[French urologist's opinion on testosterone deficiency syndrome: Afu's andrology committee survey]

Abstract

Introduction: The knowledge of professional practices is necessary for defining educational needs. The topic to explore was testosterone deficiency syndrome.

Material and methods: An opinion survey on testosterone deficiency syndrome was conducted on the internet among urologists members of the French Urological Association. Two hundred and thirty-six urologists filled in a questionnaire exploring the perception of the concept, the clinical and biological components of diagnosis, and finally the means and aim of management.

Results: The variety of denominations for a single disease and the predominance of sexual and functional symptoms were highlighted. Difficulties in biochemical diagnosis seemed to be linked to the different circulating fractions of serum testosterone, with bioavailable testosterone being too much prescribed as a first line test. Decision to treat, after contraindications have been ruled out, was mainly based on a decreased quality of life, on sexual dysfunction and patient request. Three urologists out of four gave recommendations for life hygiene and eight out of ten managed themselves testosterone replacement treatment.

Conclusion: Overall, French urologists showed a fairly good knowledge of testosterone deficiency syndrome and a strong will for a treatment tailored to patients requirements and symptomatic efficiency.