Prostate size in hypogonadal men treated with a nonscrotal permeation-enhanced testosterone transdermal system
Abstract
Objectives This study examined the effects of testosterone replacement using a nonscrotal testosterone transdermal (TTD) system on prostate size and prostate-specific antigen (PSA) levels in hypogonadal men.Methods As part of an open-label, multicenter study, prostate volume as measured by transrectal ultrasound and PSA were assessed in 29 hypogonadal men during treatment with intramuscular testosterone enanthate (+TE), followed by 8 weeks of androgen withdrawal (-T), and then during 1 year of therapy with Androderm Testosterone Transdermal System, a nonscrotal permeation-enhanced TTD system (+TTD).Results Mean prostate volume decreased significantly from the +TE period (17 g) compared with the -T period (14 g) (P < 0.001). Prostate volume increased significantly from the -T period compared with the +TTD period (18 g) (P < 0.001). Maximum prostate size, comparable to that measured during +TE (P = 0.125), was reached by month 3 of +TTD therapy; prostate volume did not increase further during the remaining 9 months of +TTD therapy. Prostate volume correlated with age (P < 0.01) during all three periods of observation (+TE: r = 0.69; -T: r = 0.64; and +TTD: r = 0.55). No patient developed symptomatic benign prostatic hyperplasia during the treatment period. PSA levels decreased during androgen withdrawal compared with levels measured during +TE treatment (P < 0.001) and rose with resumption of androgen therapy with TTD (P < 0.006). However, PSA levels during +TTD replacement remained significantly lower (P < 0.001) than during +TE replacement.Conclusions Physiologic testosterone replacement in hypogonadal men was achieved using the TTD system. Prostate size during therapy with TTD was comparable to that reported for normal men. In these men treated with TTD, PSA levels were also within the normal range.
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Prostate volume increases after 3 months and after 12 months of testosterone treatment.
“An increase in prostate volume was noted after 3 months (86) and after 12 months (44).”
From Onset of effects of testosterone treatment and time span until maximum effects are achieved (2011) · cites this paper as [86]
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Self-citationTestosterone treatment for the aging man: The controversy
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Testosterone replacement therapy and prostate risks: where's the beef?
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Androgen deficiency in the aging male: Pathophysiology, diagnosis, and treatment alternatives
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Consensus Document on substitution therapy with testosterone in hypoandrogenic elderly men
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Testosterone therapy – effects on prostate and bone
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Androgen Replacement Therapy of Male Hypogonadism
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V. The Effects of Aging and Testosterone on Lipids and Cardiovascular Risk
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Androgen Replacement Therapy in Hypogonadal Men
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III. Which Testosterone Assay Should Be Used In Older Men?1
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II. Changes in Reproductive Hormones During the Aging Process
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- Authors
- Wayne Meikle, A., Arver, S., Dobs, A. S., Adolfsson, J., Sanders, S. W., Middleton, R. G., Stephenson, R. A., Hoover, D. R., Rajaram, L., & Mazer, N. A.
- Affiliations
- Karolinska University Hospital (SE)
- Venue
- Urology
- Publisher
- Elsevier BV
- Published
- 1997-02
- Volume
- 49
- Issue
- 2
- Pages
- 191-196
- ISSN
- 0090-4295 (ISSN-L)
- OpenAlex
- W1980883512
- Cited by
- 125
- References
- 34
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 6.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Urology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (1r55dk043344-01, 5r01dk045760-04)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-43344, DK45760)
- National Center for Research Resources (M01-RR 00064, M01RR000064)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- testosterone replacement therapy, hypogonadism, prostate volume, prostate-specific antigen, androgen withdrawal, testosterone enanthate, benign prostatic hyperplasia
- MeSH terms
- Administration, Cutaneous, Adult, Aged, Humans, Hypogonadism, Male, Middle Aged, Prostate, Testosterone, Prostate-Specific Antigen
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