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Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature

INTRODUCTION: Alternative tobacco products, including electronic cigarettes (e-cigarettes) and non-combustible tobacco products or heat-not-burn (HNB) products, are substitutes to conventional combustible cigarettes with the potential to impact urologic health, similar to traditional smoking. Most u...

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Autores principales: Bjurlin, Marc A., Kamecki, Hubert, Gordon, Terry, Krajewski, Wojciech, Matulewicz, Richard S., Małkiewicz, Bartosz, Demkow, Tomasz, Sosnowski, Roman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Polish Urological Association 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318020/
https://www.ncbi.nlm.nih.gov/pubmed/34336232
http://dx.doi.org/10.5173/ceju.2021.0110
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author Bjurlin, Marc A.
Kamecki, Hubert
Gordon, Terry
Krajewski, Wojciech
Matulewicz, Richard S.
Małkiewicz, Bartosz
Demkow, Tomasz
Sosnowski, Roman
author_facet Bjurlin, Marc A.
Kamecki, Hubert
Gordon, Terry
Krajewski, Wojciech
Matulewicz, Richard S.
Małkiewicz, Bartosz
Demkow, Tomasz
Sosnowski, Roman
author_sort Bjurlin, Marc A.
collection PubMed
description INTRODUCTION: Alternative tobacco products, including electronic cigarettes (e-cigarettes) and non-combustible tobacco products or heat-not-burn (HNB) products, are substitutes to conventional combustible cigarettes with the potential to impact urologic health, similar to traditional smoking. Most urologists, however, have limited knowledge of these products and are unfamiliar with their potential health implications. We conducted a review to assess the impact of e-cigarettes and HNB products on urologic health. MATERIAL AND METHODS: A bibliographic search covering the period up to April, 2021 was conducted using MEDLINE(®)/PubMed(®) and Google Scholar. Articles were reviewed and categorized based on the potential impact on erectile dysfunction, semen quality, lower urinary tract symptoms, genitourinary malignancies, and smoking cessation. Data were extracted, analyzed and summarized. RESULTS: Mature data on the long-term impact of e-cigarette and HNB product use on urologic health are lacking. E-cigarette and HNB vapors appear to contain decreased concentrations of chemicals responsible for erectile dysfunction compared to tobacco smoke but may play a role through endothelial damage. Use of e-cigarettes is associated with lower sperm counts. No definitive data has shown a link between e-cigarette or HNB product use and lower urinary tract symptoms. Multiple carcinogens including those specifically linked to bladder cancer have been identified in the urine of e-cigarette and HNB product users. Limited data suggest e-cigarettes may aid in smoking cessation. CONCLUSIONS: Urologists may benefit from understanding the urologic health concerns surrounding e-cigarettes and HNB product use and patients may benefit from being properly educated.
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spelling pubmed-83180202021-07-30 Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature Bjurlin, Marc A. Kamecki, Hubert Gordon, Terry Krajewski, Wojciech Matulewicz, Richard S. Małkiewicz, Bartosz Demkow, Tomasz Sosnowski, Roman Cent European J Urol Review Paper INTRODUCTION: Alternative tobacco products, including electronic cigarettes (e-cigarettes) and non-combustible tobacco products or heat-not-burn (HNB) products, are substitutes to conventional combustible cigarettes with the potential to impact urologic health, similar to traditional smoking. Most urologists, however, have limited knowledge of these products and are unfamiliar with their potential health implications. We conducted a review to assess the impact of e-cigarettes and HNB products on urologic health. MATERIAL AND METHODS: A bibliographic search covering the period up to April, 2021 was conducted using MEDLINE(®)/PubMed(®) and Google Scholar. Articles were reviewed and categorized based on the potential impact on erectile dysfunction, semen quality, lower urinary tract symptoms, genitourinary malignancies, and smoking cessation. Data were extracted, analyzed and summarized. RESULTS: Mature data on the long-term impact of e-cigarette and HNB product use on urologic health are lacking. E-cigarette and HNB vapors appear to contain decreased concentrations of chemicals responsible for erectile dysfunction compared to tobacco smoke but may play a role through endothelial damage. Use of e-cigarettes is associated with lower sperm counts. No definitive data has shown a link between e-cigarette or HNB product use and lower urinary tract symptoms. Multiple carcinogens including those specifically linked to bladder cancer have been identified in the urine of e-cigarette and HNB product users. Limited data suggest e-cigarettes may aid in smoking cessation. CONCLUSIONS: Urologists may benefit from understanding the urologic health concerns surrounding e-cigarettes and HNB product use and patients may benefit from being properly educated. Polish Urological Association 2021-05-13 2021 /pmc/articles/PMC8318020/ /pubmed/34336232 http://dx.doi.org/10.5173/ceju.2021.0110 Text en Copyright by Polish Urological Association https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
spellingShingle Review Paper
Bjurlin, Marc A.
Kamecki, Hubert
Gordon, Terry
Krajewski, Wojciech
Matulewicz, Richard S.
Małkiewicz, Bartosz
Demkow, Tomasz
Sosnowski, Roman
Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature
title Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature
title_full Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature
title_fullStr Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature
title_full_unstemmed Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature
title_short Alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? A commentary and review of literature
title_sort alternative tobacco products use and its impact on urologic health – will the lesser evil still be evil? a commentary and review of literature
topic Review Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8318020/
https://www.ncbi.nlm.nih.gov/pubmed/34336232
http://dx.doi.org/10.5173/ceju.2021.0110
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