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Prostatic hypertrophy in the elderly cirrhotic patient: An estrogenic or androgenic response?
Author(s) -
Van Thiel David H.,
Gavaler Judith S.
Publication year - 1989
Publication title -
hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.488
H-Index - 361
eISSN - 1527-3350
pISSN - 0270-9139
DOI - 10.1002/hep.1840090129
Subject(s) - hyperplasia , medicine , cirrhosis , testosterone (patch) , endocrinology , endocrine system , population , muscle hypertrophy , stromal cell , sex hormone binding globulin , hormone , physiology , androgen , environmental health
In elderly males hormonal changes occur that are believed to cause benign prostatic hyperplasia (BPH). These are decreased testosterone production, an increased testosterone SHBG and a slightly increased estradiol production. Liver cirrhosis in males causes similar endocrine changes. We carried out a post mortem study evaluating the prostates of 51 men who died with liver cirrhosis compared with a similar group without any hepatic disease. The occurrence of BPH in cirrhotic subjects was diminished and delayed compared to total population. Furthermore in cirrhotic men BPH is more common as early nodular hyperplasia (early stage) or stromal hyperplasia (suggesting estrogenic prevalence), while in the general population stromal and epithelial hyperplasia (androgenic stimulation), were almost equally present.