Diagnostic approach to the aging male

Quality of life has become a major issue in health care, particularly in old age. The aging process runs its own course but certain elements potentially lend themselves to intervention. The urologist has excellent opportunities to counsel aging men on general aspects of health and to offer screening for common ailments of old age. It is relevant to distinguish between the process of aging itself and diseases occurring in old age. The latter should be diagnosed and adequately treated. Risk factors for these age-related diseases should be identified and addressed. Several questionnaires have been developed that are helpful. Apart from urological disease, cardiovascular disease, diabetes mellitus and osteoporosis are common conditions. There are now tests available that allow screening. Of great importance is the need to raise awareness in aging men of the possibilities modern medicine offers to improve quality of life, and to encourage these men to utilize them for their benefit.