Thomas Dominique, Chughtai Bilal, Kini Mitali, Te Alexis
a Department of Urology , Weill Cornell Medicine-New York Presbyterian , New York , NY , USA.
Expert Opin Emerg Drugs. 2017 Sep;22(3):201-212. doi: 10.1080/14728214.2017.1369953. Epub 2017 Aug 30.
Benign prostatic hyperplasia (BPH) is a common condition affecting over 50% of men as they reach their 5 decade of life. This leads to a number of sequelae such as lower urinary tract symptoms, urinary retention and a decrease in quality of life. Currently, the available treatments for BPH are alpha blockers and 5-alpha reductase inhibitors. Clinical studies have demonstrated these medical options are effective in alleviating a patient's symptoms, however there are a number of side effects. There is a paucity of information regarding long-term use of these medications. The purpose of this review is to identify potential and emerging medications for the treatment of BPH. Areas covered: Articles used in this review were retrieved from Pubmed, Google and through searching the PharmaProjects database over the last 10 years, giving the reader an in-depth knowledge about the current pharmacological agents available and other potential treatments for BPH. Expert opinion: The new paradigm of BPH treatment depends on addressing a patient's specific constellation of symptoms. This allows to tailor therapy of increasing efficacy and reduce adverse events that our patients have by increasing dosage.
良性前列腺增生(BPH)是一种常见疾病,超过50%的男性在进入50岁后会受到影响。这会导致一系列后遗症,如下尿路症状、尿潴留以及生活质量下降。目前,BPH的可用治疗方法是α受体阻滞剂和5-α还原酶抑制剂。临床研究表明,这些药物治疗方案在缓解患者症状方面有效,但存在一些副作用。关于这些药物的长期使用,信息匮乏。本综述的目的是确定治疗BPH的潜在和新兴药物。涵盖领域:本综述中使用的文章是从PubMed、谷歌以及在过去10年中搜索PharmaProjects数据库检索而来,使读者深入了解目前可用的药物制剂以及BPH的其他潜在治疗方法。专家观点:BPH治疗的新范式取决于解决患者特定的症状组合。这有助于通过增加剂量来定制疗效更高的治疗方案,并减少患者出现的不良事件。