Yun Jong Hyun, Kim Jae Heon, Kim Jae Ho, Lee Sang Wook, Yang Hee Jo, Doo Seung Whan, Yang Won Jae
Department of Urology, Soonchunhyang University College of Medicine, Gumi Hospital, Gumi, South Korea.
Urol Int. 2014;93(3):338-43. doi: 10.1159/000365335. Epub 2014 Aug 20.
To compare the treatment outcome of tamsulosin 0.4 mg (TAM) with or without solifenacin 5 mg (SOL) for the most bothersome symptom in male lower urinary tract symptoms (LUTS) with overactive bladder (OAB).
Male LUTS/OAB (≥50 years) patients who had a total International Prostate Symptom Score (I-PSS) of ≥12, I-PSS urgency-related question of ≥2, and quality of life (QoL) of ≥3 points were enrolled. Patients who complained of storage symptoms as the most bothersome were included in the 'storage' group. Patients who complained of voiding symptoms as the most bothersome were included in the 'voiding' group. The change in the I-PSS was compared between the two groups 4 weeks after commencing treatment.
In the storage group, 172 were able to finish this study (TAM: 88, TAM + SOL: 84). The improvement of I-PSS and QoL with TAM + SOL was significantly greater than with TAM alone (p < 0.001). In the voiding group, 108 were able to finish the study (TAM: 54, TAM + SOL: 54). The improvement of I-PSS and QoL with TAM alone was significantly greater than with TAM + SOL (p < 0.001).
The most bothersome symptom in male LUTS/OAB should be considered when choosing the appropriate medical treatment.
