The place of total testosterone in the etiology of pilonidal sinus disease

The place of total testosterone in the etiology of pilonidal sinus disease

Aim: There are lots of factors accused in the etiology of SPSD. One of those factors is hypertrichosis. Hypertrichosis is increased byhigh levels of testosterone. In our clinical practices, we observe the secondary effects of high testosterone levels in those with SPSD.Hence, we intended to analyze the correlation between testosterone and SPSD.Material and Methods: The first 200 patients who applied to General Surgery Clinic at Malatya State Hospital and were diagnosed withSPDS, were included in the study after being informed of our research and signing the informed consent form. The total testosterone(TT) levels of the patients were measured and recorded along with their demographic data. Also, a control group was formed of maleand female patients without SPSD having the same demographic characteristics, whose TT levels were also subsequently recorded.The data from control and study groups were then compared and analyzed.Results: Of the 200 patients included in the study, 43 (21.5%) were female and 157 (78.5%) were male. Their overall mean age was24.13±7.04 years and the median age was 22 years (min:14- max:50). The male-to-female ratio was 3.65. The rate of females andmales who had high levels of TT was significantly higher than that of the control group (p

___

  • 1. Hodges RM. Pilonidal sinus. Boston Med Surg J 1880;103:485–6.
  • 2. Goliger JC. Plonidal sinüs. Insurgery of theAnus Rectumand Colon. Edition 4.London, BailliereTindal, 1980, pp 200-5 .
  • 3. Schmidt J, Kużdżał J. Podstawy chirurgii podręcznik dla lekarzy specjalizującychsię w chirurgii ogólnej. Wyd. 2, MP Wydawnictwo, Kraków 2010:852.
  • 4. Castronova G, Cuilla A, Urso G, et al.Plonidal sinüs: an retrospectiveanalysis of 205 cases. AnnItal Chir 2003;74:559-63.
  • 5. Stauffer VK, Luedi MM, Kauf P, et al. Common surgical procedures in pilonidal sinus disease: A metaanalysis, merged data analysis, and comprehensive study on recurrence. Sci Rep 2018;8:3058.
  • 6. Shabbir J, Chaudhary BN, Britton D. Management of sacrococcygealpilonidal sinus disease: a snapshot of current practice. Int J Colorectal Dis 2011;26:1619- 20.
  • 7. Doll D, Orlik A, Maier K, et al. Impact of geography and surgical approach on recurrence in global pilonidal sinus disease. Sci Rep 2019;9:15111.
  • 8. Gryngarten M, Bedecarràs P, Ayuso S, et al. Clinical assessment and serum hormonal profile in prepubertal hypertrichosis. Horm Res 2000;54:20-5.
  • 9. Özkan Z, Aksoy N, Emir S, et al. Investigation of the relationship between serum hormones and pilonidal sinus disease: a cross-sectional study. Colorectal Dis. 2014;16:311-4.
  • 10. Vidal-Puig A, Muñoz-Torres M, Escobar-Jiménez F, et al. Dehydroepiandrosterone sulfate and other possible influencing factors that modulate sex hormonebinding globulin levels in the hirsute patient. J Steroid Biochem Mol Biol 1992;42:607-11.
  • 11. Lobo RA, Shoupe D, Serafini P, et al. The effects of two doses of spironolactone on serum androgens and anagen hair in hirsute women. Fertil Steril 1985;43:200-5.
  • 12. Hamoğlu E, Yorgancı K. Pilonidal Sinus. In: Sayek I. Basic Surgery. 1st edition. Ankara: 2012. p.1548-50.
  • 13. Harlak A, Mentes O, Kilic S, et al. Sacrococcygeal pilonidal disease: analysis of previously proposed risk factors. Clinics (Sao Paulo) 2010;65:125-31.
  • 14. Mortimer PS, Dawber RPR, Gales MA, et al. Mediation of hidradenitis suppurative by androgens. Br Med J (Clin Res Ed) 1986292:245-8.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
Sayıdaki Diğer Makaleler

Predictive role of methylarginines in renal failure

Bahadır ÖZTÜRK, Fikret AKYÜREK, Gülperi ÇELİK

The high rate of Candida parapsilosis candidemia among non-burn patients with polytrauma in the surgical intensive care units of a university hospital

Tayibe BAL, Mehmet ÇABALAK, Burçin ÖZER, Mehmet Selim ÇÖMEZ, Yusuf ÖNLEN

Sofosbuvir and Ribavirin in Turkish non-cirrhotic chronic hepatitis C patients infected with genotype 2 or 3

Tayibe BAL, Mehmet ÇABALAK

Cerebrotendinous xanthomatosis with a novel mutation in CYP27A1 gene in a Turkish patient

İlker EYÜBOĞLU, Oğuz DİKBAŞ, Deniz TORUN, İrem İLGEZDİ, Burcu ÜNLÜ

Management of penile zipper injury: A case report

Alper URAL, Dilan ALTINTAŞ URAL

Investigation of the complete blood count parameters as an early diagnostic tool in contrast-induced nephropathy after contrast-enhanced computed tomography

Sedat BİLGE, Onur TEZEL

Comparative evaluation of the local application of dimethyl sulfoxide in an experimental spinal cord injury model

Necati ÜÇLER, Süleyman KILINÇ

Endobronchial lipoma; A rare case report

Mustafa KOÇ

Effectiveness of the laparoscopic appendectomy on second half of the pregnancy

Kerem KARAMAN, Metin ERCAN, Mehmet AZİRET, Fatih ALTINTOPRAK, Barış MANTOĞLU, Yeşim AKDENİZ, Cengiz KARACAER, Yasin Alper YILDIZ

Reliability of testicular stiffness measurement by shear wave elastography to predict testicular atrophy in patients with chronic liver disease

Mevlüt TÜRE, Altay KANDEMİR, Mustafa GÖK, Tuna ŞAHİN, Ersen ERTEKİN