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Updated: Feb 7, 2026

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Endocrine disruptor bisphenol A is implicated in urinary voiding dysfunction in male mice
Tristan M Nicholson1, Jalissa L Nguyen2, Glen E Leverson3
1Department of Urology, University of Washington , Seattle, Washington.
Environmental estrogens like Bisphenol A (BPA) contribute to male lower urinary tract symptoms (LUTS). BPA exposure in male mice, alongside testosterone, induced significant voiding dysfunction and bladder changes, highlighting risks to urologic health.
Area of Science:
- Endocrinology
- Urology
- Environmental Health
Background:
- Estrogens and androgens are implicated in male lower urinary tract symptoms (LUTS) and benign prostate enlargement.
- Human exposure to environmental estrogens is widespread, but associated urologic health risks in men remain largely uncharacterized.
- Bisphenol A (BPA) is an endocrine-disrupting chemical linked to male urogenital malformations.
Purpose of the Study:
- To investigate the effects of Bisphenol A (BPA) combined with testosterone (T) on the urinary voiding behavior of adult male mice.
- To assess the impact of BPA and estradiol on bladder function and morphology in the context of male LUTS.
Main Methods:
- Adult male mice were subcutaneously implanted with slow-release pellets containing BPA or estradiol-17β (E2), along with testosterone (T).
- Urinary voiding behavior was monitored noninvasively for 1 month before and 4 months after treatment.
- Bladder volume and mass were evaluated post-euthanasia.
Main Results:
- Mice treated with testosterone and BPA (T+BPA) exhibited increased bladder volume and mass compared to untreated controls.
- After 4 months of T+BPA treatment, a majority of mice developed voiding dysfunction, characterized by droplet voiding or intermediate patterns.
- Voiding dysfunction was observed in BPA-treated mice, manifesting at later time points.
Conclusions:
- Treatment with BPA or estradiol induces voiding dysfunction in male mice, with effects becoming apparent over time.
- The endocrine disruptor BPA is implicated as a contributing factor to the development of male LUTS.
- These findings underscore the potential urologic health risks associated with environmental estrogen exposure in men.
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