Urology

Significant alterations in the hormonal milieu occur in the aging population.1,2 In women, these changes are predictable and well recognized, and include a constellation of somatic and psychological symptoms due to a decline in circulating estrogenic hormones, called menopause. In contradistinction to menopause, the changes in the hypothalamic-pituitary-gonadal (HPG) axis in men are highly variable and are not seen in all men. These manifestations often may go unrecognized. These changes in the hormonal milieu in men are known by a collective term, male climacteric, or andropause. Andropaus...

To the Editor:

You do not know me, but I am your biggest fan. I am 50 years old and have MS. After living with incontinence for the past 5 years, I just yesterday got an indwelling catheter. Last night was pretty rough for me emotionally. Every time you need a new “help” it takes awhile to adjust mentally to it.

I went on the Internet this morning and typed in “living with an indwelling catheter,” and I happened upon your article, “Urinary Catheter Management for the Older Adult Patient.”1 I just wanted you to know what a difference reading your article has made to...