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Diagnosis and Management of Gynecomastia for Urologists

  • Men's Health (A Dabaja, Section Editor)
  • Published:
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Abstract

Purpose of Review

Our aim is to review the steps of diagnosis and management of gynecomastia with a special focus on treatment of gynecomastia associated with androgen deprivation therapy for prostate cancer.

Recent Findings

Recent studies investigating tamoxifen and radiation therapy for both therapy and prophylaxis of bicalutamide-induced gynecomastia are reviewed.

Summary

Gynecomastia is a common clinical problem, affecting between one and two thirds of middle-aged men. Diagnosis is typically made by history and physical exam. Common causes include chronic medical conditions and medications; however, unexplained gynecomastia should prompt laboratory work-up, followed by appropriate imaging studies to evaluate for hormone producing cancers. For patients taking bicalutamide for treatment of prostate cancer, tamoxifen or radiation therapy for gynecomastia are excellent options.

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Authors and Affiliations

  1. Henry Ford Health System, 2799 W. Grand Blvd, Detroit, MI, 48202, USA

    Lee Baumgarten & Ali A. Dabaja

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  1. Lee Baumgarten
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  2. Ali A. Dabaja
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Correspondence to Ali A. Dabaja.

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Conflict of Interest

Lee Baumgarten declares no potential conflicts of interest. Ali A. Dabaja is a section editor for Current Urology Reports.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Men's Health

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Baumgarten, L., Dabaja, A.A. Diagnosis and Management of Gynecomastia for Urologists. Curr Urol Rep 19, 46 (2018). https://doi.org/10.1007/s11934-018-0796-x

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