International Journal of General Medicine (Sep 2022)
Testosterone Replacement Therapy in the Aged Male: Monitoring Patients’ Quality of Life Utilizing Scoring Systems
Abstract
Georgios Tsampoukas,1,2 Karl H Pang,3 Athanasios Papatsoris,2,4 Mohamad Moussa,5 Saiful Miah6 1Department of Urology, The Great Western Hospital, Swindon, UK; 2U-merge Scientific Office, Athens, Greece; 3Institute of Andrology, University College London Hospital, London, UK; 4Department of Urology, Sismanoglio University Hospital of Athens, Athens, Greece; 5Al Zahraa Hospital, University Medical Center, Lebanese University, Beirut, Lebanon; 6Department of Urology, Wycombe Hospital, Buckinghamshire NHS Trust, High Wycombe, UKCorrespondence: Georgios Tsampoukas, Department of Urology, The Great Western Hospital, Swindon, UK, Email [email protected]: Hypogonadism has been associated with significant deterioration of well-being. In the aging male, late-onset hypogonadism affects sexual life, mental health, levels of energy, lower urinary tract symptoms and, therefore, quality of life may be found significantly deteriorated. Testosterone replacement or supplementation therapy has been found efficient to reverse the adverse effects of hypogonadism and improve quality of life. Scales and questionnaires assessing the general health, urinary symptoms, sexual health, and cognition can provide a thorough assessment of the clinical syndrome, optimize treatment, assist the follow-up, and facilitate referrals to other specialties depending on the chief complaint. A systematic assessment might combine several tools, but the optimal ones and the exact usage is unknown. In this narrative review, we are flipping through the literature presenting the available tools per domain for the assessment of quality of life in men on testosterone replacement therapy and we discuss the optimal usage.Keywords: testosterone replacement treatment, quality of life, sexual health, well-being, mental health, lower urinary tract symptoms
