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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 114445
Country China
Received
2025-09-22 05:22
Peer-Review Started
2025-09-22 05:23
First Decision by Editorial Office Director
2025-10-13 07:13
Return for Revision
2025-10-13 07:13
Revised
2025-10-25 14:56
Publication Fee Transferred
2025-10-28 04:12
Second Decision by Editor
2025-11-13 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-11-13 07:20
Articles in Press
2025-11-13 07:20
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-01-12 06:05
Publish the Manuscript Online
2026-01-21 09:49
ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Gastroenterology & Hepatology
Manuscript Type Observational Study
Article Title Differences in testosterone levels in perianal diseases: A comparative study of abscesses and fistulas
Manuscript Source Unsolicited Manuscript
All Author List Xi Zhang, Qiang Zhang, Min-Jie Wang, Yan-Ting Sun and Jin-Gen Lu
ORCID
Author(s) ORCID Number
Xi Zhang http://orcid.org/0009-0000-3165-4371
Qiang Zhang http://orcid.org/0009-0000-9787-9434
Min-Jie Wang http://orcid.org/0009-0000-5496-839X
Yan-Ting Sun http://orcid.org/0009-0000-5738-2319
Jin-Gen Lu http://orcid.org/0000-0001-8281-980X
Funding Agency and Grant Number
Corresponding Author Jin-Gen Lu, Anorectal Department, Longhua Hospital, Shanghai University of Traditional of Chinses Medicine, No. 725, Wanping South Road, Xuhui District, Shanghai, China, Shanghai 200000, China. jingen.lu@shutcm.edu.cn
Key Words Perianal diseases; Testosterone; Sex hormones; Anorectal abscess; Anal fistula; Inflammation; Body mass index; Cross-sectional study
Core Tip This study challenges the classic high-androgen hypothesis in perianal infections by demonstrating that patients with active anorectal abscess exhibit a significantly lower testosterone (T) level compared to those with hemorrhoids or fistulas, which is independently associated with systemic inflammation and obesity. We propose two novel hypotheses, namely a dynamic shift from high to low T, and a pathogenic role of inherent low T. The new endocrinological perspective suggests that restoring T could be a future adjunctive therapeutic strategy.
Publish Date 2026-01-21 09:49
Citation

Zhang X, Zhang Q, Wang MJ, Sun YT, Lu JG. Differences in testosterone levels in perianal diseases: A comparative study of abscesses and fistulas. World J Gastrointest Surg 2026; 18(1): 114445

URL https://www.wjgnet.com/1948-9366/full/v18/i1/114445.htm
DOI https://dx.doi.org/10.4240/wjgs.v18.i1.114445
Full Article (PDF) WJGS-18-114445-with-cover.pdf
STROBE Statement 114445-STROBE-statement.pdf
Manuscript File 114445_Auto_Edited_022544.docx
Answering Reviewers 114445-answering-reviewers.pdf
Audio Core Tip 114445-audio.mp3
Biostatistics Review Certificate 114445-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 114445-conflict-of-interest-statement.pdf
Copyright License Agreement 114445-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 114445-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 114445-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 114445-non-native-speakers.pdf
Peer-review Report 114445-peer-reviews.pdf
Scientific Misconduct Check 114445-scientific-misconduct-check.png
Scientific Editor Work List 114445-scientific-editor-work-list.pdf
CrossCheck Report 114445-crosscheck-report.pdf