How 'male health' fits into the field of urology

How 'male health' fits into the field of urology

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ABSTRACT The shorter life span and poorer health of men compared with women is concerning, affecting spouses, families, and communities. Physicians and policy makers have identified a growing need for a gender-specific focus on the unique health needs of boys and men and accompanying services. Men's health has emerged as a new discipline that is responsible for a gender-specific approach to health-services delivery, government policy, research, and advocacy. The urologic community has taken a leadership role in this specialty by defining the issues that face men in the 21st century, bringing together disparate areas of clinical care and research, and collaborating with stakeholders (such as primary care physicians and specialists from other disciplines) to create and implement men's health initiatives. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS GENDER AWARENESS AMONG GENERAL PRACTITIONERS IN FRANCE: A CROSS SECTIONAL STUDY USING THE NIJMEGEN GENDER AWARENESS IN MEDICINE SCALE (N-GAMS) Article Open access 08 March 2024 TRANS AND GENDER DIVERSE PEOPLE’S EXPERIENCES AND EVALUATIONS WITH GENERAL AND TRANS-SPECIFIC HEALTHCARE SERVICES: A CROSS-SECTIONAL SURVEY Article 14 April 2021 LONG COVID IN TRANSGENDER AND GENDER NONBINARY PEOPLE IN THE UNITED STATES Article Open access 02 January 2025 REFERENCES * United Nations Department of Economic and Social Affairs (Population Division). _World mortality report 2005_ [online], (2006). * Hoyert, D. 75 years of mortality in the United States, 1935–2012. _NCHS Data Brief_ 88, 1–8 (2012). Google Scholar  * World Health Organization World Health Statistics. _Global health indicators part 2_ [online], (2010). * Jha, P. _ et al_. Social inequalities in male mortality, and in male mortality from smoking: indirect estimation from national death rates in England and Wales, Poland, and North America. _Lancet_ 368, 367–370 (2006). Article  Google Scholar  * Livingston, M. & Wilkinson, C. Per-capita alcohol consumption and all-cause male mortality in Australia, 1911–2006. _Alcohol Alcohol_ 48, 196–201 (2013). Article  Google Scholar  * Bessudnov, A., McKee, M. & Stuckler, D. Inequalities in male mortality by occupational class, perceived status and education in Russia, 1994–2006 _Eur. J. Public Health_ 22, 332–337 (2012). Article  Google Scholar  * Petersson, B., Trell, E. & Hood, B. Premature death and associated risk factors in urban middle-aged men. _Am. J. Med._ 77, 418–426 (1984). Article  CAS  Google Scholar  * New York Department of Health. _Leading causes of pre mature death (death before age 75) among male by county, New York State, 2008–2010_ [online], (2013). * Gardner, J. W. & Sanborn, J. S. Years of potential life lost (YPLL)--what does it measure? _Epidemiology_ 1, 322–329 (1990). Article  CAS  Google Scholar  * Organisation for Economic Co-operation and Development (OECD). _Glossary of statistical terms, potential years of life lost_ [online], (2003). * Li, C. & Ekwueme, D. U. Years of potential life lost caused by prostate cancer deaths in the United States-Projection from 2004 through 2050. _Cancer Epidemiol._ 34, 368–372 (2010). Article  Google Scholar  * Iwamoto, D. K. _ et al_. The role of masculine norms and informal support on mental health in incarcerated men. _Psychol. Men Masc._ 13, 283–293 (2012). Article  Google Scholar  * Hooker, S. P., Wilcox, S., Burroughs, E. L., Rheaume, C. E. & Courtenay, W. The potential influence of masculine identity on health-improving behaviour in midlife and older African American men. _J. Mens Health_ 9, 79–88 (2012). Article  Google Scholar  * Courtenay, W. H. Key determinants of the health and the well-being of men and boys. _Int. J. Men's Health_ 2, 1–27 (2003). Article  Google Scholar  * Juel, K. & Christensen, K. Are men seeking medical advice too late? Contacts to general practitioners and hospital admissions in Denmark 2005. _J. Public Health (Oxf.)