Aetiologic and predisposing factors are still controversial about Peyronie's disease (PD). However, it is thought to be the result of connective tissue disorder or healing defect. Androgens are known to affect collagen metabolism and wound healing in the body. The aim of this study was to investigate the relationship between PD and low testosterone levels. One hundred and forty-seven Peyronie patients and 137 healthy volunteers were included in the study. In both groups, demographic data, medical history, physical examination and erectile capacity were recorded. Blood samples were collected from all subjects in the early morning hours after an overnight fast. The mean level of serum total testosterone was lower in men with PD compared with the controls (3.9 ± 1.1 vs. 4.2 ± 1.7 ng/ml respectively) (p = .062). However, statistically significant relationship was not found between PD and low serum testosterone levels. There was no significant correlation between penile plaque dimension or penile curvature degree and testosterone levels. Large randomised-controlled prospective studies are needed to reveal this possible association.
Andrologia. 2020 Jun 26 [Epub ahead of print]
Osman Can, Sait Özbir, Hasan Anil Atalay, Süleyman Sami Çakır, Mehmet Gökhan Culha, Halil Lütfi Canat
Department of Urology, Basaksehir City Hospital, Istanbul, Turkey., Department of Urology, Cemil Taşcıoglu City Hospital, Istanbul, Turkey., Department of Urology, Beylikduzu State Hospital, Istanbul, Turkey., Department of Urology, Atlas University, Medicine Hospital, Istanbul, Turkey.