Subcutaneous estradiol pellet implantation in management of advanced prostatic carcinoma

John P. Gearhart, Roy Witherington, Charles H. Coleman

Research output: Contribution to journalArticle


Thirty patients with previously untreated Stage C and D carcinoma of the prostate were treated with subcutaneously implanted estradiol pellets in an effort to determine the efficacy of this mode of therapy in the control of advanced prostatic carcinoma. Serum levels of gonadotropins, testosterone, and estradiol were obtained prior to institution of therapy and at monthly intervals thereafter. Twenty-eight patients were followed for at least one year. Sixteen patients were hormonally castrate at six months following 1-pellet implantation. In these 16 patients the mean serum testosterone level was 43.6 ng. /dl. with a serum luteinizing hormone (LH) of 13.3 mI U/ml. and a serum estradiol of 19.2 ng. /dl. Twenty-two patients were hormonally castrate at twelve months following 1 or more pellet implantations. I n this group the mean serum testosterone level was 51.5 ng. /dl. with a serum LH of 16.2 mI U/ml. and a serum estradiol of 22 ng. /dl. Fifteen patients who were taking narcotics for pain relief either became pain free or had a marked decrease in need for analgesics. Increased weight and improvement in over-all well-being was noted in 86 per cent of patients. Pellet implantation intervals ranged from four to ten months, with a mean interval of 5.85 months between implantations. Complications attributable to this mode of therapy were no more apparent than with oral estrogens. In addition to better compliance, subcutaneously implanted estrogen pellets appear to provide a safe, reliable, and effective method of tumor control and palliation in advanced carcinoma of the prostate.

Original languageEnglish (US)
Pages (from-to)44-48
Number of pages5
Issue number1
StatePublished - Jan 1981
Externally publishedYes


ASJC Scopus subject areas

  • Urology

Cite this