_ 30, 111–113 (2008). Article  Google Scholar  * Goldenberg, S. L. Men's Health Initiative of British Columbia: connecting the dots. _Urol. Clin. North Am._ 39, 37–51 (2011). Article  Google Scholar  * Springer, K. W. & Mouzon, D. M. “Macho men” and preventive health care: implications for older men in different social classes. _J. Health Soc. Behav._ 52, 212–227 (2011). Article  Google Scholar  * Gough, B. & Conner, M. T. Barriers to healthy eating among men: a qualitative analysis. _Soc. Sci. Med._ 62, 387–395 (2006). Article  Google Scholar  * De Visser, R. O., Smith, J. A. & McDonnell, E. J. 'That's not masculine': masculine capital and health-related behaviour. _J. Health Psychol._ 14, 1047–1058 (2009). Article  Google Scholar  * Gough, B. Try to be healthy, but don't forgo your masculinity: deconstructing men's health discourse in the media. _Soc. Sci. Med._ 63, 2476–2488 (2006). Article  Google Scholar  * Courtenay, W. H. Constructions of masculinity and their influence on men's well-being: a theory of gender and health. _Soc. Sci. Med._ 50, 1385–1401 (2000). Article  CAS  Google Scholar  * Moller-Leimkuhler, A. M. Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to depression. _J. Affect. Disord._ 71, 1–9 (2002). Article  Google Scholar  * Hee Ahn, M., Park, S., Ha, K., Choi, S. H. & Hong, J. P. Gender ratio comparisons of the suicide rates and methods in Korea, Japan, Australia, and the United States. _J. Affect. Disord._ 142, 161–165 (2012). Article  Google Scholar  * Milner, A., McClure, R. & De Leo, D. Globalization and suicide: an ecological study across five regions of the world. _Arch. Suicide Res._ 16, 238–249 (2012). Article  Google Scholar  * Bourne, P. A. _ et al_. Health literacy and health seeking behaviour among older men in a middle-income nation. _Patient Relat. Outcome Meas._ 1, 39–49 (2010). Article  Google Scholar  * O'Kane, G. M., Craig, P., Black, D. & Sutherland, D. Riverina men's study: a preliminary exploration of the diet, alcohol use and physical activity behaviours and attitudes of rural men in two Australian New South Wales electorates. _Rural Remote Health_ 8, 851 (2008). CAS  PubMed  Google Scholar  * Iwamoto, D. K., Cheng, A., Lee, C. S., Takamatsu, S. & Gordon, D. “Man-ing” up and getting drunk: the role of masculine norms, alcohol intoxication and alcohol-related problems among college men. _Addict. Behav._ 36, 906–911 (2011). Article  Google Scholar  * Herbeth, B., Samara, A., Stathopoulou, M., Siest, G. & Visvikis-Siest, S. Alcohol consumption, beverage preference, and diet in middle-aged men from the 2012 STANISLAS study. _J. Nutr. Metab._ 987, 243 (2012). Google Scholar  * Siegel, L. C. _ et al_. Physical activity, body mass index, and diabetes risk in men: a prospective study. _Am. J. Med._ 122, 1115–1121 (2009). Article  Google Scholar  * Hatchell, A. C., Bassett-Gunter, R. L., Clarke, M., Kimura, S. & Latimer-Cheung, A. E. Messages for men: the efficacy of EPPM-based messages targeting men's physical activity. _Health Psychol._ 32, 24–32 (2013). Article  Google Scholar  * Soedamah-Muthu, S. S., De Neve, M., Shelton, N. J., Tielemans, S. M. & Stamatakis, E. Joint associations of alcohol consumption and physical activity with all-cause and cardiovascular mortality. _Am. J. Cardiol._ http://dx.doi.org/10.1016/j.amjcard.2013.03.040 * Keto, C. J., Masko, E. M. & Freedland, S. J. Physical activity, obesity, and lower urinary tract symptoms. _Eur. Urol._ 60, 1181–1183 (2011). Article  Google Scholar  * Lee, S. H. _ et al_. Effects of obesity on lower urinary tract symptoms in Korean BPH patients. _Asian J. Androl._ 11, 663–668 (2009). Article  Google Scholar  * Lee, R. K., Chung, D., Chughtai, B., Te, A. E. & Kaplan, S. A. Central obesity as measured by waist circumference is predictive of severity of lower urinary tract symptoms. _BJU