Functional Gonadotroph Adenomas in Male Patients: Clinical Characteristics, Surgical Outcomes, and Hormonal Follow-up

All patients presented with elevated FSH levels, and a minority also had elevated LH or low testosterone. Surgery led to a reduction in symptomatic complaints in many cases, and the majority achieved gross total resection. Given that most patients continue to exhibit hormonal abnormalities postoperatively, close follow-up and thorough investigation of gonadal dysfunction is essential, as many patients may require ongoing medical management.

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Publication Details

Journal
Operative Neurosurgery
Published
2025-07-16
DOI
https://doi.org/10.1227/ons.0000000000001693
Primary Topic
Pituitary Gland Disorders and Treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

Functional Gonadotroph Adenomas in Male Patients: Clinical Characteristics, Surgical Outcomes, and Hormonal Follow-up

Ivan H. El‐Sayed, Jacob S. Young, Lewis S. Blevins, Zain Peeran et al.
Operative Neurosurgery
Pituitary Gland Disorders and Treatments
article

Functional Gonadotroph Adenomas in Male Patients: Clinical Characteristics, Surgical Outcomes, and Hormonal Follow-up

Ivan H. El‐Sayed, Jacob S. Young, Lewis S. Blevins, Zain Peeran, Aarav Badani, Miguel Alejandro Jiménez Pérez, Mulki Mehari, Philip V. Theodosopoulos, Manish K. Aghi, José Gurrola, Robert C. Osorio, Harmon Singh Khela, Abraham Dada, Aymen Kabir, Sandeep Kunwar
article en

Abstract

All patients presented with elevated FSH levels, and a minority also had elevated LH or low testosterone. Surgery led to a reduction in symptomatic complaints in many cases, and the majority achieved gross total resection. Given that most patients continue to exhibit hormonal abnormalities postoperatively, close follow-up and thorough investigation of gonadal dysfunction is essential, as many patients may require ongoing medical management.

Operative Neurosurgery
University of California, San Francisco (US), Wellcome Sanger Institute (GB), University of California San Francisco Medical Center (US), Neurological Surgery (US), University of Pennsylvania (US)
Good health and well-being
Openalex Percentile: Top 75%
Pituitary Gland Disorders and Treatments
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