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Related Experiment Videos

Pharmacologic therapy for prostatism

M M Lieber1

  • 1Department of Urology, Mayo Clinic Rochester, Minnesota 55905, USA.

Mayo Clinic Proceedings
|June 11, 1998
PubMed
Summary
This summary is machine-generated.

Benign prostatic hyperplasia (BPH) management has shifted from surgery to medications like alpha-blockers and finasteride. These drugs effectively alleviate prostatism symptoms by relaxing prostate muscles or shrinking prostate volume.

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Area of Science:

  • Urology
  • Pharmacology

Background:

  • Historically, transurethral resection of the prostate was the primary treatment for benign prostatic hyperplasia (BPH).
  • The advent of effective pharmacologic therapies has altered the initial management strategy for BPH and prostatism.

Purpose of the Study:

  • To review current pharmacologic treatment options for benign prostatic hyperplasia (BPH).
  • To describe the mechanisms of action and efficacy of available drug classes for prostatism.

Main Methods:

  • Review of selective alpha-adrenergic blocking agents (terazosin, doxazosin, tamsulosin).
  • Review of 5 alpha-reductase enzyme inhibitors (finasteride).

Main Results:

  • Alpha-adrenergic blockers relax prostate and bladder neck smooth muscle, improving voiding function within weeks.

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  • Finasteride inhibits testosterone conversion to dihydrotestosterone, reducing prostate volume by ~25% over 12+ months.
  • Conclusions:

    • Pharmacologic therapies offer effective alternatives to surgery for managing BPH symptoms.
    • Continued development of new pharmacologic options is anticipated due to the growing aging male population with BPH.