Int._ 110, 540–545 (2012). Article  Google Scholar  * Abrams, P. _ et al_. The future of urology. _Eur. Urol._ 61, 534–540 (2012). Article  Google Scholar  * Forrester, D. A. Myths of masculinity. Impact upon men's health. _Nurs. Clin. North Am._ 21, 15–23 (1986). CAS  PubMed  Google Scholar  * Foreman, M. D. Cardiovascular disease. A men's health hazard. _Nurs. Clin. North Am._ 21, 65–73 (1986). CAS  PubMed  Google Scholar  * Jackson, C. Men's health. Opening the flood-gates. _Health Visit_ 64, 265–266 (1991). CAS  PubMed  Google Scholar  * Lawrence, C. _Proceedings from the National Men's Health Conference official opening_ [online], (1996). Google Scholar  * McEnvoy, R. Men's Health Forum in Ireland [online], (2004). * Men's Health Forum. _All Party Parliamentary Group on Men's Health_ [online], (2011). * Men's Health World Congress. _Men's Health World Congress_ [online], (2001). * World Health Organization. _Madrid Statement: Gender Mainstreaming Health Policies in Europe_ [online], (2002). * Cash, A. The state of men's health in Western Europe. _J. Mens Health Gend._ 1, 60–66 (2004). Article  Google Scholar  * White, A. _The State of Men's Health in Western Europe_ [online], (2004). Google Scholar  * European Men's Health Forum. _Vienna Declaration on the Health of Men and Boys in Europe_ [online], (2005). * Australian Government. Department of Health and Ageing. _National Male Health Policy_ [online], (2010). * Australian Government. Department of Health and Ageing, _Australian Longitudinal Study on Male Health_ [online], (2011). * Australian Institute of Health and Welfare. _The Health of Australia's Males_ [online], (2011). * Pelman, R. _ et al_. American Urological Association (AUA) Committee on Male Health. White paper: Male Health—Urology's Collaborative Future. Presented at the AUA Board of Directors Meeting (2010). * Sanchez-Chapado, M., Olmedilla, G., Cabeza, M., Donat, E. & Ruiz, A. Prevalence of prostate cancer and prostatic intraepithelial neoplasia in Caucasian Mediterranean males: an autopsy study. _Prostate_ 54, 238–247 (2003). Article  Google Scholar  * Sakr, W. A. _ et al_. High grade prostatic intraepithelial neoplasia (HGPIN) and prostatic adenocarcinoma between the ages of 20–69: an autopsy study of 249 cases. _In Vivo_ 8, 439–443 (1994). CAS  Google Scholar  * Hebert, J. R. _ et al_. Nutritional and socioeconomic factors in relation to prostate cancer mortality: a cross-national study. _J. Natl Cancer Inst._ 90, 1637–1647 (1998). Article  CAS  Google Scholar  * Hammarsten, J. & Hogstedt, B. Clinical, anthropometric, metabolic and insulin profile of men with fast annual growth rates of benign prostatic hyperplasia. _Blood Press._ 8, 29–36 (1999). Article  CAS  Google Scholar  * Hammarsten, J., Hogstedt, B., Holthuis, N. & Mellstrom, D. Components of the metabolic syndrome-risk factors for the development of benign prostatic hyperplasia. _Prostate Cancer Prostatic Dis._ 1, 157–162 (1998). Article  CAS  Google Scholar  * Anton-Culver, H., Lee-Feldstein, A. & Taylor, T. H. The association of bladder cancer risk with ethnicity, gender, and smoking. _Ann. Epidemiol._ 3, 429–433 (1993). Article  CAS  Google Scholar  * Taylor, E. N., Fung, T. T. & Curhan, G. C. DASH-style diet associates with reduced risk for kidney stones. _J. Am. Soc. Nephrol._ 20, 2253–2259 (2009). Article  CAS  Google Scholar  * Mroz, L. W., Chapman, G. E., Oliffe, J. L. & Bottorff, J. L. Men, food, and prostate cancer: gender influences on men's diets. _Am. J. Mens Health_ 5, 177–187 (2011). Article  Google Scholar  * Parikh, A., Lipsitz, S. R. & Natarajan, S. Association between a DASH-like diet and mortality in adults with hypertension: findings from a population-based follow-up study. _Am. J. Hypertens._ 22, 409–416 (2009). Article  Google Scholar  * Karanja, N., Erlinger, T. P., Pao-Hwa, L., Miller, E. R. 3rd & Bray, G. A. The DASH diet for high blood pressure: from clinical trial to dinner