Otunctemur Alper, Ozbek Emin, Cakir Suleyman Sami, Dursun Murat, Polat Emre Can, Ozcan Levent, Besiroglu Huseyin
Okmeydani Training and Research Hospital, Department of Urology, Istanbul.
Arch Ital Urol Androl. 2015 Mar 31;87(1):83-6. doi: 10.4081/aiua.2015.1.83.
To evaluate the relationship among urolithiasis, metabolic syndrome (MetS) and serum testosterone (T) level in men.
513 men older than 18 years were enrolled in this study: 313 of the subjects had a history of stones (group 1) and 200 had no history of stones (controls, group 2). Early morning T levels were recorded and anthropometric measurements were investigated to evaluate MetS. Analyses were completed using chi-square tests.
Serum T level was lower in stone forming patients than control subjects and 161 (%51.4) men in group 1 and 92 (%46) men in group 2 were diagnosed with metabolic syndrome. T level was found lower limit (< 285 ng/dl) in the MetS and urolithiasis group (p 0.002, OR 2.71).
We found low testosterone levels in the patients with stone disease and prevalence of the MetS in men with urolithiasis was higher than in men without stone disease. Our findings show that levels of testosterone had no effect on stone formation, but the factors that cause stone formation can have an effect on the level of testosterone.
评估男性尿路结石、代谢综合征(MetS)与血清睾酮(T)水平之间的关系。
本研究纳入了513名18岁以上男性:其中313名受试者有结石病史(第1组),200名无结石病史(对照组,第2组)。记录清晨T水平,并进行人体测量以评估代谢综合征。使用卡方检验完成分析。
结石形成患者的血清T水平低于对照组,第1组中有161名(51.4%)男性和第2组中有92名(46%)男性被诊断为代谢综合征。在代谢综合征和尿路结石组中发现T水平低于下限(<285 ng/dl)(p = 0.002,OR = 2.71)。
我们发现结石病患者的睾酮水平较低,尿路结石男性中代谢综合征的患病率高于无结石病的男性。我们的研究结果表明,睾酮水平对结石形成没有影响,但导致结石形成的因素可能会对睾酮水平产生影响。