Table 3.
Clinical situation | Endocrinologists would restrain from starting testosterone therapy (%) | Urologists would restrain from starting testosterone therapy (%) |
---|---|---|
The patient had an acute myocardial infarction 5 months ago that required coronary stenting. He now feels well without symptoms of angina or cardiac failure | 35 | 13 |
The patient had radical prostatectomy 3 years ago for localized prostate cancer (T2cN0M0). The Gleason score at diagnostic was 7 (grade group 2). Since surgery the PSA level is undetectable. | 58.3 | 27.5 |
The patient has benign prostate hypertrophy, confirmed by biopsy. His PSA level is 4.2. The disease severity as assessed by IPSS is 10 and the disease-specific quality of life score is 2 | 25 | 7.5 |
The patient has moderate obstructive sleep apnea, BMI of 35.5 kg/m2 and does not tolerate CPAP oxygen therapy | 58.3 | 37.5 |
The patient is smoking and has a hematocrit of >52% | 100 | 85 |
BMI = body mass index; CPAP = continuous positive airway pressure; IPSS = International Prostate Symptom Score; PSA = prostate-specific antigen.