Evidence map›Paper›PMID 31240270›Full record

ArticleJournal of the Endocrine Society2019

Replacement of Male Mini-Puberty.

Dimitrios T Papadimitriou, Dionysios Chrysis, Georgia Nyktari, George Zoupanos, Eleni Liakou, Anastasios Papadimitriou, George Mastorakos

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–field-weighted citation impact, top 100% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. A Current Perspective on Delayed Puberty and Its ManagementJournal of clinical research in pediatric endocrinology · 2024
    Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Testosterone therapy in children and adolescents: to whom, how, when?International journal of impotence research · 2022
    Review
  16. Article
  17. Article
  18. Review
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Dimitrios T PapadimitriouDepartment of Pediatric-Adolescent Endocrinology & Diabetes, Athens Medical Center, Athens, Greece.ORCID 0000-0002-6083-3560
Dionysios ChrysisDepartment of Pediatrics, Division of Pediatric Endocrinology, Medical School, University of Patras, Rion, Greece.
Georgia NyktariNeonatal Intensive Care Unit, Gaia Maternity, Athens Medical Center, Athens, Greece.
George ZoupanosPediatric Urology Clinic, Athens Medical Center, Athens, Greece.
Eleni LiakouAthens Medical Center, Athens, Greece.
Anastasios PapadimitriouPediatric Endocrinology Unit, 3rd Department of Pediatrics, Attikon University Hospital, Athens, Greece.
George MastorakosEndocrine Unit, Second Department of Obstetrics and Gynecology, Aretaieion Hospital, Medical School, University of Athens, Athens, Greece.
Athens Medical Center · GRNational and Kapodistrian University of Athens · GRUniversity General Hospital Attikon · GRUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextClinical management of congenital hypogonadotropic hypogonadism (CHH) remains a challenge in pediatric endocrinology.

objectiveTo investigate whether daily subcutaneous injections of the recombinant human LH/FSH preparation could mimic the physiological male mini-puberty. DESIGN AND

settingThe REMAP (REplacement of MAle mini-Puberty) study with up to 10 years of follow-up. PATIENTS AND

interventionTen neonates or infants, all with bilateral cryptorchidism in intra-abdominal/inguinal position and micropenis with the absence of neonatal male mini-puberty, received daily subcutaneous injections of Pergoveris

main outcome measuresRestoration of bilateral cryptorchidism/micropenis and the Leydig/Sertoli cells function.

resultsAt the end of treatment, median LH and FSH, both undetectable before treatment, reached high normal levels of 4.45 IU/L and supranormal levels 83 IU/L, respectively; median inhibin-b and anti-Mullerian hormone levels increased from subnormal (27.8 and 1.54 ng/mL, respectively) to normal levels (365 and 150 ng/mL, respectively); median testosterone increased from just detectable (0.02 ng/mL) to normal levels (3.3 ng/mL). Stretched penile length increased from a median of 2 to 3.8 cm. During therapy, all testes descended to the scrotal position (by the end of the first month in three patients, the second month in four patients, and the third month in three patients), measuring 1.5 mL and appearing normal in ultrasonography. Three infants received additional treatment with testosterone enanthate. In two infants, one of two testes regressed in the low inguinal area; both infants were successfully treated surgically. After 1 to 10 years of follow-up, all testes are still in scrotal position and have slightly regressed in size.

conclusionsThe proposed regimen mimics neonatal male mini-puberty and successfully treats infants with micropenis and cryptorchidism in CHH.

Indexed as

cryptorchidismhypogonadotropic hypogonadismmicropenispergoverisrecombinant FSHrecombinant LH

Identifiers

PMID31240270
PMCPMC6584110
OpenAlexW2509425018

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.