Gore John, Rajfer Jacob
Rev Urol. 2004 Fall;6(4):207-10.
As oral phosphodiesterase-5 inhibitor therapy has become the first-line treatment of erectile dysfunction (ED), common approaches in the evaluation of ED have been largely abandoned. Not only is routine hormone analysis no longer widely recommended, but most specialists perform serum testosterone level testing only in the most complex cases of ED. This article explores the rationale for including serum testosterone analysis as part of the initial screening of patients with ED. The use of routine serum testosterone testing is advocated for its efficacy in the diagnosis and treatment of hypogonadism and pituitary disorders associated with ED.
由于口服磷酸二酯酶-5抑制剂疗法已成为勃起功能障碍(ED)的一线治疗方法,ED评估中的常见方法在很大程度上已被摒弃。不仅常规激素分析不再被广泛推荐,而且大多数专家仅在最复杂的ED病例中进行血清睾酮水平检测。本文探讨了将血清睾酮分析纳入ED患者初始筛查的理由。提倡进行常规血清睾酮检测,因为它在诊断和治疗与ED相关的性腺功能减退和垂体疾病方面具有疗效。