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Therefore, we should treat patients with nocturia appropriately to improve their QOL. TRT is used worldwide as a treatment for many hypogonadal conditions, such as the loss of muscle mass and strength, reduced bone mineral density, sexual dysfunction, deterioration of insulin resistance, elevated visceral fat, and metabolic syndrome. As an additional benefit, TRT may also improve nocturia in hypogonadal men. However, limited information is currently available regarding the effects of TRT on nocturia in hypogonadal men, and further studies, including long-term observations of patients with varying severities of BPH or LUTS, are required to reach more definitive conclusions.

Review Article Open Access. World J Mens Health. Published online Apr 26, Correspondence to: Kazuyoshi Shigehara.

This article has been cited by 9 articles in This article has been cited by G o o g l e Scholar. This article has been cited by 4 articles in PubMed Central. This article has been cited by 11 articles in Web of Science.

Go to:. Hypogonadism ; Lower urinary tract symptoms ; Nocturia ; Testosterone. Effects of testosterone on sleep quality Sleep disorders are an established cause of nocturia [ 28 ], and testosterone is significantly associated with sleep quality and sleep disorders. Effects of testosterone on urine-concentrating ability Testosterone is likely to be involved in the urine-concentrating ability of the kidneys.

Effects of testosterone on metabolic parameters Metabolic factors, such as obesity, hypertension, and insulin resistance, are associated with testosterone deficiency [ 12 , 13 , 14 ], and several of these factors are also associated with nocturia [ 8 , 9 , 10 ].

Effects of testosterone on lower urinary tract symptoms Nocturia is prevalent among elderly men with BPH and LUTS, and has the most serious symptoms in elderly men. The standardisation of terminology in nocturia: report from the Standardisation Sub-committee of the International Continence Society.

Neurourol Urodyn ;— Productivity, vitality and utility in a group of healthy professionally active individuals with nocturia. BJU Int ;— Nocturia in relation to somatic health, mental health and pain in adult men and women. Impact of nocturia on bone fracture and mortality in older individuals: a Japanese longitudinal cohort study.

J Urol ;— Impact of nocturia on health-related quality of life and medical outcomes study sleep score in men. Int Neurourol J ;— Neurogenic Bladder Society Committee. Epidemiologic survey of lower urinary tract symptoms in Japan. Urology ;— Is nocturia equally common among men and women? A population based study in Finland.

Asplund R. Nocturia in relation to sleep, somatic diseases and medical treatment in the elderly. The association of nocturia with cardiac disease, diabetes, body mass index, age and diuretic use: results from the BACH survey. Prevalence of and risk factors for nocturia: analysis of a health screening program. Int J Urol ;— Baltimore Longitudinal Study of Aging. Longitudinal effects of aging on serum total and free testosterone levels in healthy men.

J Clin Endocrinol Metab ;— Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men. Aging Male ;— The benefits and risks of testosterone replacement therapy: a review. Ther Clin Risk Manag ;— Huhtaniemi I. Late-onset hypogonadism: current concepts and controversies of pathogenesis, diagnosis and treatment. Asian J Androl ;— Shigehara K, Namiki M.

Late-onset hypogonadism syndrome and lower urinary tract symptoms. Korean J Urol ;— Androgen replacement therapy contributes to improving lower urinary tract symptoms in patients with hypogonadism and benign prostate hypertrophy: a randomised controlled study. Wittert G. The relationship between sleep disorders and testosterone in men.

Sleep timing may modulate the effect of sleep loss on testosterone. Clin Endocrinol Oxf ;— Influence of paradoxical sleep deprivation and sleep recovery on testosterone level in rats of different ages. Serum testosterone levels significantly correlate with nocturia in men aged years. Nocturnal polyuria and decreased serum testosterone: is there an association in men with lower urinary tract symptoms? Relationship of sex hormones and nocturia in lower urinary tract symptoms induced by benign prostatic hyperplasia.

Nocturia indicates a poor health status and increases mortality in male patients with type 2 diabetes mellitus. Int Urol Nephrol ;— Can treatment of nocturia increase testosterone level in men with late onset hypogonadism? Relationship between serum testosterone and nocturia in men without benign prostate enlargement.

Andrology ;— Correlation between nocturia and sleep: a questionnaire based analysis. Disruption of the nocturnal testosterone rhythm by sleep fragmentation in normal men. Osteoporotic Fractures in Men Study Group. The association of testosterone levels with overall sleep quality, sleep architecture, and sleep-disordered breathing.

Reproductive hormone replacement alters sleep in mice. Neurosci Lett ;— Effects of testosterone replacement therapy on nocturia and quality of life in men with hypogonadism: a subanalysis of a previous prospective randomized controlled study in Japan.

The short-term effects of high-dose testosterone on sleep, breathing, and function in older men. Hanafy HM. Testosterone therapy and obstructive sleep apnea: is there a real connection? J Sex Med ;— Effects of testosterone on the rat renal medullary vasopressin receptor concentration and the antidiuretic response. Life Sci ;— Testosterone treatment restores reduced vasopressin-binding sites in the kidney of the ageing rat.

J Endocrinol ;— Estrogen receptor-beta mediates dihydrotestosterone-induced stimulation of the arginine vasopressin promoter in neuronal cells. Endocrinology ;— Testosterone normalizes plasma vasopressin response to osmotic stimuli in men with hypogonadism. Endocr J ;— Testosterone and sex hormone-binding globulin predict the metabolic syndrome and diabetes in middle-aged men.

Diabetes Care ;— Persistent detrusor overactivity after transurethral resection of the prostate is associated with reduced perfusion of the urinary bladder. McVary KT. Erectile dysfunction and lower urinary tract symptoms secondary to BPH. Eur Urol ;— Overactivity and structural changes in the chronically ischemic bladder. A dose-response study of testosterone on sexual dysfunction and features of the metabolic syndrome using testosterone gel and parenteral testosterone undecanoate.

J Androl ;— Beneficial effects of testosterone administration on symptoms of the lower urinary tract in men with late-onset hypogonadism: a pilot study. Testosterone replacement therapy by testosterone ointment relieves lower urinary tract symptoms in late onset hypogonadism patients. Testosterone replacement alone for testosterone deficiency syndrome improves moderate lower urinary tract symptoms: one year follow-up.

World J Mens Health ;— Effects of testosterone replacement therapy withdrawal and re-treatment in hypogonadal elderly men upon obesity, voiding function and prostate safety parameters. MeSH Terms. Deamino Arginine Vasopressin. Lower Urinary Tract Symptoms. Mental Health. Quality of Life. Sleep Wake Disorders. Figures Show all This group will be banned because of this publics.

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