Роль возрастного андрогенного дефицита в патогенезе аденомы предстательной железы

A literature review on the role of age-related androgen deficiency in the pathogenesis of prostatic adenoma (benign prostate hyperplasia) (PA). Testosterone is the most important sex hormone that provides almost all of the prostate and bladder functions, and age-related decline synthesis in men coincides with the advent of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia. These and other well-known pathophysiological mechanisms of participation of the age-related androgen deficiency in the pathogenesis of PA are presented in this review. Based on an analysis of published data, we can conclude that prostate hyperplasia is a combined therapeutic problem, and pathogenic decision may be associated exclusively with the interdisciplinary approach, and among the most important levers we should consider the early detection and correction of age-related androgen deficiency in all men with LUTS/PA.