Efficacy and safety of dutasteride with tadalafil add-on therapy in patients with lower urinary tract symptoms secondary to benign prostatic hyperplasia.


Journal

BMC research notes
ISSN: 1756-0500
Titre abrégé: BMC Res Notes
Pays: England
ID NLM: 101462768

Informations de publication

Date de publication:
05 Sep 2022
Historique:
received: 30 05 2022
accepted: 27 08 2022
entrez: 6 9 2022
pubmed: 7 9 2022
medline: 8 9 2022
Statut: epublish

Résumé

To evaluate the efficacy and safety of add-on therapy with the phosphodiesterase type 5 inhibitor tadalafil in Japanese men with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) treated with dutasteride. Twenty-four patients were enrolled. The participants had a median age of 71.0 (64.8-73.0) years and a median prostate volume of 37.3 (29.7-41.8) mL as measured using transabdominal sonography. The efficacy indicators, such as International Prostate Symptom Score (IPSS), quality of life (QOL) score, night-time urinary frequency, and night-time maximum voided volume, improved significantly at 4 weeks, and the effects lasted until 24 weeks (IPSS: 9.5 vs. 17.0, QOL: 2.0 vs. 4.0, nocturia: 2.0 vs. 2.0, night-time maximum voided volume: 290.0 vs. 240.0 mL). Overactive bladder symptom score (OABSS) and sexual health inventory for men (SHIM) significantly improved at 12 weeks, and the effects lasted until 24 weeks (OABSS: 3.0 vs. 5.0, SHIM: 11.0 vs. 7.5). However, maximum urine flow and residual urine volume showed no improvement at any point. Adverse events occurred in two cases. Taken together, add-on therapy with tadalafil was effective for patients with LUTS/BPH resistant to dutasteride monotherapy. In addition, this therapy was not associated with severe adverse events.

Identifiants

pubmed: 36064733
doi: 10.1186/s13104-022-06183-0
pii: 10.1186/s13104-022-06183-0
pmc: PMC9446813
doi:

Substances chimiques

Tadalafil 742SXX0ICT
Dutasteride O0J6XJN02I

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

288

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022. The Author(s).

Références

J Urol. 2014 Mar;191(3):727-33
pubmed: 24096118
BJU Int. 2018 Apr;121(4):647-658
pubmed: 29044968
Prostate Int. 2020 Jun;8(2):78-84
pubmed: 32647644
Pharmacopsychiatry. 2016 Jan;49(1):3-13
pubmed: 26569417
Aging Male. 2020 Dec;23(5):501-506
pubmed: 30457437
Int J Urol. 2013 Apr;20(4):421-8
pubmed: 22989348
J Urol. 2008 Sep;180(3):1030-2; discussion 1032-3
pubmed: 18639298
Eur Urol. 2003 Dec;44(6):637-49
pubmed: 14644114
Eur Urol. 2012 May;61(5):994-1003
pubmed: 22405510
Aging Male. 2016 Jun;19(2):111-6
pubmed: 26964647
Int J Urol. 2006 Oct;13(10):1311-6
pubmed: 17010010
Int J Urol. 2011 Mar;18(3):225-30
pubmed: 21272091
Arch Intern Med. 2006 Nov 27;166(21):2381-7
pubmed: 17130393
J Urol. 1996 Apr;155(4):1324-7
pubmed: 8632564
Int J Urol. 2014 Aug;21(8):826-30
pubmed: 24661225
Neurourol Urodyn. 2013 Nov;32(8):1123-7
pubmed: 23861329
J Urol. 2017 Oct;198(4):905-912
pubmed: 28499730
Eur Urol. 2012 May;61(5):917-25
pubmed: 22297243
J Urol. 1995 Aug;154(2 Pt 1):391-5
pubmed: 7541852
Eur Urol. 2010 Jan;57(1):123-31
pubmed: 19825505
Int J Urol. 2017 Jun;24(6):476-477
pubmed: 28429834
Int Urol Nephrol. 2022 Jun;54(6):1193-1198
pubmed: 35362820
Int J Urol. 2013 Feb;20(2):193-201
pubmed: 22958078
Curr Urol Rep. 2004 Aug;5(4):251-7
pubmed: 15260924
Neurourol Urodyn. 2013 Mar;32(3):230-7
pubmed: 22847394
Asian J Urol. 2022 Jan;9(1):42-50
pubmed: 35198395
BJU Int. 2011 Aug;108(3):388-94
pubmed: 21631695

Auteurs

Daisuke Gotoh (D)

Department of Urology, Nara Medical University, Kashihara, Japan.
Department of Urology, Hirao Hospital, Kashihara, Japan.

Kazumasa Torimoto (K)

Department of Urology, Nara Medical University, Kashihara, Japan. torimoto@naramed-u.ac.jp.

Yosuke Morizawa (Y)

Department of Urology, Nara Medical University, Kashihara, Japan.

Shunta Hori (S)

Department of Urology, Nara Medical University, Kashihara, Japan.

Yasushi Nakai (Y)

Department of Urology, Nara Medical University, Kashihara, Japan.

Makito Miyake (M)

Department of Urology, Nara Medical University, Kashihara, Japan.

Kiyohide Fujimoto (K)

Department of Urology, Nara Medical University, Kashihara, Japan.

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Classifications MeSH