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Overactive bladder: Is there a link to the metabolic syndrome in men?
Authors:Michael G Kirby  Adrian Wagg  Linda Cardozo  Christopher Chapple  David Castro‐Diaz  Dirk de Ridder  Montserrat Espuna‐Pons  Francois Haab  Con Kelleher  Heinz Kölbl  Ian Milsom  Philip Van Kerrebroeck  Mark Vierhout  Stefano Salvatore  Andrea Tubaro
Affiliation:1. Faculty of Health & Human Sciences, Centre for Research in Primary & Community Care (CRIPACC), University of Hertfordshire, College Lane, Hatfield, Herts, UK;2. Department of Geriatric Medicine, University College Hospital, London, UK;3. Department of Urogynaecology, King's College Hospital, London, UK;4. Department of Urology, Sheffield Teaching Hospitals NHS Foundation Trust;5. Sheffield Hallam University, Sheffield, UK;6. Titular de Urologia, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain;7. Department of Clinical Urology, University Hospitals KU Leuven, Leuven, Belgium;8. Department of Gynecology, Hospital Clinic, University of Barcelona, Barcelona, Spain;9. Department of Urology, Tenon Hospital, Paris, France;10. Department of Obstetrics and Gynaecology, Guys and St Thomas' NHS Foundation Trust, London, UK;11. Frauen Klinik, University Hospital, Mainz, Germany;12. Department of Obstetrics and Gynaecology, Sahlgrenska Academy at Goteborg University and Sahlgrenska University Hospital, Goteborg, Sweden;13. Department of Urology, University Hospital of Maastricht, Maastricht, The Netherlands;14. Department of General Gynaecology, Radboud University Hospital, Nijmegen, The Netherlands;15. Department of Urogynaecology, Clinica Ostetrica e Ginecologica of the Insubria University, Varese, Italy;16. Department of Urology at the Second School of Medicine of “La Sapienza” University of Rome and Department of Urology and Nephrology at Sant'Andrea Hospital in Rome, Italy
Abstract:It is becoming increasingly clear that a variety of metabolic, cardiovascular, and endocrine factors contribute to male pelvic health. In particular, a growing body of evidence suggests a relationship between lower urinary tract symptoms, benign prostatic hyperplasia, overactive bladder, erectile dysfunction, and the metabolic syndrome. This article explores these relationships, focusing on the role of the autonomic nervous system and hyperinsulinemia, together with their implications for urological practice. Neurourol. Urodynam. 29:1360–1364, 2010. © 2010 Wiley‐Liss, Inc.
Keywords:benign prostatic hyperplasia  erectile dysfunction  LUTS  metabolic syndrome  overactive bladder
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