Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-27T10:26:10.713Z Has data issue: false hasContentIssue false

Chapter 1 - How Has Men’s Health Changed over the Past Two Decades?

from Section 1 - An Introduction to Men’s Health Care

Published online by Cambridge University Press:  06 December 2023

By
Dyvon T. Walker ,
Sriram V. Eleswarapu  and
Amarnath Rambhatla
Edited by
Douglas T. Carrell ,
Alexander W. Pastuszak  and
James M. Hotaling
Douglas T. Carrell
Affiliation:
Utah Center for Reproductive Medicine
Alexander W. Pastuszak
Affiliation:
University of Utah
James M. Hotaling
Affiliation:
Utah Center for Reproductive Medicine
Get access

Summary

In this chapter, we will review how men’s health has evolved into a distinct subspecialty of medicine and changed over the past two decades. There exists a large disparity between men and women when it comes to health. However, as the drivers for men seeking health care are changing, the urologist is in a unique position to help quarterback men’s health initiatives. Men’s health advocacy and the creation of men’s health centers are on the rise. Areas of advancement in the field include prostate cancer diagnosis and treatment, erectile dysfunction therapies, surgical treatment for chronic testicular pain, and new approaches to male factor infertility. The burgeoning field of men’s health has seen many advancements in the past two decades and will continue to make significant gains in the years to come.

