Urologic aspects of HIV infection

Alan W Shindel, Ardavan Akhavan, Ira D. Sharlip

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Although lifespan has dramatically improved in the human immunodeficiency virus-positive (HIV+) population, HIV and its treatment continue to be a source of substantial morbidity in many organ systems, including the genitourinary tract. As the number of long-term survivors increases with advances in antiretroviral therapy, age-associated urologic symptoms are also becoming increasingly relevant considerations for people living with HIV. Primary care physicians have a major role to play in maintaining the genitourinary health of their HIV+ patients. This role is of great importance not just for the well-being of the individual patient but for the public health, as the genitourinary tract is a common vector for HIV transmission. In this article the authors review the management of the genitourinary system in patients with HIV infection. Particular consideration is given to urinary tract infections, lower urinary tract symptoms, renal insufficiency, sexual and fertility problems, and cancers of the genitourinary tract. Management algorithms are outlined and indications for referral to a urologist are emphasized.

Original languageEnglish (US)
Pages (from-to)129-151
Number of pages23
JournalMedical Clinics of North America
Volume95
Issue number1
DOIs
StatePublished - Jan 2011

Fingerprint

HIV Infections
HIV
Urogenital System
Urogenital Neoplasms
Lower Urinary Tract Symptoms
Primary Care Physicians
Urinary Tract Infections
Renal Insufficiency
Fertility
Survivors
Referral and Consultation
Public Health
Morbidity
Health
Therapeutics
Population

Keywords

  • Erectile dysfunction
  • Genitourinary infection
  • Genitourinary tumors
  • Human immunodeficiency virus
  • Male circumcision

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Urologic aspects of HIV infection. / Shindel, Alan W; Akhavan, Ardavan; Sharlip, Ira D.

In: Medical Clinics of North America, Vol. 95, No. 1, 01.2011, p. 129-151.

Research output: Contribution to journalArticle

Shindel, Alan W ; Akhavan, Ardavan ; Sharlip, Ira D. / Urologic aspects of HIV infection. In: Medical Clinics of North America. 2011 ; Vol. 95, No. 1. pp. 129-151.
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