Erkek Sağlığında Koruyucu Yaklaşımlar

Yazarlar

Ümit Erkut
İbrahim Küçükcan
https://orcid.org/0000-0001-5962-289X

Özet

Erkek sağlığı, biyolojik ve sosyal faktörlerin yanı sıra prostat ve testis gibi özgün anatomik yapıların dahil olduğu özel bir alandır. Bu alanda yaygın görülen patolojiler arasında testis kanseri, prostat kanseri, prostatit, varikosel, erektil disfonksiyon ve pelvik taban disfonksiyonuna bağlı kabızlık yer almaktadır. Testis kanserinde erken teşhis için ayda bir kendi kendine muayene önerilirken, prostat kanserinde ileri yaş, obezite ve aile öyküsü birincil risk faktörleridir. Pelvik taban kaslarının gerginliği kabızlığa yol açabilir; doğru çömelme pozisyonu ve ideal işeme postürü ise bağırsak ve mesanenin tam boşalmasını sağlayarak komplikasyonları önler. Ayrıca sigara, alkol ve hareketsiz yaşam tarzı varikosel ile erektil disfonksiyon riskini artırmaktadır. Koruyucu yaklaşımların temeli eğitim, farkındalık, sağlıklı beslenme ve düzenli egzersizden geçmektedir. Bu süreçte, özellikle pelvik taban sağlığına yönelik multidisipliner çalışmalar ve fizyoterapistlerin rolü, bireylerin yaşam kalitesini artırmada ve toplumsal sağlığı korumada kritik bir öneme sahiptir.

Men's health is a specialized field influenced by biological and social factors, incorporating distinct anatomical structures such as the prostate and testes. Common pathologies in this area include testicular cancer, prostate cancer, prostatitis, varicocele, erectile dysfunction, and constipation associated with pelvic floor dysfunction. While monthly self-examination is recommended for early detection of testicular cancer, advanced age, obesity, and family history constitute the primary risk factors for prostate cancer. Pelvic floor muscle tension can cause constipation; however, proper squatting and ideal voiding postures prevent complications by ensuring the complete evacuation of the bowel and bladder. Additionally, smoking, alcohol consumption, and a sedentary lifestyle increase the risk of varicocele and erectile dysfunction. The cornerstone of preventive approaches relies heavily on education, awareness, healthy nutrition, and regular physical activity. In this process, multidisciplinary efforts and the expanding role of physical therapists, particularly regarding pelvic floor rehabilitation, hold critical importance in enhancing individual quality of life and safeguarding public health.

Referanslar

Testicular Cancer Treatment. National Cancer Institute. 7 July 2016.

Testicular Cancer Treatment. National Cancer Institute. 26 January 2017. Retrieved 19 December 2017.

Motzer RJ, Bosl GJ. (2005). Testicular Cancer. In Kasper, DL, Jameson JL (eds.). Harrison's Principles of Internal Medicine (16th ed.). McGraw-Hill. pp. 550–553.

Shaw, Joel (15 February 2008). Diagnosis and Treatment of Testicular Cancer. American Family Physician. 77 (4): 469–474.

Prostate Cancer. National Cancer Institute. January 1980. Archived from the original on 12 October 2014. Retrieved 12 October 2014.

Prostate Enlargement (Benign Prostatic Hyperplasia). NIDDK September 2014.

Resim S. Akut ve kronik bakteriyel prostatit olgularında tedavi yaklaşımları. Androl Bul. 2020;22:113-123.

Miller DC, Hafez KS, Stewart A, Montie JE, Wei JT (September 2003). Prostate carcinoma presentation, diagnosis, and staging: an update form the National Cancer Data Base. Cancer. 98(6): 1169–78.

Prostate Cancer treatment (PDQ)-Health Professional Version. National Cancer Institute. 2014;04-11.

van der Cruijsen-Koeter IW, Vis AN, Roobol MJ, Wildhagen MF, de Koning HJ, van der Kwast TH, Schröder FH (July 2005). Comparison of screen detected and clinically diagnosed prostate cancer in the European randomized study of screening for prostate cancer, section rotterdam. The Journal of Urology. 174 (1): 121–5.

Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ (April 2003). Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. The New England Journal of Medicine. 348 (17): 1625–38.