table. _Cleve. Clin. J. Med._ 71, 745–753 (2004). Article  Google Scholar  * Sacks, F. M. Dietary approaches to stop hypertension. _Ann. Epidemiol._ 5, 502 (1995). Article  CAS  Google Scholar  * Sacks, F. M. _ et al_. Rationale and design of the Dietary Approaches to Stop Hypertension trial (DASH). A multicentre controlled-feeding study of dietary patterns to lower blood pressure. _Ann. Epidemiol._ 5, 108–118 (1995). Article  CAS  Google Scholar  * Kochanek, K. D., Xu, J. Q., Murphy, S. L., Miniño, A. M. & Kung, H. C. Centres for Disease Control and Prevention. National Vital Statistics Reports [online], (2011). * Vlachopoulos, C. V., Terentes-Printzios, D. G., Ioakeimidis, N. K., Aznaouridis, K. A. & Stefanadis, C. I. Prediction of cardiovascular events and all-cause mortality with erectile dysfunction: a systematic review and meta-analysis of cohort studies. _Circ. Cardiovasc. Qual. Outcomes_ 6, 99–109 (2013). Article  Google Scholar  * Large Urology Group Practice Association (LUGPA). _LUPGA History_ [online], (2008). * American Urological Association (AUA). _AUA Men's Health Checklist_ [online], (2012). * Pelman, R. S. & Johnson, D. A. Advocacy in male health: a state society story. _Urol. Clin. North Am._ 39, 25–31 (2012). Article  Google Scholar  * Government of Ireland. Ministry for Health and Children. _National Men's Health Policy 2008–2013_ [online], (2013). * Men's Sheds Australia. _Men's Sheds_ [online], (2013). * Australian Government. Department of Health and Ageing. _Men's Sheds_ [online], (2010). * Men's Health Initiative of Vancouver, BC, Canada. _ABOUTmen.ca. Let's talk men's health_ [online], (2013). * Saunders, M. & Peerson, A. Australia's national men's health policy: masculinity matters. _Health Promot. J. Austr._ 20, 92–97 (2009). Article  Google Scholar  * Blancher, K. D. Moustaches promote men's health: Global foundation supports prostate cancer research and education. _BJU Int._ 108, ii–v (2011). Article  Google Scholar  * Movember. _Movember and sons_ [online], (2012). Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Division of Urology, University of Toronto, Toronto Western Hospital, Main Pavilion, 399 Bathurst Street, Toronto, ON M5T 2S8, Canada Dean S. Elterman * Iris Cantor Men's Health Centre, Weill Cornell Medical College, 425 East 61st Street, New York, 10065, NY, USA Steven A. Kaplan * Department of Urology, University of Washington School of Medicine, University of Washington Medical Centre, SP1266, 1st Floor, Surgery Pavilion, Box 356158, 1959 N. E. Pacific Street, Seattle, 98195, WA, USA Richard S. Pelman * Department of Urologic Sciences, University of British Columbia, Gordon & Leslie Diamond Health Care Centre, Level 6, 2275 Laurel Street, Vancouver, V5Z 1M9, BC, Canada S. Larry Goldenberg Authors * Dean S. Elterman View author publications You can also search for this author inPubMed Google Scholar * Steven A. Kaplan View author publications You can also search for this author inPubMed Google Scholar * Richard S. Pelman View author publications You can also search for this author inPubMed Google Scholar * S. Larry Goldenberg View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS S. L. Goldenberg and D. S. Elterman researched, wrote, edited, and discussed the article. S. A. Kaplan and R. S. Pelman reviewed the manuscript before submission. S. A. Kaplan also made substantial contributions towards discussions of contents. CORRESPONDING AUTHOR Correspondence to S. Larry Goldenberg. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing financial interests. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Elterman, D., Kaplan, S., Pelman, R. _et al._ How 'male health' fits into the field of urology. _Nat Rev Urol_ 10, 606–612 (2013). https://doi.org/10.1038/nrurol.2013.161 Download citation * Published: 30 July 2013 * Issue Date: October 2013 * DOI: https://doi.org/10.1038/nrurol.2013.161 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative

