Urologie pro praxi 1/2025
Metabolic syndrome nad urinary track disorders
Metabolic syndrome (MetS) is a complex unit of various metabolic disorders, including abdominal obesity, dyslipidemia, elevated blood pressure and increased fasting glycemia, which act in mutual interplay as important risk factors for multiple diseases, including disorders of urinary tract. Increasing body of evidence suggest that MetS and its individual components predispose not only to the development of malignant tumors notably carcinoma of kidney, prostate, ureter or urinary bladder but also to the development of other urological diseases, such as urolithiasis, benign prostate hypertrophy, male hypogonadism or erectile dysfunction. Some patophysiological mechanisms or paradoxal findings are not currently sufficiently understood and require further research. From a clinical point of view it is important to respect the fact, that for successfull prevention and management of multiple urological disorders an increased interdisciplinary cooperation aimed to treat and decrease predisposing risk metabolic factors is required.
Keywords: metabolic syndrome, diseases of urinary tract, urological diseases, diabetes mellitus, lipid disorder, arterial hypertension, insulin resistance.