Chen Yong, Li Hong, Dong Qiang
Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, China.
Zhonghua Nan Ke Xue. 2008 Apr;14(4):364-7.
alpha1-adrenoceptor antagonists are first-line agents for the treatment of lower urinary tract symptoms suggestive of benign prostatic hyperplasia, while their adverse effects on sexual function are reported frequently in recent years, especially the induction of ejaculatory dysfunction. This review presents the distribution of alpha 1-adrenoceptors in the male genital system and the relationship of alpha1-adrenoceptors with ejaculatory function. It also highlights the interesting phenomenon of ejaculatory dysfunction related to these drugs and its possible mechanism, with the intention to provide some essential clues for further research on this problem as well as some references to safer use of these drugs in clinical settings.
α1肾上腺素能受体拮抗剂是治疗提示良性前列腺增生的下尿路症状的一线药物,然而近年来其对性功能的不良反应屡有报道,尤其是诱发射精功能障碍。本文综述了α1肾上腺素能受体在男性生殖系统中的分布以及α1肾上腺素能受体与射精功能的关系。还着重介绍了与这些药物相关的射精功能障碍这一有趣现象及其可能机制,旨在为该问题的进一步研究提供一些重要线索,并为这些药物在临床环境中的安全使用提供一些参考。