Endocrine and exocrine profiles of men with testicular tumors before orchiectomy Journal Article


Authors: Carroll, P. R.; Whitmore, W. F. Jr; Herr, H. W.; Morse, M. J.; Sogani, P. C.; Bajorunas, D.; Fair, W. R.; Chaganti, R. S.
Article Title: Endocrine and exocrine profiles of men with testicular tumors before orchiectomy
Abstract: In 15 patients with germ cell testicular tumors serum hormone profiles and semen analysis before orchiectomy were evaluated to determine the incidence of defective spermatogenesis associated with testicular tumors. Defective spermatogenesis was noted in 10 patients (66 per cent) on the basis of low sperm concentration, motility or semen volume. Of the 10 patients 7 had sperm concentrations less than 10 million per cc. Endocrine abnormalities occurred in 10 patients, the most common of which were elevations in serum human chorionic gonadotropin and estradiol, and a relative decrease in follicle-stimulating hormone. Three patients who presented with subfertile semen analyses were treated with orchiectomy alone. Repeat semen analyses 4 to 12 months after orchiectomy showed improvement in spermatogenesis and 2 patients achieved a normal semen analysis. Endocrine abnormalities and defective spermatogenesis are common in patients with testicular tumors. These abnormalities precede orchiectomy and imply that a primary germ cell defect exists in these patients.
Keywords: clinical article; diagnosis; testis tumor; orchiectomy; estradiol; serum; chorionic gonadotropin; follitropin; endocrine system; sperm; spermatogenesis; male genital system; human; priority journal
Journal Title: Journal of Urology
Volume: 137
Issue: 3
ISSN: 0022-5347
Publisher: Elsevier Science, Inc.  
Date Published: 1987-03-01
Start Page: 420
End Page: 423
Language: English
DOI: 10.1016/s0022-5347(17)44054-7
PROVIDER: scopus
PUBMED: 3029434
DOI/URL:
Notes: Article -- Export Date: 5 February 2021 -- Source: Scopus
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MSK Authors
  1. Pramod C Sogani
    75 Sogani
  2. Raju S K Chaganti
    391 Chaganti
  3. Harry W Herr
    594 Herr
  4. William R Fair
    342 Fair
  5. Willet F. Whitmore Jr
    139 Whitmore
  6. Michael J. Morse
    40 Morse