很多出现睾丸酮缺乏的男性无法获得初级保健提供者的服务。我们试图将初级医疗纳入起初的泌尿科评估中，以更好地识别和管理未经充分治疗的共病症。从2019年10月至2022年，在男性健康中心为出现睾丸酮缺乏的新患者提供初级保健评估。电子健康记录中收集的数据包括年龄、种族、体重指数（BMI）、之前是否有初级保健提供者、新的诊断、处方和转诊信息。在为期3年的研究期间，共评估了81名男性患者。其中33名男性（41%）没有既往初级保健提供者。年龄较大的男性更有可能有既往初级保健提供者（OR 1.06 [95% CI: 1.02-1.10], P < .001）。西班牙裔男性较少有既往初级保健提供者（OR 0.16 [95% CI: 0.03-0.84], P = .01）。48名男性（59%）建立了持续性的保健关系。新诊断的共病症包括高血压（41%）、肥胖（37%）、高血脂症（27%）、阻塞性睡眠呼吸暂停（OSA；25%）、抑郁症（23%）和糖尿病（14%）。41名患者（51%）被开具了新的药物处方。21名患者（26%）被转诊至营养科，平均BMI减少1.75。26名患者（32%）接受了睡眠医学评估以诊断OSA。27名（33%）和37名患者（46%）接受了流感疫苗和免疫接种更新。11名患者（14%）被转诊进行结肠镜筛查。这是首次报道将初级保健与泌尿科评估整合用于睾丸酮缺乏的综合模式。该模式改善了包括获得专科转诊、客观体重减轻、治疗新诊断、更新免疫接种和癌症筛查在内的疾病结果。

Many men presenting with testosterone deficiency do not have access to a primary care provider (PCP). We sought to integrate primary care into initial urologic evaluation to better identify and manage undertreated comorbidities.New patients presenting with testosterone deficiency were offered PCP evaluation within a Men's Health Center between October 2019 and 2022. Data collected from the electronic health record included age, race, body mass index (BMI), access to prior PCP, new diagnoses, prescriptions, and referrals.81 men were evaluated over the 3-year study period. 33 men (41%) did not have a pre-existing PCP. Older men were significantly more likely to have a pre-existing PCP (OR 1.06 [95% CI: 1.02-1.10], P < .001). Hispanic men were significantly less likely to have an existing PCP (OR 0.16 [95% CI: 0.03-0.84], P = .01). 48 men (59%) established continuity of care. Newly diagnosed comorbidities included hypertension (41%), obesity (37%), hyperlipidemia (27%), obstructive sleep apnea (OSA; 25%), depression (23%), and diabetes (14%). 41 patients (51%) were prescribed a new medication. 21 patients (26%) were referred to nutrition, with mean BMI decrease of 1.75. 26 patients (32%) underwent sleep medicine evaluation for OSA. 27 (33%) and 37 patients (46%) received a flu vaccination and immunization updates. 11 patients (14%) were referred for screening colonoscopy.This is the first report of integrated primary care and urology evaluation for testosterone deficiency. This comprehensive model results in improved outcomes including increased access to subspecialty referrals, objective weight loss, treatment of new diagnoses, updated immunizations, and cancer screening.