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KMID : 0358319920330010115
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Korean Journal of Urology
1992 Volume.33 No. 1 p.115 ~ p.118
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Hyperprolactinemia in Impotence
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Abstract
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Hyperprolactinemia has been accepted as a cause of male sexual dysfunction. Pituitary adenomas produce marked elevation of prolactin and invariably are accompanied by hypogonadotrophic hypogonadism. Among 994 consecutive impotent patients
investigated
at Severance Hospital 62 patients had serum levels of prolactin greater than 30ng./ml. Six of 27 patients(22.2%) who had serum levels of prolactin greater than 50ng./gl. With decreased serum testosterone (less than 3.0ng./ml.) or serum levels of
prolactin greater than 100ng./ml. Irrespective of testosterone were diagnosed to have pituitary adenoma by skull X-ray series and brian CT with or without cartid angiography. It is therefore emphasize that pituitary adenoma should be considered
in
the
investigation of impotence of endocrine causes when marked hyperprolactinemia (especially greater than 100ng./ml.) is noted.
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