Endoscopic Enucleation of Prostate Could Increase Testosterone Levels in Hypotestosteronemic Patients with Bladder Outlet Obstruction

Background: We evaluated the impact of endoscopic enucleation of the prostate on testosterone levels in hypotestosteronemic patients with bladder outlet obstruction. Methods: We enrolled 294 men with lower urinary tract symptoms (LUTS) who received surgery between January 2019 and December 2020 in s...

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Bibliographic Details
Published in:Journal of clinical medicine 2022-11, Vol.11 (22), p.6808
Main Authors: Li, Yun-Ren, Tsao, Shu-Han, Chen, Chien-Lun, Hou, Chen-Pang, Tsui, Ke-Hung, Juang, Horng-Heng, Lin, Yu-Hsiang
Format: Article
Language:English
Subjects:
Body mass index
Circadian rhythm
Clinical medicine
Diabetes
Histopathology
Metabolic syndrome
Nocturia
Obesity
Patients
Prostate cancer
Surgery
Testosterone
Urinary tract diseases
Urinary tract infections
Urogenital system
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Summary:Background: We evaluated the impact of endoscopic enucleation of the prostate on testosterone levels in hypotestosteronemic patients with bladder outlet obstruction. Methods: We enrolled 294 men with lower urinary tract symptoms (LUTS) who received surgery between January 2019 and December 2020 in simple tertiary centre. The inclusion criteria were as follows: being a male patient aged 45−95 years and having recurrent urinary tract infection, having previously failed medical treatment for LUTS or urine retention, and undergoing bipolar or thulium laser enucleation of the prostate. The preoperative and postoperative data were retrospectively reviewed. Results: This study included 112 men with a mean age of 69.4 years. The mean preoperative and postoperative testosterone levels were 4.8 and 4.98, respectively. Of the patients, 88 (78.6%) received ThuLEP and 24 received BipolEP. We divided the patients into two groups according to preoperative serum testosterone levels: normal-testosterone (≥3 ng/mL) and low-testosterone (
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm11226808