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Etiology of testosterone deficiency after radical prostatectomy.

리뷰 2/5 보강
Urologic oncology 📖 저널 OA 9.7% 2026 Vol.44(5) p. 111035 Hormonal and reproductive studies
TL;DR Routine androgen surveillance and prospective trials are warranted to refine the timing and long-term outcomes of administering exogenous testosterone post-RP.
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PubMed DOI OpenAlex Semantic 마지막 보강 2026-04-29
OpenAlex 토픽 · Hormonal and reproductive studies Prostate Cancer Treatment and Research Sexual Differentiation and Disorders

Hammad MAM, Bandaru D, Furlan V, Hwang Y, Yafi FA, Daneshvar M, Lee D, Ahlering T, Shahait M

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Routine androgen surveillance and prospective trials are warranted to refine the timing and long-term outcomes of administering exogenous testosterone post-RP.

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APA Muhammed A.M. Hammad, Dhiresh Bandaru, et al. (2026). Etiology of testosterone deficiency after radical prostatectomy.. Urologic oncology, 44(5), 111035. https://doi.org/10.1016/j.urolonc.2026.111035
MLA Muhammed A.M. Hammad, et al.. "Etiology of testosterone deficiency after radical prostatectomy.." Urologic oncology, vol. 44, no. 5, 2026, pp. 111035.
PMID 41775590

Abstract

[INTRODUCTION] Testosterone deficiency (TD) may occur after radical prostatectomy (RP). Guidance on prevalence, mechanisms, and testosterone-replacement therapy (TRT) safety remains limited.

[OBJECTIVE] To summarize contemporary evidence on the etiology of post-RP TD.

[METHODS] A PRISMA-ScR scoping review identified English-language human studies reporting the etiology of post-RP TD. Fourteen of 186 screened articles met the inclusion criteria.

[RESULTS] TD develops in 20% to 30% of men within 4 weeks and persists in 37.5% by day 90. Proposed mechanisms described in the literature include perioperative venous, ischemic, and neuroendocrine perturbations, though supporting evidence remains limited and largely indirect.

[CONCLUSIONS] One-third of men experience transient or persistent TD post-RP owing to venous, ischemic, and endocrine factors; most normalize within a year. Routine androgen surveillance and prospective trials are warranted to refine the timing and long-term outcomes of administering exogenous testosterone post-RP.

🏷️ 키워드 / MeSH