Abstract

AYALA, SANTIAGO; PENA, ANA; PIETROPINTO, JAVIER  and  AYALA, WALTER. HIPOPOGONADISMO EN PACIENTE TRATADO CON MORFINA INTRATECAL POR BOMBA DE INFUSIÓN IMPLANTADA. Anest Analg Reanim [online]. 2013, vol.26, n.2, pp.2-3. ISSN 1688-1273.

A case of hypogonadism in a patient with an implanted intrathecal morphine infusion pump is reported. Sexual dysfunction lead to the diagnosis of hypogonadism wich was confirmed by low total serum testosterone and low free testosterone levels found. Hypogonadism secondary to prolonged morphine treatment is considered and other hypogonadism causes are discussed. The low testosterone effects and the testosterone replacement response are described. After testosterone replacement, testosterone serum levels were restored to normal, the patient recovered the libido and manifested a partial improvement of the erectile function. Other dysfunction sexual causes are considered. The possible complications of testosterone replacement and the need of controls after the administration are advised. We conclude that hypogonadism is a possible complication in a prolonged morphine intrathecal treatment, must be searched by periodic controls, treated if it is found, and the patients must be informed about it before the treatment

Keywords : Intrathecal opiods.

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