Hellstrom Wayne J G
Section of Andrology and Male Infertility, Department of Urology, Tulane University Health Sciences Center, 1430 Tulane Ave, SL-42, New Orleans, LA 70112, USA.
J Am Osteopath Assoc. 2004 Feb;104(2 Suppl 2):S5-10.
Erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) are a significant problem for a large proportion of men in the United States. Lower urinary tract symptoms (LUTS), which are often caused by BPH, and ED are common in the aging male population. From numerous epidemiologic studies, it is well known that the prevalence of BPH and the loss of erectile function increase with advancing age. Men with LUTS have sexual dysfunction, including ejaculatory loss, painful ejaculation, and ED. Even though the pathogenic relationship between BPH and ED is not completely understood, a direct association between these two symptom complexes in aging men is now becoming evident. This presentation reviews the role of LUTS and ED in aging men and noninvasive and invasive treatment modalities for BPH.
勃起功能障碍（ED）和良性前列腺增生（BPH）是美国很大一部分男性面临的重大问题。下尿路症状（LUTS）通常由BPH引起，在老年男性人群中很常见，ED也是如此。从众多流行病学研究中可知，BPH的患病率和勃起功能丧失会随着年龄增长而增加。患有LUTS的男性存在性功能障碍，包括射精丧失、射精疼痛和ED。尽管BPH与ED之间的致病关系尚未完全明确，但这两种症状复合体在老年男性中的直接关联现在正变得明显。本报告回顾了LUTS和ED在老年男性中的作用以及BPH的非侵入性和侵入性治疗方式。
