title: Common urologic diseases in older men and their treatment: how they impact fertility.
abstract: As men age, medical and surgical diseases involving the genitourinary tract become more common. The conditions themselves, if not their treatments, can negatively impact the fertility potential of an affected man. Many older men maintain the desire to father children, so it is critical to understand the disturbed anatomy and physiology involved to properly counsel that individual. Should this or that treatment regimen be employed? Should sperm banking be undertaken before institution of a permanently ablative/suppressive therapy? What are the long-term consequences of one therapy over another vis-à-vis sperm production, sperm quality, and/or sperm transport? In this context, some of the more common genitourinary afflictions of the older male and the treatment options that are available will be discussed.
authors.affiliation: Department of Urology, School of Medicine, Boston University, Boston, Massachusetts.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Avellino
authors.affiliation: Department of Urology, School of Medicine, Boston University, Boston, Massachusetts.
authors.forename: Didi
authors.initials: D
authors.lastname: Theva
authors.affiliation: Department of Urology, School of Medicine, Boston University, Boston, Massachusetts. Electronic address: robert.oates@bmc.org.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Oates
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005298:Fertility / Q000187:drug effects / Q000528:radiation effects; D006801:Humans; D007248:Infertility, Male / Q000209:etiology* / Q000503:physiopathology / Q000517:prevention & control; D008297:Male; D052801:Male Urogenital Diseases / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D010331:Paternal Age; D018570:Risk Assessment; D012307:Risk Factors; D013091:Spermatogenesis / Q000187:drug effects / Q000528:radiation effects; D013094:Spermatozoa / Q000187:drug effects / Q000473:pathology* / Q000528:radiation effects
keywords: Advanced paternal age; ejaculatory dysfunction; infertility