ABSTRACT The shorter life span and poorer health of men compared with women is concerning, affecting spouses, families, and communities. Physicians and policy makers have identified a


growing need for a gender-specific focus on the unique health needs of boys and men and accompanying services. Men's health has emerged as a new discipline that is responsible for a


gender-specific approach to health-services delivery, government policy, research, and advocacy. The urologic community has taken a leadership role in this specialty by defining the issues


that face men in the 21st century, bringing together disparate areas of clinical care and research, and collaborating with stakeholders (such as primary care physicians and specialists from


other disciplines) to create and implement men's health initiatives. Access through your institution Buy or subscribe This is a preview of subscription content, access via your


institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 12 print issues and online access $209.00 per year only $17.42 per issue Learn more Buy this


article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL ACCESS OPTIONS: * Log in


* Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS GENDER AWARENESS AMONG GENERAL PRACTITIONERS IN FRANCE: A CROSS


SECTIONAL STUDY USING THE NIJMEGEN GENDER AWARENESS IN MEDICINE SCALE (N-GAMS) Article Open access 08 March 2024 TRANS AND GENDER DIVERSE PEOPLE’S EXPERIENCES AND EVALUATIONS WITH GENERAL


AND TRANS-SPECIFIC HEALTHCARE SERVICES: A CROSS-SECTIONAL SURVEY Article 14 April 2021 LONG COVID IN TRANSGENDER AND GENDER NONBINARY PEOPLE IN THE UNITED STATES Article Open access 02


January 2025 REFERENCES * United Nations Department of Economic and Social Affairs (Population Division). _World mortality report 2005_ [online], (2006). * Hoyert, D. 75 years of mortality


in the United States, 1935–2012. _NCHS Data Brief_ 88, 1–8 (2012). Google Scholar  * World Health Organization World Health Statistics. _Global health indicators part 2_ [online], (2010). *


Jha, P. _ et al_. Social inequalities in male mortality, and in male mortality from smoking: indirect estimation from national death rates in England and Wales, Poland, and North America.


_Lancet_ 368, 367–370 (2006). Article  Google Scholar  * Livingston, M. & Wilkinson, C. Per-capita alcohol consumption and all-cause male mortality in Australia, 1911–2006. _Alcohol


Alcohol_ 48, 196–201 (2013). Article  Google Scholar  * Bessudnov, A., McKee, M. & Stuckler, D. Inequalities in male mortality by occupational class, perceived status and education in


Russia, 1994–2006 _Eur. J. Public Health_ 22, 332–337 (2012). Article  Google Scholar  * Petersson, B., Trell, E. & Hood, B. Premature death and associated risk factors in urban


middle-aged men. _Am. J. Med._ 77, 418–426 (1984). Article  CAS  Google Scholar  * New York Department of Health. _Leading causes of pre mature death (death before age 75) among male by


county, New York State, 2008–2010_ [online], (2013). * Gardner, J. W. & Sanborn, J. S. Years of potential life lost (YPLL)--what does it measure? _Epidemiology_ 1, 322–329 (1990).


