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伴有或不伴有勃起功能障碍的良性前列腺增生症的治疗管理选择:聚焦于他达拉非及患者考量因素

Management options for the treatment of benign prostatic hyperplasia with or without erectile dysfunction: a focus on tadalafil and patient considerations.

作者信息

Alsaikhan Bader, Alrabeeah Khalid, Carrier Serge

机构信息

McGill University Health Centre, Montreal, Quebec, QC, Canada.

出版信息

Int J Gen Med. 2014 Jun 12;7:271-6. doi: 10.2147/IJGM.S40216. eCollection 2014.

Abstract

Lower urinary tract symptoms (LUTS) and erectile dysfunction increase with age. Several studies have identified a true association between these two disorders. Basic research studies have shown a significant decrease in the nitric oxide/cyclic guanosine monophosphate pathway with age that leads to decreased relaxation of the bladder wall and prostate and worsening LUTS. In this review article, we will focus on the potential use and clinical significance of phosphodiesterase-5 inhibitors in the treatment of LUTS secondary to benign prostate hyperplasia.

摘要

下尿路症状(LUTS)和勃起功能障碍会随着年龄的增长而增加。多项研究已证实这两种疾病之间存在真正的关联。基础研究表明,随着年龄的增长,一氧化氮/环磷酸鸟苷途径显著减少,导致膀胱壁和前列腺松弛功能下降,进而使下尿路症状恶化。在这篇综述文章中,我们将重点关注磷酸二酯酶-5抑制剂在治疗良性前列腺增生继发的下尿路症状方面的潜在用途和临床意义。

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引用本文的文献

1
Phosphodiesterase inhibitors for lower urinary tract symptoms consistent with benign prostatic hyperplasia.
Cochrane Database Syst Rev. 2018 Nov 16;11(11):CD010060. doi: 10.1002/14651858.CD010060.pub2.
2
The role of phosphodiesterase-5 inhibitors in prostatic inflammation: a review.
J Inflamm (Lond). 2015 Sep 15;12:54. doi: 10.1186/s12950-015-0099-7. eCollection 2015.

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