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Clinical and social characteristics of Korean men with Klinefelter syndrome

Objectives:  To investigate the characteristics of Klinefelter syndrome in a consecutive series of men consulting for sexual as well as fertility problems in Korea. Methods:  A total of 179 men with non‐mosaic 47,XXY Klinefelter syndrome of the 1876 azoospermic males who visited the fertility center...

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Published in:International journal of urology 2012-05, Vol.19 (5), p.443-449
Main Authors: Bak, Chong Won, Byun, Jae Sang, Lee, Jee Han, Park, Ji Hye, Lee, Kyung-Ah, Shim, Sung Han
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container_issue 5
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container_title International journal of urology
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creator Bak, Chong Won
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Lee, Jee Han
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description Objectives:  To investigate the characteristics of Klinefelter syndrome in a consecutive series of men consulting for sexual as well as fertility problems in Korea. Methods:  A total of 179 men with non‐mosaic 47,XXY Klinefelter syndrome of the 1876 azoospermic males who visited the fertility center of our university hospital between January 2002 and January 2010 were included in this analysis. Their semen characteristics, hormone profiles, size of the prostate gland, and education level were assessed and compared with an age‐matched control group of 218 fertile males. Additionally, a histological evaluation was carried out. Results:  Prostate size, testicular volume, semen volume and symptom severity showed statistically significant differences in both groups (P 
doi_str_mv 10.1111/j.1442-2042.2012.02964.x
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Methods:  A total of 179 men with non‐mosaic 47,XXY Klinefelter syndrome of the 1876 azoospermic males who visited the fertility center of our university hospital between January 2002 and January 2010 were included in this analysis. Their semen characteristics, hormone profiles, size of the prostate gland, and education level were assessed and compared with an age‐matched control group of 218 fertile males. Additionally, a histological evaluation was carried out. Results:  Prostate size, testicular volume, semen volume and symptom severity showed statistically significant differences in both groups (P &lt; 0.0001). As the severity of signs and symptoms worsened, the education level decreased. Each degree of signs and symptoms was associated with a different level of education, as well as with significant differences in the level of testosterone and testicular volume (P &lt; 0.05). Spearman's correlation coefficient showed the severity of signs and symptoms was associated with testosterone (P &lt; 0.0001). Conclusions:  Testosterone has the strongest negative association with the severity of signs and symptoms in patients with Klinefelter syndrome. It influences the reproductive capacity, as well as the manifested signs and symptoms of hypogonadism. Furthermore, it is also associated with various aspects of life in these patients.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/j.1442-2042.2012.02964.x</identifier><identifier>PMID: 22320868</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; education level ; Educational Status ; Humans ; Klinefelter syndrome ; Klinefelter Syndrome - blood ; Klinefelter Syndrome - classification ; Male ; Organ Size ; prostate ; Prostate - anatomy &amp; histology ; Republic of Korea ; Semen Analysis ; Severity of Illness Index ; signs and symptoms ; Sociology - statistics &amp; numerical data ; testosterone ; Testosterone - blood ; Young Adult</subject><ispartof>International journal of urology, 2012-05, Vol.19 (5), p.443-449</ispartof><rights>2012 The Japanese Urological Association</rights><rights>2012 The Japanese Urological Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4604-6edf234259aae0dfff7cbf2b27716e7491273fe0a22ffc975f87cbdd7f93a2443</citedby><cites>FETCH-LOGICAL-c4604-6edf234259aae0dfff7cbf2b27716e7491273fe0a22ffc975f87cbdd7f93a2443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22320868$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bak, Chong Won</creatorcontrib><creatorcontrib>Byun, Jae Sang</creatorcontrib><creatorcontrib>Lee, Jee Han</creatorcontrib><creatorcontrib>Park, Ji Hye</creatorcontrib><creatorcontrib>Lee, Kyung-Ah</creatorcontrib><creatorcontrib>Shim, Sung Han</creatorcontrib><title>Clinical and social characteristics of Korean men with Klinefelter syndrome</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Objectives:  To investigate the characteristics of Klinefelter syndrome in a consecutive series of men consulting for sexual as well as fertility problems in Korea. Methods:  A total of 179 men with non‐mosaic 47,XXY Klinefelter syndrome of the 1876 azoospermic males who visited the fertility center of our university hospital between January 2002 and January 2010 were included in this analysis. Their semen characteristics, hormone profiles, size of the prostate gland, and education level were assessed and compared with an age‐matched control group of 218 fertile males. Additionally, a histological evaluation was carried out. Results:  Prostate size, testicular volume, semen volume and symptom severity showed statistically significant differences in both groups (P &lt; 0.0001). As the severity of signs and symptoms worsened, the education level decreased. Each degree of signs and symptoms was associated with a different level of education, as well as with significant differences in the level of testosterone and testicular volume (P &lt; 0.05). Spearman's correlation coefficient showed the severity of signs and symptoms was associated with testosterone (P &lt; 0.0001). Conclusions:  Testosterone has the strongest negative association with the severity of signs and symptoms in patients with Klinefelter syndrome. It influences the reproductive capacity, as well as the manifested signs and symptoms of hypogonadism. 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Spearman's correlation coefficient showed the severity of signs and symptoms was associated with testosterone (P &lt; 0.0001). Conclusions:  Testosterone has the strongest negative association with the severity of signs and symptoms in patients with Klinefelter syndrome. It influences the reproductive capacity, as well as the manifested signs and symptoms of hypogonadism. Furthermore, it is also associated with various aspects of life in these patients.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>22320868</pmid><doi>10.1111/j.1442-2042.2012.02964.x</doi><tpages>7</tpages></addata></record>
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source Wiley
subjects Adult
education level
Educational Status
Humans
Klinefelter syndrome
Klinefelter Syndrome - blood
Klinefelter Syndrome - classification
Male
Organ Size
prostate
Prostate - anatomy & histology
Republic of Korea
Semen Analysis
Severity of Illness Index
signs and symptoms
Sociology - statistics & numerical data
testosterone
Testosterone - blood
Young Adult
title Clinical and social characteristics of Korean men with Klinefelter syndrome
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