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Updated: Jun 26, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
The testosterone replacement therapy for prostate cancer patients: Time to take the leap?
Jennifer Le Guevelou1, Guillaume Ploussard2, Guilhem Roubaud3
1Radiation Oncology Department, Centre Eugène Marquis, Rennes, France.
Abstract:
The advent of new systemic therapies resulted in a significant decrease in prostate cancer (PCa) death in the past decades. It comes at the cost of an increase in the proportion of men living with long-term treatment-induced hypogonadism. In a population of men with no history of PCa, the testosterone replacement therapy (TRT) proved its ability to both improve erectile function and reduce cardiovascular morbidity, translating into an improved overall survival. Whether TRT is safe and efficient in PCa patients remains an open question. Here, we present an overview on the safety of TRT for PCa patients and discuss the optimal population eligible for TRT after the PCa treatment.
Insights
Testosterone replacement therapy (TRT) may be safe for prostate cancer (PCa) survivors, potentially improving quality of life. Further research is needed to determine optimal patient selection for TRT post-PCa treatment.
Area of Science:
- Oncology
- Endocrinology
- Urology
Background:
- Systemic therapies have reduced prostate cancer (PCa) mortality but increased long-term treatment-induced hypogonadism.
- Testosterone replacement therapy (TRT) is known to improve erectile function and cardiovascular health in men without PCa.
Purpose of the Study:
- To review the safety and efficacy of TRT in men treated for prostate cancer.
- To identify the optimal patient population eligible for TRT after PCa treatment.
Main Methods:
- Literature review of studies investigating TRT in PCa patients.
- Analysis of existing data on TRT's effects on PCa outcomes and patient well-being.
Main Results:
- TRT has shown potential benefits in improving quality of life for hypogonadal men.
- The safety and efficacy of TRT in PCa patients require careful consideration and further investigation.
Conclusions:
- TRT may be a viable option for select prostate cancer survivors experiencing hypogonadism.
- Defining the ideal candidates for TRT post-PCa treatment is crucial for maximizing benefits and minimizing risks.
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