Article  CAS  Google Scholar  * Organisation for Economic Co-operation and Development (OECD). _Glossary of statistical terms, potential years of life lost_ [online], (2003). * Li, C. &


Ekwueme, D. U. Years of potential life lost caused by prostate cancer deaths in the United States-Projection from 2004 through 2050. _Cancer Epidemiol._ 34, 368–372 (2010). Article  Google


Scholar  * Iwamoto, D. K. _ et al_. The role of masculine norms and informal support on mental health in incarcerated men. _Psychol. Men Masc._ 13, 283–293 (2012). Article  Google Scholar  *


Hooker, S. P., Wilcox, S., Burroughs, E. L., Rheaume, C. E. & Courtenay, W. The potential influence of masculine identity on health-improving behaviour in midlife and older African


American men. _J. Mens Health_ 9, 79–88 (2012). Article  Google Scholar  * Courtenay, W. H. Key determinants of the health and the well-being of men and boys. _Int. J. Men's Health_ 2,


1–27 (2003). Article  Google Scholar  * Juel, K. & Christensen, K. Are men seeking medical advice too late? Contacts to general practitioners and hospital admissions in Denmark 2005. _J.


Public Health (Oxf.)_ 30, 111–113 (2008). Article  Google Scholar  * Goldenberg, S. L. Men's Health Initiative of British Columbia: connecting the dots. _Urol. Clin. North Am._ 39,


37–51 (2011). Article  Google Scholar  * Springer, K. W. & Mouzon, D. M. “Macho men” and preventive health care: implications for older men in different social classes. _J. Health Soc.


Behav._ 52, 212–227 (2011). Article  Google Scholar  * Gough, B. & Conner, M. T. Barriers to healthy eating among men: a qualitative analysis. _Soc. Sci. Med._ 62, 387–395 (2006).


Article  Google Scholar  * De Visser, R. O., Smith, J. A. & McDonnell, E. J. 'That's not masculine': masculine capital and health-related behaviour. _J. Health Psychol._


14, 1047–1058 (2009). Article  Google Scholar  * Gough, B. Try to be healthy, but don't forgo your masculinity: deconstructing men's health discourse in the media. _Soc. Sci. Med._


63, 2476–2488 (2006). Article  Google Scholar  * Courtenay, W. H. Constructions of masculinity and their influence on men's well-being: a theory of gender and health. _Soc. Sci. Med._


50, 1385–1401 (2000). Article  CAS  Google Scholar  * Moller-Leimkuhler, A. M. Barriers to help-seeking by men: a review of sociocultural and clinical literature with particular reference to


depression. _J. Affect. Disord._ 71, 1–9 (2002). Article  Google Scholar  * Hee Ahn, M., Park, S., Ha, K., Choi, S. H. & Hong, J. P. Gender ratio comparisons of the suicide rates and


methods in Korea, Japan, Australia, and the United States. _J. Affect. Disord._ 142, 161–165 (2012). Article  Google Scholar  * Milner, A., McClure, R. & De Leo, D. Globalization and


suicide: an ecological study across five regions of the world. _Arch. Suicide Res._ 16, 238–249 (2012). Article  Google Scholar  * Bourne, P. A. _ et al_. Health literacy and health seeking


behaviour among older men in a middle-income nation. _Patient Relat. Outcome Meas._ 1, 39–49 (2010). Article  Google Scholar  * O'Kane, G. M., Craig, P., Black, D. & Sutherland, D.


Riverina men's study: a preliminary exploration of the diet, alcohol use and physical activity behaviours and attitudes of rural men in two Australian New South Wales electorates.


