The prevalence of benign prostate hypertrophy (BPH) increases with age and is more common in men aged 50 years and above. Dr Ronny Tan, consultant urologist and director of andrology at Tan Tock Seng Hospital, Singapore, speaks on how GPs can best manage this condition.
Premature ejaculation (PE) is the most common sexual dysfunction in men, even more so than erectile dysfunction (ED), say experts in the field of men’s health. A survey which polled more than 3500 men and women from nine countries in the region reported that 1 in 3 men experience some form of PE.
Diabetes causes blindness. We have heard or seen this many times. It seems like everyone (doctors, nurses, pharmacists and patients) knows that diabetes causes blindness. Then why is it that there are so many diabetics still going blind? Knowing and not doing anything to prevent blindness is akin to not knowing at all. Pharmacists need to play their role in preventing their diabetic patients from going blind.
Premature ejaculation (PE) is the most common sexual dysfunction affecting men and yet not many in Asia have sought treatment or will even admit to having a problem. PE occurs when a man experiences orgasm and expels semen too quickly after sexual activity with minimal penile stimulation. [J Urol 2008; 179(suppl), 340, abstract 988]
Benign prostatic hyperplasia (BPH) is a progressive disorder, which is defined as the proliferation of stromal and epithelial cells within the prostatic area1. While BPH itself is not fatal, untreated BPH can potentially lead to complications like acute urinary retention (AUR) and the need for prostate-related surgical intervention2.
Urinary tract infections (UTI) are reported to be the most common reason for women to visit their healthcare professionals. The urinary tract, the body’s system that produces, stores and eliminates urine, is made up of the kidneys, ureters, bladder and urethra.
Erectile dysfunction (ED), previously and less precisely called impotence, is the most common sexual problem in men1,2. ED is defined as the “inability to achieve or maintain an erection sufficient for satisfactory sexual performance”3. A minimum period of three months of such inability is required to establish a definite diagnosis of ED, with the exception of known cases of trauma or surgically induced ED4,5. ED should be distinguished from other kinds of sexual dysfunctions such as loss of libido, premature ejaculation or anorgasmia, although some patients might also experience a combination of these disorders5. ED causes a significant impact on the quality of life, self-esteem, and mental wellbeing of men as well as on their interpersonal relationships6-8.
In patients with nocturnal urgency secondary to overactive bladder (OAB) and low nocturnal bladder capacity, a mismatch between nocturnal urine production and bladder capacity may predict response to treatment with fesoterodine, according to a study. Symptom improvement appears to be mediated by increases in typical rather than maximum nocturnal voided volumes and be associated with improved quality of life.
Older patients with overactive bladder (OAB) appear to have increased frailty compared with individuals seeking care for other nononcologic urologic diagnosis, with frailty being a significant predictor of OAB, a study has found.
The quantity of uric acid stones has significantly increased in recent decades, according to a recent study. There are proportionately more female calcium stone formers but not uric acid stone formers with time. Furthermore, the most prominent factor distinguishing uric acid from calcium stones is urinary pH.