[Testosterone deficit syndrome in the chronic renal failure patient].

Abstract:

:Hypogonadism may affect as much as 70% of the patients with chronic renal failure (CRF) in comparison with general population. Physiopathologically, it is a hypergonadotropic hypogonadism, with alterations in the pulsatile production of GnRH, FSH, LH and testicular testosterone, that is a general disorder of the hypothalamic-hypophysis-testicular axis. This disorder may determine important consequences in this population of patients, with varied sexual dysfunction, trophic and functional muscular and fatty tissue disorders, bone demineralization, anemia and increase of cardiovascular disease associated mortality.Treatment in these patients must be focused from a general point of view, increasing their clinical condition, the systemic complications associated with CRF, complementing in this way with exogenous testosterone replacement therapy. If possible, it seems that the most efficacious therapy will be renal transplantation.

journal_name

Arch Esp Urol

authors

Lledó García E,Jara Rascón J

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

703-10

issue

7

eissn

0004-0614

issn

1576-8260

journal_volume

66

pub_type

杂志文章,评审
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    doi:

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  • [Robotic assisted laparoscopic colposacropexy in the treatment of pelvic organ prolapse].

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    abstract:OBJECTIVE:We report one case of metastatic dissemination of a rectal adenocarcinoma to the prepuce. METHODS:61-year-old patient with the diagnosis of rectal adenocarcinoma treated 18 months before by surgery and chemotherapy. He presents with a painful enlargement of the penis associated with outgrowing erythematous l...

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  • [Urodigestive fistulae: the diagnosis and treatment of 76 cases].

    abstract:OBJECTIVES:Urodigestive fistulas are secondary complications of inflammatory, traumatic or neoplastic disease and can occasionally be difficult to diagnose, although the typical symptoms of pneumaturia and fecaluria should make the urologist and surgeon suspect the presence of a fistula, determine its etiology and loca...

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  • [The second kidney transplantation in Spain].

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  • [Usefulness of prostatic specific antigen (PSA) for diagnosis and staging of patients with prostate cancer].

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    pub_type: 杂志文章,评审

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    doi:

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    pub_type: 杂志文章,评审

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    authors: Martínez silva V,Suárez Charneco A,Cruceyra Betriú G,Rosino Sánchez A,Capitán Manjón C,Piedra Lara J,Leiva Galvis O

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  • [Advanced tubercular disease of urogenital tract].

    abstract:OBJECTIVE:The genitourinary tract is one of the most common sites of extrapulmonary tuberculosis (30%-33%), followed by the lymphatic tissue, skeletal system and gut. Due to the diagnostic methods and therapeutic modalities currently available, it is infrequent to find advanced tuberculosis with extensive genitourinary...

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  • [Leiomyosarcoma originating in the renal vein. A special case].

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  • [Bilateral isolated infiltration in the epididymis and sperm cord as first sign of chronic lymphatic leukemia].

    abstract:OBJECTIVE:Involvement of extralymphatic tissue in chronic lymphocytic leukemia (CLL) is uncommon and that of the epididymis and spermatic cord is rare. This paper describes an unusual case with metastasis to both epididymis and the spermatic cord as the first sign of reactivation of CLL. METHODS/RESULTS:A patient with...

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