University of Thessalia, Department of Urology, Larissa, Greece.
Expert Opin Investig Drugs. 2013 Mar;22(3):357-68. doi: 10.1517/13543784.2013.761973. Epub 2013 Jan 15.
The desired goals of treatment of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) include sustained, clinically significant improvement in symptoms and quality of life and/or slowing or preventing the progression of the condition. There is a continuing interest in research for new therapies for BPH due to the high prevalence of the condition and the unmet expectations of patients and physicians from the efficacy of available therapies.
The aim of this paper is to provide the latest data on new medical treatments for LUTS/BPH, defined as pharmacological treatments not yet commonly available and/or currently under investigation. Articles were identified by means of a computerised Google and PubMed search and a search of the trial registries.
Many potential targets for future drugs have been evaluated but it is obvious that there is a wide variation in the degree of mature of each therapy. Time and high-quality studies will decide which of these potential drugs will fade away without fulfilling the initial promises. At the moment, phosphodiesterase type 5 inhibitors are claiming their position in the armamentarium of BPH treatment.
治疗良性前列腺增生(BPH)引起的下尿路症状(LUTS)的理想目标包括症状和生活质量的持续、有临床意义的改善,和/或减缓或防止病情的进展。由于该疾病的高患病率以及现有治疗方法的疗效未满足患者和医生的期望,因此人们对 BPH 的新疗法研究一直很感兴趣。
本文旨在提供 LUTS/BPH 的新医学治疗方法的最新数据,这些治疗方法被定义为尚未广泛应用和/或正在研究中的药物治疗方法。通过计算机谷歌和 PubMed 搜索以及试验登记处的搜索来确定文章。
许多潜在的药物靶点已经得到了评估,但显然每种治疗方法的成熟度都存在很大差异。时间和高质量的研究将决定哪些潜在药物会在未能实现最初承诺的情况下消失。目前,磷酸二酯酶 5 抑制剂正在声称它们在 BPH 治疗中的地位。