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Related Experiment Videos

Benign prostatic hyperplasia. Current pharmacological treatment

M Jønler1, M Riehmann, R C Bruskewitz

  • 1Department of Urology, University of Wisconsin-Madison.

Drugs
|January 1, 1994
PubMed
Summary

Pharmacological treatments for benign prostatic hyperplasia (BPH) include alpha-blockers and androgen suppressors. Selective alpha-1 blockers and finasteride offer effective symptom relief with manageable side effects for BPH patients.

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Area of Science:

  • Pharmacology
  • Urology

Background:

  • Pharmacological treatment is a well-established modality for symptomatic benign prostatic hyperplasia (BPH).
  • Current approaches involve alpha-adrenoreceptor blockade and androgen suppression.
  • Drug therapy is suitable for patients with mild to moderate BPH symptoms without surgical indications.

Purpose of the Study:

  • To review established and emerging pharmacological treatments for benign prostatic hyperplasia (BPH).
  • To compare the efficacy and side effect profiles of different drug classes.
  • To discuss potential future therapeutic strategies for BPH.

Main Methods:

  • Review of pharmacological agents for BPH, including alpha-receptor blockers and antiandrogens.
  • Discussion of drug efficacy, onset of action, and adverse effect profiles.

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  • Consideration of combination therapy and drugs under clinical investigation.
  • Main Results:

    • Alpha-receptor blockers improve urinary symptoms and flow rates within weeks; selective alpha-1 blockers are preferred due to fewer side effects.
    • Finasteride effectively reduces prostate volume and obstruction symptoms with good tolerability, though maximum effect requires 6-12 months.
    • Other antiandrogens (GnRH agonists, progestogens, flutamide) have significant adverse effects.

    Conclusions:

    • Selective alpha-1 blockers and finasteride are key pharmacological treatments for BPH.
    • Combination therapy with alpha-1 blockers and finasteride represents a promising future approach.
    • Careful patient selection and consideration of side effect profiles are crucial for effective BPH management.