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Prostate-specific antigen testing in hypogonadism: implications for the safety of testosterone-replacement therapy.

Gould DC, Feneley MR, Kirby RS

Department of Urology, The Prostate Centre, London, UK. duncangould@hotmail.com

Hypogonadal men have lower prostate volumes and serum prostate-specific antigen (PSA) levels than age-matched controls. When present, prostate cancer in hypogonadal men is more aggressive than in eugonadal men, and given the lack of specificity of PSA for diagnosing prostate cancer, a more accurate test would be desirable in hypogonadal men. Once testosterone-replacement therapy is started in hypogonadal men, PSA levels should be measured regularly; however, there is often an initial rise 3-6 months after starting treatment. A rise of >0.5 ng/mL within this time requires further investigation.

Published 11 July 2006 in BJU Int, 98(1): 1-4.
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Chemotherapy Research Today Archive:

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