 40 develop histologic BPH. About half…
Prostatic Urethral Lift
The prostatic urethral lift (PUL) is a unique, nonthermal approach to treating lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). It can be conducted under local anesthesia…
