Androgen Replacement in Men Undergoing Treatment for Prostate Cancer

Authors

  • Ernani Luis Rhoden MD, PhD,

    1. Division of Urology, Department of Surgery, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil
    Search for more papers by this author
  • Márcio Augusto Averbeck MD,

    1. Division of Urology, Department of Surgery, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil
    Search for more papers by this author
  • Patrick E. Teloken

    1. Division of Urology, Department of Surgery, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil
    Search for more papers by this author

Ernani Luis Rhoden, MD, PhD, 288 Dr. Florencio Ygartua Street, Room 504, 90430-010 Porto Alegre, RS, Brazil. Tel: (55) 51-33333144; Fax: (55) 51-33333144; E-mail: ernanirh@yahoo.com.br

ABSTRACT

Introduction.  Hypogonadism is a clinical and biochemical syndrome that may cause significant detriment in the quality of life and adversely affect the function of multiple organ systems. With the increase in life expectancy and prostate cancer (PCa) survival, a significant increase in the number of men with hypogonadism who have undergone presumably curative treatment for PCa is anticipated.

Aim.  To critically review the literature regarding testosterone replacement therapy (TRT) after PCa treatment with curative intent.

Main Outcome Measures.  Review of peer-reviewed literature. There was special focus on the potential implications and safety of TRT in men with hypogonadism who have undergone curative treatment for PCa.

Methods.  English-language relevant publications were identified via electronic medical databases (MEDLINE, EMBASE, and DARE).

Results.  Despite the wide spread of contraindication of testosterone replacement in men with known or suspected PCa, there is no convincing evidence that the normalization of testosterone serum levels in men with low but no castrate levels is deleterious. In the few available case series describing testosterone replacement after treatment for PCa, no case of clinical or biochemical progression was observed.

Conclusions.  Although further studies are necessary before definitive conclusions can be drawn, the available evidence suggests that TRT can be cautiously considered in selected hypogonadal men treated with curative intent for PCa and without evidence of active disease. Rhoden EL, Averbeck MA, and Teloken PE. Androgen replacement in men undergoing treatment for prostate cancer. J Sex Med 2008;5:2202–2208.

Ancillary