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BENIGN PROSTATIC HYPERTROPHY: ETIOLOGY, PATHOGENESIS AND THERAPEUTIC CONSEQUENCES        

Prof. Aksam Yassin,

Dept. of Urology & Human Sexuality, Buckhoerner Moor 110, Norderstedt, Germany.

Due to the higher life and health expectancy in modern societies, the quality of life (QoL) became a very important issue in benign prostatic hyperplasia or syndrome (BPH or BPS)

Population. It is one of the major concepts identified by patients to be important in relation to sexuality before and after BPH therapy. Experts expect a drastically higher increase of elderly population within the next two decades   

We obviously identify -according to the 12 known studies and to our experience in terms of BPH and sexuality- a higher correlation between clinically manifested BPH and erectile/ ejaculatory disorders (ALF ONE & MSAM-7 studies…). These studies have more a demographic and statistical characters regarding to this concern. We were more concerned in our research group to study the  impact on sexuality in this population not only as  the result of impaired QoL due to voiding disturbances or nocturia (tiredness, lack of sleep etc…) but also to look for the reasons in the Microanatomy and Histo-chemistry.

The hormonal imbalance (aging related Lack of Testosterone and DHT) can give a chance for “ Aging Changes “ in the whole male organism including the tissues of Prostate and Corpus cavernosum stromas. The connective collagen stroma will increase, enhancing the compartments of Alpha-1 Adrenocepros 1 & 2.

                                     Figure 2:

Furthermore the impact on sexuality resulting from the various treatment modalities of BPH, either medical, surgical or instrumental has been often neglected in the past and not sufficiently investigated. We also try in this presentation to update the influence on sexual function of current treatments for the symptomatic BPH.  

Professor Aksam Yassin  MD  PhD  EdD  FEBU

Professor of Urology & Human Sexuality

Buckhoerner Moor 110

22846 Norderstedt, Hamburg, Germany

Degrees:

BBMSc. - Bachelor of Basic Medical Sciences, University of Damascus, 1977

MD - Doctor of Medicine, Univ. of Damascus, 1980

FAU - Facharzt fur Urologie (specialist in urology), Hanover, 1986

Ed.D - Doctor of Education, University of Sarasota, Florida/USA, June 1996

Ph.D - Medical Sciences, Hamburg University, September 18^th \ 1998

Clinical Posts:

Consultant Uro-Surgeon, clinic for urology, andrology and venereal diseases,

      Hamburg/Germany, since 1987 - affiliated with the urologic academic dept.

      At Hamburg University for BPH and T1/T2 prostate cancer research.

Professor of Urology, Zurich University/Switzerland, November 1993

Head of the European Information Office of the University of Sarasota in

Hamburg/Germany, since 1994

Adjunct Professor, Education and Behavioural Sciences at the University of

Sarasota, Florida/USA (teaching program for medical sociology and sexual

medicine), since August 1995

Professor of Urology at the Gulf Medical College Ajman / UAE since 2,000.