Aging Male

The impact of male genital self-image on depression, anxiety and sexual functions
Sonbahar AE
This study aims to examine the relationship between male genital self-perception and sexual functioning and depression anxieties.
The efficacy of platelet rich plasma in the treatment of erectile dysfunction: a systematic review and meta-analysis of randomized controlled trials
Mao Q, Yang Y, Liu Y, Liu H, Tang G, Wang X, Cui Y and Wu J
Erectile dysfunction (ED) is a common issue among males, and the use of platelet-rich plasma (PRP) therapy for treating ED has gained increasing attention, but there is still no conclusive evidence regarding its efficacy.
Age related semen parameters and ICSI pregnancy outcomes of 8046 men in Turkey over a 9-year period
Valizade K, Bayram H, Donmez Cakil Y, Selam B and Cincik M
The effect of paternal age on fertility remains unclear. This retrospective study aims to examine the impact of male age on semen parameters and the reproductive outcomes of men admitted to an infertility center over a 9-year period. A total of 8046 patients were included in the study. Men were divided into four age groups. The groups were evaluated for semen parameters and reproductive outcome. The 21-30 year group presented lower sperm concentrations in comparison to those aged 31-40 and 41-50, yet shared a similar concentration to those over 50 years of age. Moreover, grades A and B decreased significantly in men aged over 50 years. The highest progressive motility and normozoospermia were observed in the age group 31-40 years while men over 50 years of age had the highest rates of asthenozoospermia and oligoasthenozoospermia. Furthermore, live birth results were reported in 5583 of the patients who underwent intracytoplasmic sperm injection (ICSI) and were found highest between 31-40 years of age. To our knowledge, this is the largest study in Turkey focusing on male age-related semen parameters and ICSI pregnancy outcomes. The study demonstrates that age is a significant factor for semen quality and live birth.
Clinical practice of the transrectal shear-wave elastography in benign prostatic hyperplasia
Zhang X, Chen Z, You J, Lu Q, Liu L and Cai D
To investigate the practical value of the transrectal two-dimensional shear-wave elastography (SWE) in benign prostatic hyperplasia (BPH).
Anemia and testosterone deficiency risk: insights from NHANES data analysis and a Mendelian randomization analysis
Zheng Z, Pan J, Liu M, Chen Z, Zhang L, Gao J, Gao P and Zhang X
Previous research has shown that testosterone deficiency (TD) increases the risk of anemia, but it is unclear whether anemia affects testosterone levels. This study investigated the influence of anemia on testosterone levels.
Penile circumference in the Chinese population measured by Rigiscan
Zhang H, Tu X, Colonnello E, Wang C, Jannini EA and Zhang Y
: This study aimed to assess the penile circumference in its flaccid and erect states using a Rigiscan monitoring device and Audiovisual Sexual Stimulation (AVSS) within a large Chinese male cohort to establish an objective standard. : 1,134 men participated between January 2019 and June 2021. 803 men, achieving a hardness of 80% or more, were included. Circumferences of the penis' base and tip in its flaccid and erect states were documented, and averages were compared across age groups and Chinese regions. Age-related correlations were explored. : Flaccid penile base and tip averaged 7.25 ± 0.60 cm and 7.20 ± 0.71 cm. At 80% erection, they were 9.70 ± 0.65 cm and 9.65 ± 0.75 cm. The increase in circumference from flaccid to 80% erect for the base and tip was approximately 25.31% and 25.47%, respectively. Correlations between flaccid and erect states were significant (tip:  = 0.807, base:  = 0.828, both  < 0.01). No significant age or regional variations in penile circumference were found. : Our data on 803 subjects measured with Rigiscan showed that penile circumferences in flaccid and erect states show a strong correlation, in Chinese population. Penile size does not seem significantly influenced by age or region.
Needs assessment survey among healthcare professionals to implement the 4Ms framework: a cross-sectional study from Qatar
Al Hamad H, Valappil SA and Sathian B
Worldwide, the evidence-based 4Ms framework of the Age-Friendly Health System (AFHS) improves the experience of caring for older adults. This study aimed to examine healthcare professionals' perceptions, attitudes, and behaviors regarding the AFHS and 4Ms before they were implemented.
Impact of COVID-19 on the time to counseling and treatment of prostate cancer
Filipas DK, Pose RM, Marks P, Tennstedt P, Beyer B, Tilki D, Isbarn H, Maurer T, Ludwig TA, Heinzer H and Steuber T
This study investigates how the COVID-19 pandemic (CP) impacted the timeline between initial diagnosis (ID) of prostate carcinoma and subsequent therapy consultation (TC) or radical prostatectomy (RP) due to the implementation of a "minimal contact concept," which postponed clinical examinations until the day of admission.
Effectiveness of masturbation Premature ejaculation diagnostic tool in diagnosing premature ejaculation in men without vaginal intercourse over the past six months: an observational study
Zhu Z, Mao Z, Wang C, Chen X, Liu Z and Zhang Y
Premature ejaculation (PE) is a common concern for men and their partners, but current diagnostic tools mainly focus on men who have vaginal intercourse. The Masturbation Premature Ejaculation Diagnostic Tool (MPEDT) was created to address this gap, but its effectiveness for men who only engage in self-masturbation has not been studied. This research aimed to determine the frequency of self-reported PE patients who do not have vaginal intercourse and to evaluate the diagnostic accuracy of MPEDT for this group.
Health-related quality of life of patients with prostate cancer initiating GnRH agonist therapy: the PRISME study
Rozet F, Hennequin C, Mongiat-Artus P, Pello-Leprince-Ringuet N, Grandoulier AS and Roupret M
To compare the evolution of health-related quality of life (HRQoL) over 6 months of GnRH agonist (GnRHa) therapy among age groups for patients with prostate cancer (PCa).