_Rural Remote Health_ 8, 851 (2008). CAS  PubMed  Google Scholar  * Iwamoto, D. K., Cheng, A., Lee, C. S., Takamatsu, S. & Gordon, D. “Man-ing” up and getting drunk: the role of


masculine norms, alcohol intoxication and alcohol-related problems among college men. _Addict. Behav._ 36, 906–911 (2011). Article  Google Scholar  * Herbeth, B., Samara, A., Stathopoulou,


M., Siest, G. & Visvikis-Siest, S. Alcohol consumption, beverage preference, and diet in middle-aged men from the 2012 STANISLAS study. _J. Nutr. Metab._ 987, 243 (2012). Google Scholar


  * Siegel, L. C. _ et al_. Physical activity, body mass index, and diabetes risk in men: a prospective study. _Am. J. Med._ 122, 1115–1121 (2009). Article  Google Scholar  * Hatchell, A.


C., Bassett-Gunter, R. L., Clarke, M., Kimura, S. & Latimer-Cheung, A. E. Messages for men: the efficacy of EPPM-based messages targeting men's physical activity. _Health Psychol._


32, 24–32 (2013). Article  Google Scholar  * Soedamah-Muthu, S. S., De Neve, M., Shelton, N. J., Tielemans, S. M. & Stamatakis, E. Joint associations of alcohol consumption and physical


activity with all-cause and cardiovascular mortality. _Am. J. Cardiol._ http://dx.doi.org/10.1016/j.amjcard.2013.03.040 * Keto, C. J., Masko, E. M. & Freedland, S. J. Physical activity,


obesity, and lower urinary tract symptoms. _Eur. Urol._ 60, 1181–1183 (2011). Article  Google Scholar  * Lee, S. H. _ et al_. Effects of obesity on lower urinary tract symptoms in Korean BPH


patients. _Asian J. Androl._ 11, 663–668 (2009). Article  Google Scholar  * Lee, R. K., Chung, D., Chughtai, B., Te, A. E. & Kaplan, S. A. Central obesity as measured by waist


circumference is predictive of severity of lower urinary tract symptoms. _BJU Int._ 110, 540–545 (2012). Article  Google Scholar  * Abrams, P. _ et al_. The future of urology. _Eur. Urol._


61, 534–540 (2012). Article  Google Scholar  * Forrester, D. A. Myths of masculinity. Impact upon men's health. _Nurs. Clin. North Am._ 21, 15–23 (1986). CAS  PubMed  Google Scholar  *


Foreman, M. D. Cardiovascular disease. A men's health hazard. _Nurs. Clin. North Am._ 21, 65–73 (1986). CAS  PubMed  Google Scholar  * Jackson, C. Men's health. Opening the


flood-gates. _Health Visit_ 64, 265–266 (1991). CAS  PubMed  Google Scholar  * Lawrence, C. _Proceedings from the National Men's Health Conference official opening_ [online], (1996).


Google Scholar  * McEnvoy, R. Men's Health Forum in Ireland [online], (2004). * Men's Health Forum. _All Party Parliamentary Group on Men's Health_ [online], (2011). *


Men's Health World Congress. _Men's Health World Congress_ [online], (2001). * World Health Organization. _Madrid Statement: Gender Mainstreaming Health Policies in Europe_


[online], (2002). * Cash, A. The state of men's health in Western Europe. _J. Mens Health Gend._ 1, 60–66 (2004). Article  Google Scholar  * White, A. _The State of Men's Health in


Western Europe_ [online], (2004). Google Scholar  * European Men's Health Forum. _Vienna Declaration on the Health of Men and Boys in Europe_ [online], (2005). * Australian Government.


Department of Health and Ageing. _National Male Health Policy_ [online], (2010). * Australian Government. Department of Health and Ageing, _Australian Longitudinal Study on Male Health_


[online], (2011). * Australian Institute of Health and Welfare. _The Health of Australia's Males_ [online], (2011). * Pelman, R. _ et al_. American Urological Association (AUA)


Committee on Male Health. White paper: Male Health—Urology's Collaborative Future. Presented at the AUA Board of Directors Meeting (2010). * Sanchez-Chapado, M., Olmedilla, G., Cabeza,


M., Donat, E. & Ruiz, A. Prevalence of prostate cancer and prostatic intraepithelial neoplasia in Caucasian Mediterranean males: an autopsy study. _Prostate_ 54, 238–247 (2003). Article


