Table 1. Summary of contemporary Korean data on LOH and ART.
Study | Patient No. | Study design | Testosterone preparation | Indication and normal cutoff of patient | Questionnaire used | Methodology of testosterone measurement | Time of testosterone measurement | Complication of testosterone replacement |
---|---|---|---|---|---|---|---|---|
Hong and Ahn (2002)12 | 28 | Non-control prospective trial | Oral TU 160 mg for 3 weeks, then 80 mg up to 3 months | LOH symptom2.8 ng ml−1 (T)13 pg ml−1 (FT) | ADAM | RIA | 9–11 a.m. | No significant adverse event |
Park et al. (2003)13 | 39 | Placebo-controlled prospective trial | Oral TU 160 mg for 3 months | LOH symptom400 ng ml−1 (T) | ADAMPNUHQoL | RIA | — | No dropout |
Seo et al. (1998)14 | 21 | Non-control prospective trial | Non-scrotal transdermal patch (5 mg) for 16 weeks | ED3.0 ng ml−1 (T)Age over 40 years | — | RIA | — | Dropout 22%Skin irritation 4 |
Bae et al. (2005)16 | 135 | Retrospective observatory trial | Oral TU 160 mg, then increase dosage | LOH symptom2.55 ng ml−1 (T)Age over 50 years | — | — | 9–10 a.m. | — |
Park et al. (1999)18 | 56 | Placebo-controlld prospective trial | Non-scrotal transdermal patch (12.2 mg) for 3 weeks | ED500 mg dl−1 (T)Age over 55 years | PNUHQoL | — | — | Dropout 25% due to skin reactionSkin rash in 64.2% |
Park et al. (2007)34 | 87 | Non-control prospective open label multicentre study | Testosterone gel (50 mg) for 12 weeks | LOH symptom350 ng dl−1 (T)73.5 pg ml−1 (FT) | AMS | — | 8–11 a.m. | Nine complicationsAcne: 3Itching sense: 2PSA rising :1Voiding dysfunction :1Nocturia : 1-Hot flushing : 1 |
Bae et al. (2006)35 | 73 | Retrospective trial | Testosterone gel (50 mg) over 3 months | LOH symptom3.5 ng ml−1 (T) | AMS | — | 9–10 a.m. | No severe systemic adverse event |
Bae et al. (2008)38 | 33 | Non-control prospective trial | TU 1000 mg IM | LOH symptom3.5 ng ml−1 (T)Age over 40 years | AMSIPSS | — | 9–11 a.m. | No adverse eventNo dropout |
Moon et al. (2010)39 | 133 | Non-control prospective multicentre study | TU 1000 mg IM | LOH symptom3.5 ng ml−1 | AMSIIEFGEQ | — | 7–11 a.m. | Eight adverse events: dyspnea, hot flushing, acne, gynecomastiaDropout 15% |
Park et al. (2009)45 | 38 | Retrospective trial | TU 1000 mg IM or testosterone gel for 18 weeks | ED, non-responder to PDE5 inhibitor350 ng dl−1 | IIEF | — | — | No adverse eventNo dropout |
Abbreviations: ADAM: Androgen Deficiency in Aging Men; AMS: Aging Male Symptoms Scale; ED: erectile dysfunction; FT: free testosterone; GEQ: global efficacy question; IIEF: International Index of Erectile Function; IPSS: International Prostate Symptom Score; LOH: late-onset hypogonadism; PDE5, phosphodiesterase type 5; PNUHQoL: Pusan National University Quality of Life Scoring System; RIA: radioimmunoassay; T: serum testosterone; TU: testosterone undecanoate.