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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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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cited_by cdi_FETCH-LOGICAL-c409t-3db2b54b375d34edc4ab325dbbee6a04b8a9147c4598f9517b38d50e58cf1cb53
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container_issue 22
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container_title Journal of clinical medicine
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creator Li, Yun-Ren
Tsao, Shu-Han
Chen, Chien-Lun
Hou, Chen-Pang
Tsui, Ke-Hung
Juang, Horng-Heng
Lin, Yu-Hsiang
description 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 (
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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 (&lt;3 ng/mL) groups. A significant change in testosterone levels (p = 0.025) was observed in the low-testosterone group. In contrast, no significant difference in testosterone levels was noted in the normal-testosterone group (p = 0.698). Conclusions: Endoscopic enucleation surgery of the prostate could improve postoperative testosterone levels in hypotestosteronemic patients with bladder outlet obstruction.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11226808</identifier><identifier>PMID: 36431285</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>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</subject><ispartof>Journal of clinical medicine, 2022-11, Vol.11 (22), p.6808</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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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 (&lt;3 ng/mL) groups. A significant change in testosterone levels (p = 0.025) was observed in the low-testosterone group. 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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
title Endoscopic Enucleation of Prostate Could Increase Testosterone Levels in Hypotestosteronemic Patients with Bladder Outlet Obstruction
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