Is there an association between daylight hours and serum testosterone levels in men?
Livingston M, Heald A, Hackett G, Ramachandran H and Ramachandran S
Studies assessing variability of serum testosterone levels associated with seasonal environmental factors have been contradictory.
Bidirectional influence between benign prostatic hyperplasia, prostate cancer, and prostatitis and mental disorders: two-sample and multivariate mendelian randomization analyses
Chen X, Ren C, Wang Q and Liu X
We aimed to use Mendelian randomization (MR) to determine the causality between fifteen major mental disorders (MDs) and benign prostatic hyperplasia (BPH), prostate cancer (PCa), and prostatitis.
Age-specific testosterone thresholds: reconsidering diagnostic criteria for hypogonadism across generations of Vietnamese men
Nguyen Hoai B, Do Truong T, Nguyen Cao T, Pham Minh Q and Nguyen Bui Duy V
The definition and diagnosis of functional hypogonadism (FH) remains challenging due to the nonspecific nature of symptoms and the inconsistency in normal testosterone thresholds. We conducted this single-center cross-sectional study on medical records of men aged 18 and above undergoing annual health check-ups to evaluate the correlation of age and metabolic components with testosterone. A total of 5,374 healthy men were included in the analysis. Total testosterone levels peaked at 18 years and gradually declined to age 40, followed by a mild increase. Based on the American Urology Association guideline, age-specific cutoffs for low testosterone were 14.61 nmol/l, 12.74 nmol/l, 12.70 nmol/l, and 13.98 nmol/l for those under 30, 30-40, 40-50, and over 50 years old respectively. Triglyceride - Glucose index showed a consistent negative correlation with testosterone across all age groups. In conclusion, testosterone levels demonstrated an age-related decline in early adulthood but a potential increase thereafter among healthy Vietnamese men. Metabolic components, rather than aging, had a consistent negative correlation with testosterone. Age-specific cutoffs for low testosterone may improve the detection of functional hypogonadism.
Vascular health of fathers with history of intracytoplasmic sperm injection
Li P, Langer M, Vilsmaier T, Kramer M, Sciuk F, Kolbinger B, Jakob A, Rogenhofer N, Dalla-Pozza R, Thaler C, Haas NA and Oberhoffer FS
Studies suggest that men who undergo assisted reproductive technologies (ART) may have a higher risk of cardiovascular disease; however, limited data on this matter is available. This observational pilot study aimed to investigate the overall vascular health of fathers with history of intracytoplasmic sperm injection (ICSI) compared to fathers whose partners conceived spontaneously.
Testosterone and resistance training improved physical performance and reduced fatigue in frail older men: 1 year follow-up of a randomized clinical trial
Rasmussen RS, Midttun M, Zerahn B, Pedersen M, Rashid A, Østergren PB, Paulin TK, Pødenphanth TW, Karlsson LK, Rosendahl E, Ragle AM, Vinther A and Overgaard K
To improve health conditions among hypogonadal men ≥70 years of age using testosterone undecanoate (TU) injections, progressive strength training, and oral supplements of vitamin D, calcium, and protein.
Testosterone therapy over 60 months improves aging male symptoms scores in all men with adult-onset testosterone deficiency
Haider KS, Zitzmann M, Ramachandran P, König CS, Hackett G, Haider A, Saad F, Desnerck P, Strange R, Mann A and Ramachandran S
We evaluated change (Δ) in AMSS in men with adult-onset testosterone deficiency (TD) on/not on testosterone undecanoate (TU) by analysing a registry of men with adult-onset TD.
Prostate-specific antigen, androgen, progesterone and oestrogen receptors in Benign prostatic hyperplasia: human tissues and animal model study
Wang H, Liu C, Dong Z, Chen X and Zhang P
Direct evidence for the relationship between a large prostate (≥80 ml) and androgen receptor/PSA signal remains lacking in benign prostatic hyperplasia (BPH). Our aim is to identify whether the cause of a large prostate is related to progesterone receptor (PGR) androgen receptor (AR), oestrogen receptor α, β (ERα,β) and prostate-specific antigen (PSA).
Evolving horizons in renal angiomyolipoma: two decades of management strategies and clinical perspectives in a single institutional study
Keles A, Iplikci A, Arikan O, Culpan M, Baydili KN, Keser F and Yildirim A
To assess various management options for renal angiomyolipoma (AML) to guide clinical practice.
Factors associated with concomitant prostate cancer in benign prostatic hyperplasia patients aged 60 years and above
Wu M, Zheng K, Cao Y, Yin Q, Hu Y, Ren Q, Zhu H, Lan X and Zhu W
Prostate hyperplasia and cancer are more prevalent in middle-aged and elderly men. Previous studies have linked both disorders to androgen receptors. Herein, efforts were made to identify factors associated with prostate cancer in patients ≥60 years, aiming to enhance their health management.
Associations between organic erectile dysfunction and the risk of herpes zoster and postherpetic neuralgia in men
Wang KH, Hsieh WC, Lin HJ, Tsai FJ and Hsu CY
Whether erectile dysfunction (ED) leads to considerable stress for affected men remains unclear? In this study, we investigated whether organic ED (OED) is associated with increased risks of herpes zoster (HZ) and postherpetic neuralgia (PHN).
Assessment of sestrin 2 as a sepsis marker and predictor of disease severity
Baspınar O, Kocer D, Aydın K and Dizdar OS
Sestrin 2 is considered a stress-inducible antioxidant protein. This study was aimed to evaluate sestrin 2 in subjects with sepsis, and its correlation with clinical severity and mortality.