Hankey BF, Feuer EJ, Clegg LX, Hayes RB, Legler JM, Prorok PC, et al. (June 1999). Cancer surveillance series: interpreting trends in prostate cancer--part I: Evidence of the effects of screening in recent prostate cancer incidence, mortality, and survival rates. Journal of the National Cancer Institute. 91 (12): 1017–24.

Breslow N, Chan CW, Dhom G, Drury RA, Franks LM, Gellei B, et al. (November 1977). Latent carcinoma of prostate at autopsy in seven areas. The International Agency for Research on Cancer, Lyons, France. International Journal of Cancer. 20(5): 680–8.

İrkilata Y, Yücel H. Bölüm 28. Kadın Sağlığında Pelvik Tabanlı Ergoterapi, sayfa 471-490, Aktivite Temelli Ergoterapi, Ed. H.Yücel, Hipokrat Kitabevi, 2020, ISBN: 978-605-7874-81-8.

Chatoor D, Emmnauel A (2009). Constipation and evacuation disorders. Best Pract Res Clin Gastroenterol. 23 (4): 517–30.

Boyadzhyan L, Raman SS, Raz S (2008). Role of static and dynamic MR imaging in surgical pelvic floor dysfunction. Radiographics. 28 (4): 949-67. doi:10.1148/rg.284075139.

Constipation. National Institute of Diabetes and Digestive and Kidney Diseases. February 2015. Archived from the original on 15 March 2017. Retrieved 14 March2017.

Andromanakos N, Skandalakis P, Troupis T, Filippou D. Constipation of anorectal outlet obstruction: Pathophysiology, evaluation and management. Journal of Gastroenterology and Hepatology. 2006; 21 (4): 638–646.

Canadian Agency for Drugs and Technologies in Health (26 June 2014). Dioctyl Sulfosuccinate or Docusate (Calcium or Sodium) for the Prevention or Management of Constipation: A Review of the Clinical Effectiveness.

Locke GR, Pemberton JH, Phillips SF (December 2000). American Gastroenterological Association Medical Position Statement: guidelines on constipation. Gastroenterology. 119 (6): 1761–6.

White, Wesley M.; Kim, Edward David; Mobley, Joe D (2 January 2019). Varicocele: Epidemiology. Medscape. Retrieved 18 September 2019. Although varicoceles appear in approximately 20% of the general male population, they are much more common in the subfertile population (40%).

Testicular lumps and swellings - Causes - NHS Choices. NHS Choices. 7 October 2014.

Baazeem A, Belzile E, Ciampi A, Dohle G, Jarvi K, Salonia A et al. (2011-10-01). Varicocele and male factor infertility treatment: a new meta-analysis and review of the role of varicocele repair. European Urology. 60 (4):796–808.

Eisenberg, ML, Lipshultz LI. (2011-01-01). Varicocele-induced infertility: Newer insights into its pathophysiology. Indian Journal of Urology. 27 (1): 58–64.

Hayden RP, Tanrikut Ç (2016-05-01). Testosterone and Varicocele. The Urologic Clinics of North America. 43 (2): 223–232.

Cunningham GR, Rosen RC. Overview of male sexual dysfunction. In: Up To Date, Martin KA (Ed), Up To Date, Waltham, MA, 2018.

Chowdhury SH, Cozma AI, Chowdhury JH. Erectile Dysfunction. Essentials for the Canadian Medical Licensing Exam: Review and Prep for MCCQE Part I. 2nd edition. Wolters Kluwer. Hong Kong. 2017.

Kessler A , Sollie S, Challacombe B, Briggs K, van Hemelrijck M. The global prevalence of erectile dysfunction: a review.2019.

Feldman HA, Goldstein I, Hatzichristou DG, Krane RJ, McKinlay JB. Impotence and Its Medical and Psychosocial Correlates: Results of the Massachusetts Male Aging Study. The Journal of Urology. 1994;51(1):54-61

Gwee KA, Siah KTH, Wong RK, Wee S, Wong ML, Png DJC. Prevalence of disturbed bowel functions and its association with disturbed bladder and sexual functions in the male population. J Gastroenterol Hepatol. 2012;27(11):1738-44.

Dorey G, Speakman M, Feneley R, Swinkels A. Pelvic floor exercises for treating post micturition dribble in men with erectile dysfunction: a randomized controlled trial. Urologic Nursing. 2004;24(6):490.

Wespes E et al. Guidelines on Male Sexual Dysfunction: Erectile dysfunction and premature ejaculation. European Association of Urology 2013.

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11 Ocak 2022

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