Keywords

men’s healthinfertilityreproductionerectile dysfunctionprostatetesticlevasectomyPDE5testosteronepenis prostheticTESEIVFICSI
Type
Chapter
Information
Men's Reproductive and Sexual Health Throughout the Lifespan
An Integrated Approach to Fertility, Sexual Function, and Vitality
 , pp. 1 - 7
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Griffith, DM. Biopsychosocial approaches to men’s health disparities research and policy. Behav Med. 2016;42(3):211–215. doi:10.1080/08964289.2016.1194158.Google Scholar
The World Bank. Life expectancy at birth, male (years). 2019. https://data.worldbank.org/indicator/SP.DYN.LE00.MA.IN. Accessed October 25, 2022.Google Scholar
Mortality GBD, Causes of Death Collaboration. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;385(9963):117–171. doi:10.1016/S0140-6736(14)61682-2.CrossRefGoogle Scholar
Vaidya, V, Partha, G, Karmakar, M. Gender differences in utilization of preventive care services in the United States. J Womens Health (Larchmt). 2012;21(2):140–145. doi:10.1089/jwh.2011.2876.Google Scholar
Kannel, WB, Hjortland, MC, McNamara, PM, Gordon, T. Menopause and risk of cardiovascular disease: the Framingham study. Ann Intern Med. 1976;85(4):447–452. doi:10.7326/0003-4819-85-4-447.CrossRefGoogle ScholarPubMed
Vitale, C, Fini, M, Speziale, G, Chierchia, S. Gender differences in the cardiovascular effects of sex hormones. Fundam Clin Pharmacol. 2010;24(6):675–685. doi:10.1111/j.1472-8206.2010.00817.x.Google Scholar
Yahia, N, Wang, D, Rapley, M, Dey, R. Assessment of weight status, dietary habits and beliefs, physical activity, and nutritional knowledge among university students. Perspect Public Health. 2016;136(4):231–244. doi:10.1177/1757913915609945.Google Scholar
Koopmans, GT, Lamers, LM. Gender and health care utilization: the role of mental distress and help-seeking propensity. Soc Sci Med. 2007;64(6):1216–1230. doi:10.1016/j.socscimed.2006.11.018.Google Scholar
Roth, MY, Amory, JK. Beyond the condom: frontiers in male contraception. Semin Reprod Med. 2016;34(3):183–190. doi:10.1055/s-0036-1571435.Google Scholar
Garrett, B, Gangopadhyaya, A. Who gained health insurance coverage under the ACA, and where do they live? 2016. www.urban.org/sites/default/files/publication/86761/2001041-who-gained-health-insurance-coverage-under-the-aca-and-where-do-they-live.pdf. Accessed October 19, 2022.Google Scholar
Houman, JJ, Eleswarapu, SV, Mills, JN. Current and future trends in men’s health clinics. Transl Androl Urol. 2020;9(Suppl 2):S116–S122. doi:10.21037/tau.2019.08.33.Google Scholar
Cacciamani, GE, Stern, MC, Medina, LG, Gill, K, Sotelo, R, Gill, IS. Cancer awareness crusades-pink ribbons and growing moustaches. Lancet Oncol. 2019;20(11):1491–1492. doi:10.1016/S1470-2045(19)30639-4.Google Scholar
Lowrance, WT, Eastham, JA, Savage, C, et al. Contemporary open and robotic radical prostatectomy practice patterns among urologists in the United States. J Urol. 2012;187(6):2087–2092. doi:10.1016/j.juro.2012.01.061.CrossRefGoogle ScholarPubMed
Catton, CN, Lukka, H, Martin, J. Prostate cancer radiotherapy: an evolving paradigm. J Clin Oncol. 2018;36(29):2909–2913. doi:10.1200/JCO.2018.79.3257.Google Scholar
Podder, TK, Fredman, ET, Ellis, RJ. Advances in radiotherapy for prostate cancer treatment. Adv Exp Med Biol. 2018;1096:31–47. doi:10.1007/978-3-319-99286-0_2.Google Scholar
Tan, WP, Levine, LA. What can we do for chronic scrotal content pain? World J Mens Health. 2017;35(3):146–155. doi:10.5534/wjmh.17047.Google Scholar
Calixte, N, Tojuola, B, Kartal, I, et al. Targeted robotic assisted microsurgical denervation of the spermatic cord for the treatment of chronic orchialgia or groin pain: a single center, large series review. J Urol. 2018;199(4):1015–1022. doi:10.1016/j.juro.2017.10.030.Google Scholar
Levine, LA. Microsurgical denervation of the spermatic cord. J Sex Med. 2008;5(3):526–529. doi:10.1111/j.1743-6109.2007.00762.x.Google Scholar
Levine, LA, Matkov, TG, Lubenow, TR. Microsurgical denervation of the spermatic cord: a surgical alternative in the treatment of chronic orchialgia. J Urol. 1996;155(3):1005–1007. doi:10.1016/s0022-5347(01)66369-9.Google Scholar
Tatem, A, Kovac, JR. Chronic scrotal pain and microsurgical spermatic cord denervation: tricks of the trade. Transl Androl Urol. 2017;6(Suppl 1):S30–S36. doi:10.21037/tau.2017.05.17.Google Scholar
Calixte, N, Brahmbhatt, J, Parekattil, S. Chronic testicular and groin pain: pathway to relief. Curr Urol Rep. 2017;18(10):83. doi:10.1007/s11934-017-0722-7.Google Scholar
Martin, AL, Huelin, R, Wilson, D, Foster, TS, Mould, JF. A systematic review assessing the economic impact of sildenafil citrate (Viagra) in the treatment of erectile dysfunction. J Sex Med. 2013;10(5):1389–1400. doi:10.1111/jsm.12068.Google Scholar
Duncan, C, Omran, GJ, Teh, J, Davis, NF, Bolton, DM, Lawrentschuk, N. Erectile dysfunction: a global review of intracavernosal injectables. World J Urol. 2019;37(6):1007–1014. doi:10.1007/s00345-019-02727-5.Google Scholar
