Testosterone and Male Infertility
Key points • Multiple endogenous causes of hypogonadism may adversely affect a man’s fertility potential. • Fertility potential in the hypogonadal male may be reestablished through medical or surgical therapies,…
Testosterone Therapies
There are numerous testosterone formulations now available, and patients and clinicians should take into account the “4 Cs”: cost, compliance, convenience, and concentration levels. Testosterone is a natural contraceptive and…
Assays of Serum Testosterone
The diagnosis of male hypogonadism depends on an assessment of the clinical signs and symptoms of hypogonadism and serum testosterone level. Current clinical laboratory testosterone assay platforms include immunoassays and…
Hypogonadism
Hypogonadism is a clinical syndrome, which results from the failure of the testes to produce physiologic levels of testosterone and a normal number of spermatozoa due to defects at one…
Physiology of the Hypothalamic Pituitary Gonadal Axis in the Male
Key points • Testosterone synthesis and male fertility are controlled by a negative feedback mechanism between the hypothalamus, the pituitary, and the testis. • Congenital or acquired conditions leading to…
Hypogonadism
Joseph P. Alukal, MD, Editor Hypogonadism (testosterone deficiency) is a prevalent condition that has become increasingly controversial. Recent studies raise the question of whether or not testosterone replacement is overprescribed…
Hypogonadism
Samir S. Taneja, MD, Consulting Editor My interest in Urology was originally sparked by the relationship of testosterone to prostate cancer. As a medical student interested in everything and nothing,…
Testosterone and the Prostate
Despite a lack of evidence, there have been stated concerns that testosterone replacement therapy (TRT) can pose a risk to men suffering with lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia…
Sexual Side Effects of Medical and Surgical Benign Prostatic Hyperplasia Treatments
Treatments for lower urinary tract symptoms due to benign prostatic hyperplasia can be evaluated by multiple metrics. A balance within the confines of patient expectations is key to determining the…
Robotic-Assisted Simple Prostatectomy
Despite widespread use of medical therapy for benign prostatic hyperplasia, a need remains for robust surgical therapy in select patients. Robotic-assisted simple prostatectomy (RASP) is an efficacious and safe therapy…
