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Eksperimental'naya i klinicheskaya urologiya

Hypergonadotropic hypogonadism in adolescent boys: the role of urologist and endocrinologist

Number №4, 2021 - page 132-136
DOI: 10.29188/2222-8543-2021-14-4-132-136
For citation: Shchedrov D.N., Shormanov I.S., Shchedrova E.V., Tuz V.V., Garova D.Yu. Hypergonadotropic hypogonadism in adolescent boys: the role of urologist and endocrinologist. Experimental and Clinical Urology, 2021;14(4):132-136; https://doi.org/10.29188/2222-8543-2021-14-4-132-136
Schedrov D.N. Shormanov I.S. Schedrova E.V. Tuz V.V. Garova D.Yu.
Information about authors:
  • Shchedrov D.N. – Dr. Sc., chief of urological department of Yaroslavl Regional Pediatric Clinical Hospital, Russia; Yaroslavl, Russia; https://orcid.org/0000-0002-0686-0445
  • Shormanov I.S. – Dr. Sc., professor, chief of the Department of Urology with Nephrology, Yaroslavl State Medical University, Russia; Yaroslavl, Russia; https://orcid.org/0000-0002-2062-0421
  • Shchedrova E.V. – pediatrician-endocrinologist of Yaroslavl Regional Pediatric Clinical Hospital, Russia; Yaroslavl, Russia; https://orcid.org/0000-0002-3464-2904
  • Tuz V.V. – chief of Pediatric Endocrinology department of Yaroslavl Regional Pediatric Clinical Hospital, Russia, Chief Pediatric Endocrinologist of the Department of Health and Pharmacy of the Yaroslavl Region; Yaroslavl, Russia; https://orcid.org/0000-0002-9867-1659
  • Garova D.Yu. – сlinical Resident of the Department of Pediatric Surgery of the Yaroslavl State Medical University, Russia; Yaroslavl, Russia; https://orcid.org/0000-0003-4457-9694
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Introduction. Hypergonadotropic hypogonadism is a complex and multifaceted problem located at the junction of several specialties, the main of which are: urology, andrology and endocrinology. This condition requires making a decision and carrying out appropriate therapeutic measures even before the onset of passport maturity, which will make possible maximum sexual and social adaptation.

Materials and methods. This paper describes the case of a staged treatment of a teenage patient with subsequent comprehensive rehabilitation.

Results. The article presents a clinical case of correction of hypergonadotropic hypogonadism. The need to ensure the rehabilitation of the patient posed the following tasks: the formation of an acceptable type of scrotum, the formation of a male phenotype, the preservation of growth-weight parameters corresponding to the average. Multicomponent treatment made it possible to correct all these tasks.

Conclusion. Hormone replacement therapy initiated at the optimal time and timely staged correction of the external genitalia with the complex work of endocrinologists and urologists make it possible to fully provide hormonal compensation and correct the defect of the genitals by the onset of passport maturity

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Keywords: hypergonadotropic hypogonadism; substitution therapy; complex treatment; testicular prosthetics; children