[Late - onset hypogonadism syndrome related to testicular echogenicity alterations].

Autor:	Monllor Méndez J; Médicina de Familia y Comunitaria, Gerencia de Atención Integrada de Alcázar de San Juan, Ciudad Real, España. Electronic address: monllormj@gmail.com., Carballido Rodríguez J; Servicio de Urología, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Universidad Autónoma de Madrid, Madrid, España., González-Spinola San Gil J; Servicio de Radiología, Hospital Mancha Centro, Alcázar de San Juan, Ciudad real, España., Monllor Méndez A; Servicio de Urología, Hospital Universitario Nuestra Señora de la Candelaria, Tenerife, Islas Canarias, España.
Jazyk:	Spanish; Castilian
Zdroj:	Semergen [Semergen] 2024 Nov 08; Vol. 51 (1), pp. 102338. Date of Electronic Publication: 2024 Nov 08.
DOI:	10.1016/j.semerg.2024.102338
Abstrakt:	Objective: This study aims to investigate the relationship between the presence of late-onset hypogonadism (LOH) syndrome in men and alterations in testicular echogenicity in a rural population sample. Materials and Methods: Prospective observational cohort study in which men between 45 and 75 years old from Villarta de San Juan area (Ciudad Real) were included. In order to determine the incidence of HIT, each patient was administered the AMSS test, a blood test to determine the concentration of testosterone, and a bilateral testicular ultrasound was performed. Results: 287 patients were included in the study. The diagnosis of LOH syndrome was established in 9.76% of them. 154 bilateral testicular ultrasounds were performed in which their testicular echogenicity patterns were evaluated. In 72.7% of the cases, alterations could be described in accordance with the standards proposed by the European Academy of Andrology of the year 2022. Testicular echogenicity evaluated by ultrasound demonstrated a sensitivity of 72.7%, a specificity of 78.8%, a negative predictive value of 94.5% and a positive predictive value of 36.4%, for the diagnosis of LOH. Conclusions: The determination of testicular echogenicity in patients with suspected LOH syndrome showed much greater specificity than the AMSS test and a similar negative predictive value. Based on its innocuousness and the fact that it is a relatively simple examination from a technical point of view, it could be postulated as a diagnostic tool to be taken into account in the identification of this syndrome. (Copyright © 2024 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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