JAMA - Men's Health Briefing

An estimated 10 million men 40 years or older have symptoms consistent with overactive bladder. Now, new research shows a combination of two medicines which work differently works better than using only one medication. The researchers compared using detrol la which works on the bladder and flomax.which works on the prostate-- either alone or in combination in men with overactive bladder and a benign enlarged prostate and who complained of having to go to the bathroom a lot. Dr. Steven Kaplan, the study author at Weill Cornell Medical College, says,The particular symptoms that we actually are concerned about is getting up at night to urinate, going frequently to the bathroom. This is actually the largest study ever done in men who have both a bladder problem and a prostate problem and we found that by treating both we have enhanced the quality of life in men with urinating symptoms.

So what does it take to live long, and healthy? For guys …you need to be strong, and lean in your mid-life. A new study found that avoidance of being overweight, and not having diabetes, high blood pressure, smoking, or excessive alcohol consumption were associated with both overall and what they term exceptional survival, meaning survival to a specific late age, like 85, without major medical conditions or Alzheimer’s.

 The big indicator of a long healthy life though…was grip strength! Dr. Bradley Willcox, the study author out of the Pacific Health Research Group, says, “Physical fitness is very important. You can think of gripping a tennis ball that tells you how strong your grip is, it is actually an indicator of how well you are built genetically and physically and it is also an indicator of how well trained you are in terms of physical fitness.”

The probability of exceptional survival to age 85 years was 55 percent with no risk factors but decreased to 9 percent with 6 or more risk factors. And preliminary research suggests that testosterone replacement therapy for men with low testosterone levels appears to have little effect on the prostate gland, contrary to some reports that this therapy may be harmful. Serum levels of testosterone decline with age, and changes because of that have been called "male menopause."

 Now, treating the problem with testosterone replacement therapy has been thought to promote the development of prostate cancer. But in the latest study of men who got testosterone replacement, no treatment-related change was observed in prostate tissue or in cancer rates or severity. In 2005, a total of 2.3 million prescriptions were written for testosterone products


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