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Finally, numerous randomized controlled trials (RCTs) have demonstrated that erectile function improves when testosterone is given to men with low testosterone levels [19–24]. If the tear size is between 1.5 and 2.5 cm in anterior to posterior dimension we prefer to use two anchors (Fig. 2b) and if the tear size is 2.5–3 cm we prefer to use three bioabsorbable screw-type anchors at the medial row. This step helps to understand the shape and the size of the tear from the articular side (Fig. 2a). In another study with animal models double-row repair resulted in better biological healing with superior biomechanical properties than the singlerow repair . The studies also showed that repair site integrity was durable during biological healing period. Transosseous repair has a long clinical history and have been shown in multiple studies to have superior biomechanical properties when combined with suture anchors. 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