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Časopis Clinical urology – Článok The testosterone deficiency syndrome in aging males

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Téma: OVERVIEW WORKS

The testosterone deficiency syndrome in aging males

Jozef Marenčák

The elderly population is the fastest growing age group and needs a considerable attention. Androgen decline represents
one of the most important medical aspect of elderly. Testosterone Deficiency Syndrome (TDS) is a clinical and biochemical
syndrome which results in significant detriment in the quality of life and adversely affects the function of multiple
organ systems. The pathophysiology of testosterone (T) decline in elderly is not yet completely defined. Potential
mechanisms include reduced hypothalamic GnRH outflow, impaired testicular steroidogenesis and altered sex – steroid
negative feedback. Androgen pharmaceutical worldwide marketplace has largely changed during last years by introduction
of new oral, parenteral and transdermal preparations. T supplementation is safe and efficacious in improving
symptoms associated with androgen deficiency. Risks of androgen replacement therapy (ART) are mild and contraindications
for T treatment well defined. A close monitoring during T administration is needed and timing and modalities
are very well indicated. One of the most controversial aspects of the ART remains the effect of T on prostate functioning.
To date, prospective studies have demonstrated a low frequency of prostate cancer in association with T replacement
therapy (TRP). Current standard of practice established categorically that the administration of androgen is absolutely
contraindicated in men suspected of or harbouring prostate and breast cancer. This includes those with an abnormal
digital rectal examination (DRE) and/ or abnormal prostate specific antigen (PSA), in whom the diagnosis of carcinoma
has not been excluded beyond doubt. There is not now – nor has there ever been – a scientific proof for the belief that
T causes prostate cancer to grow. Larger – scale and longer – term data are needed on the effects of T treatment in the
older population to confirm safety on specific risk data on the prostate and cardiovascular systems.

Klin. urol. 2015; 11 (3): 61-66

Ročník 2015  Témy časopisu Clinical urology 3 / 2015

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CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ján Kliment, CSc.

MEMBERS OF THE EDITORIAL BOARD
prof. Andrzej Borówka, M.D., PhD.
prof. MUDr. Ján Breza, DrSc.
prof. MUDr. Peter Bujdák, PhD.
prof. MUDr. Tomáš Hanuš, DrSc.
doc. MUDr. Ladislav Jarolím, CSc.
doc. MUDr. Ján Ľupták, PhD.
doc. MUDr. Jozef Marenčák, PhD.
doc. MUDr. Ivan Minčík, PhD.
prof. MUDr. Dalibor Ondruš, DrSc.
prof. Imre Romics, M.D., PhD.
doc. MUDr. Vladimír Študent, PhD.
prof. MUDr. Ján Švihra, PhD.
prof. MUDr. Ladislav Valanský, PhD.
doc. MUDr. František Záťura, PhD.
MUDr. Peter Zvara, PhD.

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prof. MUDr. Ján Švihra, PhD.

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The latest knowledge on disease and disease groups aetiology, pathogenesis, diagnoses and therapy. Maximum extent is 7 pages of text (font ARIAL or TIMES, font size 12, line spacing 1.5). In case of more extensive theme elaboration it is possible to divide the paper to several parts after agreement with editorial office.

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6. Bibliography
Citations are numbered chronologically in bold, references in the text are stated by the number of citations in parentheses.
Citation means in general: the surname of the author (authors), title of the work, year of issuing, volume, pages.
Do not use "ét al.", but state all authors.

Examples of citations:
1. Shaheen NJ, Crosby NA, Bozymski EM, et al. Is there publication bias in the reporting cancer risk in Barrett´ esophagus? Gastroenterology 2000; 119: 333-338.
2. Stenestrand U, Wallentin L. Swedish Register of Cardiac Intensive Care (RIKS-HIA): Early statin treatment following acute myocardial infarction and 1-year survival. JAMA 2001; 285: 430-436.
3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
5. Osborne BE. The electrocardiogram of the rat. In: Budden R, Detweiler DK, Zbinden G. The rat electrocardiogram in pharmacology and toxicology. Oxford: Pergamon Press 1981:15-27.

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The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

Which of following factors is not related to rosacea?
a. genetic predisposition
b. Scandinavian origin
c. propionibacterium acnes
d. endothelial growth factor

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

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Send contributions in the e-mail to the address: paulenova@amedi.sk
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year