  Google Scholar  * Sakr, W. A. _ et al_. High grade prostatic intraepithelial neoplasia (HGPIN) and prostatic adenocarcinoma between the ages of 20–69: an autopsy study of 249 cases. _In


Vivo_ 8, 439–443 (1994). CAS  Google Scholar  * Hebert, J. R. _ et al_. Nutritional and socioeconomic factors in relation to prostate cancer mortality: a cross-national study. _J. Natl


Cancer Inst._ 90, 1637–1647 (1998). Article  CAS  Google Scholar  * Hammarsten, J. & Hogstedt, B. Clinical, anthropometric, metabolic and insulin profile of men with fast annual growth


rates of benign prostatic hyperplasia. _Blood Press._ 8, 29–36 (1999). Article  CAS  Google Scholar  * Hammarsten, J., Hogstedt, B., Holthuis, N. & Mellstrom, D. Components of the


metabolic syndrome-risk factors for the development of benign prostatic hyperplasia. _Prostate Cancer Prostatic Dis._ 1, 157–162 (1998). Article  CAS  Google Scholar  * Anton-Culver, H.,


Lee-Feldstein, A. & Taylor, T. H. The association of bladder cancer risk with ethnicity, gender, and smoking. _Ann. Epidemiol._ 3, 429–433 (1993). Article  CAS  Google Scholar  * Taylor,


E. N., Fung, T. T. & Curhan, G. C. DASH-style diet associates with reduced risk for kidney stones. _J. Am. Soc. Nephrol._ 20, 2253–2259 (2009). Article  CAS  Google Scholar  * Mroz, L.


W., Chapman, G. E., Oliffe, J. L. & Bottorff, J. L. Men, food, and prostate cancer: gender influences on men's diets. _Am. J. Mens Health_ 5, 177–187 (2011). Article  Google Scholar


  * Parikh, A., Lipsitz, S. R. & Natarajan, S. Association between a DASH-like diet and mortality in adults with hypertension: findings from a population-based follow-up study. _Am. J.


Hypertens._ 22, 409–416 (2009). Article  Google Scholar  * Karanja, N., Erlinger, T. P., Pao-Hwa, L., Miller, E. R. 3rd & Bray, G. A. The DASH diet for high blood pressure: from clinical


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Scholar  * Movember. _Movember and sons_ [online], (2012). Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Division of Urology, University of Toronto, Toronto Western


Hospital, Main Pavilion, 399 Bathurst Street, Toronto, ON M5T 2S8, Canada Dean S. Elterman * Iris Cantor Men's Health Centre, Weill Cornell Medical College, 425 East 61st Street, New


York, 10065, NY, USA Steven A. Kaplan * Department of Urology, University of Washington School of Medicine, University of Washington Medical Centre, SP1266, 1st Floor, Surgery Pavilion, Box


356158, 1959 N. E. Pacific Street, Seattle, 98195, WA, USA Richard S. Pelman * Department of Urologic Sciences, University of British Columbia, Gordon & Leslie Diamond Health Care


Centre, Level 6, 2275 Laurel Street, Vancouver, V5Z 1M9, BC, Canada S. Larry Goldenberg Authors * Dean S. Elterman View author publications You can also search for this author inPubMed 


Google Scholar * Steven A. Kaplan View author publications You can also search for this author inPubMed Google Scholar * Richard S. Pelman View author publications You can also search for


this author inPubMed Google Scholar * S. Larry Goldenberg View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS S. L. Goldenberg and D. S.


Elterman researched, wrote, edited, and discussed the article. S. A. Kaplan and R. S. Pelman reviewed the manuscript before submission. S. A. Kaplan also made substantial contributions


towards discussions of contents. CORRESPONDING AUTHOR Correspondence to S. Larry Goldenberg. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing financial interests.


RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Elterman, D., Kaplan, S., Pelman, R. _et al._ How 'male health' fits into the field of urology.


_Nat Rev Urol_ 10, 606–612 (2013). https://doi.org/10.1038/nrurol.2013.161 Download citation * Published: 30 July 2013 * Issue Date: October 2013 * DOI:


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