Evidence map›Paper›PMID 24135918›Full record

Observational studyWorld journal of urology2014

Lower urinary tract symptoms improve with testosterone replacement therapy in men with late-onset hypogonadism: 5-year prospective, observational and longitudinal registry study.

Dany-Jan Yassin, Yousef El Douaihy, Aksam A Yassin, James Kashanian, Ridwan Shabsigh, Peter G Hammerer

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in World journal of urology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 57 citations in OpenAlex.

  1. Trial
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  7. Review
  8. Article
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  11. Review
  12. Article
  13. Article
  14. Testosterone deficiency in the aging male.Therapeutic advances in urology · 2016
    Review
  15. Article
  16. Review
  17. Observational
  18. Recommendations on the diagnosis, treatment and monitoring of hypogonadism in men.The aging male : the official journal of the International Society for the Study of the Aging Male · 2015
    Article
  19. Review
  20. Transdermal testosterone replacement therapy in men.Drug design, development and therapy · 2014
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Dany-Jan YassinDepartment of Urology, Klinikum Braunschweig, Brunswick, Germany.
Yousef El Douaihy
Aksam A Yassin
James Kashanian
Ridwan Shabsigh
Peter G Hammerer
Klinikum Braunschweig · DEMaimonides Medical Center · USSegeberger Kliniken · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany men with "late-onset hypogonadism" (LOH) experience lower urinary tract symptoms (LUTS) that can be distressing and may decrease quality of life. LUTS often appear in men when testosterone levels begin to decline, which could be a significant association. We investigated whether testosterone replacement could alleviate LUTS in men with LOH.

methodsTwo hundred and sixty-one hypogonadal patients (mean age 59.5 years) presenting with erectile dysfunction, having also been evaluated for LUTS, received a single testosterone undecanoate injection at day 1, at week 6 and quarterly thereafter. Parameters, including International Prostate Symptom Score (IPSS), post-voiding residual urine volume, transrectal ultrasound, prostate volume and prostate-specific antigen were measured at each treatment visit. Two hundred and fifty-nine patients were included in the full analysis set. These were subsequently divided into weight losers (L ≥ 5 % weight loss at last visit from baseline) and non-losers (NL). t test analyses were used to compare the IPSS means of these subgroups. The potentially confounding effect on IPSS of using the phosphodiesterase-5 inhibitor (PDE5i) vardenafil was also accounted for.

resultsMean IPSS showed a significant decrease with time following initiation of testosterone treatment (p < 0.05). No significant differences were observed in either IPSS between L and NL groups or in mean IPSS between vardenafil users and non-users.

conclusionTestosterone replacement is associated with improvements in LUTS which are not confounded by weight loss or PDE5i. The mechanisms of this association require further investigation.

Indexed as

Hormone Replacement TherapyAgedAge of OnsetErectile DysfunctionEunuchismHumansImidazolesLongitudinal StudiesLower Urinary Tract SymptomsMaleMiddle AgedPiperazinesProspective StudiesRegistriesSulfonesTestosteroneImidazolesPiperazinesSulfonesTestosteroneTriazinesVardenafil Dihydrochloride

Identifiers

PMID24135918
OpenAlexW1965009753

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.