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Routine endocrine screening in impotence.

T J Maatman, D K Montague

    Urology
    |June 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Routine hormonal screening for impotence in men detected endocrine dysfunction in only 1.7% of cases. Despite the low yield, testing serum testosterone and prolactin offers valuable clinical information for evaluating impotence.

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    Area of Science:

    • Endocrinology
    • Urology

    Background:

    • Impotence, also known as erectile dysfunction, is a common concern for many men.
    • Hormonal imbalances can contribute to erectile dysfunction.
    • Screening for endocrine dysfunction is a potential diagnostic approach.

    Purpose of the Study:

    • To evaluate the effectiveness and yield of routine hormonal screening in men presenting with impotence.
    • To determine the prevalence of endocrine dysfunction in this patient group.

    Main Methods:

    • Serum testosterone and prolactin levels were measured in 300 men with a primary complaint of impotence.
    • The cost-effectiveness of the screening process was analyzed.

    Main Results:

    • Endocrine dysfunction was detected in 5 men (1.7%).

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  • Four patients were diagnosed with hypogonadism, and one with a prolactin-secreting pituitary adenoma.
  • The total cost for screening was $34,722.00.

    • Conclusions:

    • Routine hormonal screening for impotence has a low yield for detecting endocrine disease.
    • Despite the low detection rate, serum testosterone and prolactin measurements provide valuable information for clinicians.
    • Abnormal results necessitate further endocrine evaluation.