[Current evidence about intermittent androgenic deprivation in prostate cancer].


OBJECTIVES To identify clinical application of intermittent hormonotherapy in prostatic carcinoma. MATERIAL AND METHODS We conducted a systematic review in MEDLINE database and COCHRANE Library using the words MeSH "prostate cancer, androgenic deprivation and intermittent". There were included those with the best level of evidence and published in the last 10 years. RESULTS Intermittent hormone therapy is one of the tools we use in urological armamentarium for special circumstances. This analysis highlights: possibility to regain sexual function during the period of suspension of treatment (time off) due to the recovery of testosterone levels also demonstrating an improvement in symptoms, decreased costs preserving the same oncological control compared to complete androgenic deprivation. CONCLUSIONS There is still controversy about the benefits in quality of life and the emergence of long-term side effects typical of continuous hormonal therapy. Therefore and until now, we should only propose intermittent therapy in selected patients.

DOI: 10.1016/j.acuro.2012.02.007

Cite this paper

@article{Lpez2012CurrentEA, title={[Current evidence about intermittent androgenic deprivation in prostate cancer].}, author={J D L{\'o}pez and Gast{\'o}n L{\'o}pez-Fontana and R L{\'o}pez-Fontana}, journal={Actas urologicas españolas}, year={2012}, volume={36 10}, pages={608-12} }