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Transl Androl Urol. 2014 Dec;3(4):340-6. doi: 10.3978/j.issn.2223-4683.2014.12.01.

The role of pre-operative androgen stimulation in hypospadias surgery.

Translational andrology and urology

Cevdet Kaya, Christian Radmayr

Affiliations

  1. 1 Department of Urology, Marmara University, School of Medicine, Istanbul, Turkey ; 2 Department of Pediatric Urology, Medical University of Innsbruck, Innsbruck, Austria.

PMID: 26816790 PMCID: PMC4708145 DOI: 10.3978/j.issn.2223-4683.2014.12.01

Abstract

The hormonal stimulation for the purpose of penile enlargement before the hypospadias repair has been commonly used, but rarely reported. In addition to functional outcome, dihydrotestosterone (DHT) pretreatment has been suggested to improve cosmetic outcome in a preliminary randomized study. Since the randomized and controlled clinical trials on this topic are insufficient, the hormonal agent, the route of administration, dosing schedule, and the timing of treatment has been remained controversial. In order to confirm the efficiency of hormonal treatment, further well designed randomized studies with a larger number of patients and a placebo group are warranted.

Keywords: Testosterone; androgens; endocrine therapy; hypospadias

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