Testosterone replacement therapy in a patient with synchronous tumors including prostate cancer and hypogonadism after bilateral orchiectomy
Abstract
We present a case report of a patient who visited a physician because of chronic testicular pain. During the investigation, he was found to have two synchronous tumors - carcinoma of the kidney and prostate.
Both tumors were successfully removed. He had to undergo a bilateral orchiectomy in the follow-up due to a suspicious finding in his testicles.
For secondary hypogonadism, we started testosterone replacement therapy after discussion with the patient. Due to his prostate cancer, ongoing medical care and close follow-up including DRE (digital rectal examination), PSA, testosterone, liver function tests, blood counts, ultrasounds and CT scans are necessary.
Testosterone replacement in patients after treatment for prostate cancer is a possible and safe treatment of secondary hypogonadism under certain conditions.