Burnett, AL, Nehra, A, Breau, RH, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200(3):633–641. doi:10.1016/j.juro.2018.05.004.Google Scholar
Wespes, E, Amar, E, Hatzichristou, D, et al. EAU guidelines on erectile dysfunction: an update. Eur Urol. 2006;49(5):806–815. doi:10.1016/j.eururo.2006.01.028.CrossRefGoogle ScholarPubMed
Gurtner, K, Saltzman, A, Hebert, K, Laborde, E. Erectile dysfunction: a review of historical treatments with a focus on the development of the inflatable penile prosthesis. Am J Mens Health. 2017;11(3):479–486. doi:10.1177/1557988315596566.Google Scholar
Vardi, Y, Appel, B, Kilchevsky, A, Gruenwald, I. Does low intensity extracorporeal shock wave therapy have a physiological effect on erectile function? Short-term results of a randomized, double-blind, sham controlled study. J Urol. 2012;187(5):1769–1775. doi:10.1016/j.juro.2011.12.117.CrossRefGoogle ScholarPubMed
Fojecki, GL, Tiessen, S, Osther, PJ. Extracorporeal shock wave therapy (ESWT) in urology: a systematic review of outcome in Peyronie’s disease, erectile dysfunction and chronic pelvic pain. World J Urol. 2017;35(1):1–9. doi:10.1007/s00345-016-1834-2.CrossRefGoogle ScholarPubMed
Epifanova, MV, Gvasalia, BR, Durashov, MA, Artemenko, SA. Platelet-rich plasma therapy for male sexual dysfunction: myth or reality? Sex Med Rev. 2020;8(1):106–113. doi:10.1016/j.sxmr.2019.02.002.CrossRefGoogle ScholarPubMed
Matz, EL, Pearlman, AM, Terlecki, RP. Safety and feasibility of platelet rich fibrin matrix injections for treatment of common urologic conditions. Investig Clin Urol. 2018;59(1):61–65. doi:10.4111/icu.2018.59.1.61.Google Scholar
Musicki, B, Palese, MA, Crone, JK, Burnett, AL. Phosphorylated endothelial nitric oxide synthase mediates vascular endothelial growth factor-induced penile erection. Biol Reprod. 2004;70(2):282–289. doi:10.1095/biolreprod.103.021113.Google Scholar
Caplan, AI, Correa, D. The MSC: an injury drugstore. Cell Stem Cell. 2011;9(1):11–15. doi:10.1016/j.stem.2011.06.008.Google Scholar
Bahk, JY, Jung, JH, Han, H, Min, SK, Lee, YS. Treatment of diabetic impotence with umbilical cord blood stem cell intracavernosal transplant: preliminary report of 7 cases. Exp Clin Transplant. 2010;8(2):150–160.Google Scholar
Patel, VR, Samavedi, S, Bates, AS, et al. Dehydrated human amnion/chorion membrane allograft nerve wrap around the prostatic neurovascular bundle accelerates early return to continence and potency following robot-assisted radical prostatectomy: propensity score-matched analysis. Eur Urol. 2015;67(6):977–980. doi:10.1016/j.eururo.2015.01.012.Google Scholar
Liu, S, Li, F. Cryopreservation of single-sperm: where are we today? Reprod Biol Endocrinol. 2020;18(1):41. doi:10.1186/s12958-020-00607-x.Google Scholar
Dyer, S, Chambers, GM, de Mouzon, J, et al. International Committee for Monitoring Assisted Reproductive Technologies world report: Assisted Reproductive Technology 2008, 2009 and 2010. Hum Reprod. 2016;31(7):1588–1609. doi:10.1093/humrep/dew082.Google Scholar
Palermo, G, Joris, H, Devroey, P, Van Steirteghem, AC. Pregnancies after intracytoplasmic injection of single spermatozoon into an oocyte. Lancet. 1992;340(8810):17–18. doi:10.1016/0140-6736(92)92425-f.CrossRefGoogle ScholarPubMed
Niederberger, C, Pellicer, A, Cohen, J, et al. Forty years of IVF. Fertil Steril. 2018;110(2):185–324 e5. doi:10.1016/j.fertnstert.2018.06.005.Google Scholar
Schlegel, PN, Li, PS. Microdissection TESE: sperm retrieval in non-obstructive azoospermia. Hum Reprod Update. 1998;4(4):439. doi:10.1093/humupd/4.4.439.Google Scholar
Caroppo, E, Colpi, EM, Gazzano, G, et al. The seminiferous tubule caliber pattern as evaluated at high magnification during microdissection testicular sperm extraction predicts sperm retrieval in patients with non-obstructive azoospermia. Andrology. 2019;7(1):8–14. doi:10.1111/andr.12548.Google Scholar
Mangum, CL, Patel, DP, Jafek, AR, et al. Towards a better testicular sperm extraction: novel sperm sorting technologies for non-motile sperm extracted by microdissection TESE. Transl Androl Urol. 2020;9(Suppl 2):S206–S214. doi:10.21037/tau.2019.08.36.Google Scholar
Kirby, EW, Wiener, LE, Rajanahally, S, Crowell, K, Coward, RM. Undergoing varicocele repair before assisted reproduction improves pregnancy rate and live birth rate in azoospermic and oligospermic men with a varicocele: a systematic review and meta-analysis. Fertil Steril. 2016;106(6):1338–1343. doi:10.1016/j.fertnstert.2016.07.1093.Google Scholar
Silber, SJ. Microscopic technique for reversal of vasectomy. Surg Gynecol Obstet. 1976;143(4):631.Google Scholar
Lee, R, Li, PS, Goldstein, M, Tanrikut, C, Schattman, G, Schlegel, PN. A decision analysis of treatments for obstructive azoospermia. Hum Reprod. 2008;23(9):2043–2049. doi:10.1093/humrep/den200.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×