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Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
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FROM ERECTILE DYSFUNCTION TO BRAIN SUBEPENDYMOMA: A CASE REPORT.

Tatjana Bačun1, Aleksandar Kibel1, Dunja Degmečić1

  • 11Department of Internal Medicine, Osijek University Hospital Centre, Osijek, Croatia; 2Department of Internal Medicine, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 3Department of Physiology and Immunology, Faculty of Medicine, University of Osijek, Osijek, Croatia; 4Department of Psychiatry, Osijek University Hospital Centre, Osijek, Croatia; 5Department of Psychiatry, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; 6University Hospital of Traumatology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; 7Department of Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.

Acta Clinica Croatica
|July 30, 2020
PubMed
Summary

A rare intracranial tumor, subependymoma, caused erectile dysfunction in a young man due to pituitary gland compression. This case highlights the importance of considering brain lesions in erectile dysfunction evaluations.

Keywords:
Brain neoplasmsEndocrine system diseasesErectile dysfunctionGlioma, subependymalProlactinTestosterone

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Area of Science:

  • Neurology
  • Endocrinology
  • Oncology

Background:

  • Endocrinopathies are uncommon causes of erectile dysfunction (ED).
  • Previous reports link hyperprolactinemia and pituitary adenomas to ED.
  • This case explores a rare intracranial lesion causing ED.

Observation:

  • A 27-year-old male presented with infertility and recent-onset ED.
  • Radiological and endocrinologic workup was initiated.
  • Symptoms were primarily subjective ED.

Findings:

  • An expanding subependymoma was identified in the sellar and suprasellar regions.
  • The tumor exerted pressure on the pituitary gland.
  • This led to a secondary endocrine disorder manifesting as ED.

Implications:

  • Intracranial lesions should be considered in the differential diagnosis of ED.
  • This case underscores the link between pituitary dysfunction and sexual health.
  • Broad clinical interest for endocrinologists and other medical practitioners is noted.