That testosterone causes prostate problems is a thing of the past. Thanks to 20 years of research, we know that testosterone is not harmful to the prostate. On the contrary: adequate testosterone levels are beneficial in preventing prostatitis and urinary symptoms.
In fact, some studies suggest that low testosterone or hypogonadism may be associated with more LUTS (Lower Urinary Tract Symptoms).
Some research points to testosterone deficiency as a common factor in different pathologies.
These include benign prostatic hyperplasia, lower urinary tract symptoms and erectile dysfunction.
Next, in relation to testosterone deficiency, we present a typical patient. He presents with symptoms related to benign prostatic hyperplasia. He requires treatment in terms of quality of urination, sexual function and hypogonadism.
The patient is 61 years old, obese, hypertensive and hypercholesterolemic with long-term mixed urinary problems.
Nowadays, lower urinary tract symptoms are considered to be multiethiological, including testosterone as one of the causes.
According to classical criteria, this patient is suitable for combination therapy. As well as a daily treatment based on the administration of PDE5i, recently approved to cure lower urinary tract symptoms. However, the administration of testosterone to treat these urinary symptoms remains controversial.
It may restore the patient’s testosterone levels, improve metabolic syndrome and create an optimal environment for 5PDEi. Moreover, according to some current scientific evidence, it may help to improve LUTS.
Given the need for larger studies, testosterone supplementation therapy does not seem to worsen the course of benign prostatic hyperplasia. It may even improve if testosterone deficiency is documented.
