Abstract
This Practice Point commentary discusses the study by Stief and colleagues, and the relationship between lower urinary tract symptoms (LUTS), erectile dysfunction (ED), and benign prostatic hyperplasia (BPH). This randomized, placebo-controlled study analyzed the effects of the phosphodiesterase type 5 inhibitor vardenafil (a treatment for ED) on LUTS related to BPH. Significant improvements in LUTS were observed in patients in the vardenafil group compared with those in the placebo group, and improvements in erectile function and quality of life were reported in both groups. The treatment was well tolerated. The design of this study and the characteristics of the selected study populations were not typical for a BPH study. Consequently, while this study demonstrates that vardenafil is a promising treatment for symptoms secondary to BPH, including LUTS and ED, further studies are needed before phosphodiesterase type 5 inhibitors become a treatment for LUTS associated with BPH.
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References
Berry SJ et al. (1984) The development of human benign prostatic hyperplasia with age. J Urol 132: 474–479
McKinlay JB (2000) The worldwide prevalence and epidemiology of erectile dysfunction. Int J Impot Res 12 (Suppl 4): S6–S11
Pearlman CK and Kobashi LI (1972) Frequency of intercourse in men. J Urol 107: 298–301
Braun M et al. (2000) Epidemiology of erectile dysfunction: results of the 'Cologne Male Survey'. Int J Impot Res 12: 305–311
Girman CJ et al. (1999) Association of health-related quality of life and benign prostatic enlargement. Eur Urol 35: 277–284
Rosen R et al. (2003) Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7). Eur Urol 44: 637–649
Kaplan SA and Gonzalez RR (2007) Phosphodiesterase type 5 inhibitors for the treatment of male lower urinary tract symptoms. Rev Urol 9: 73–77
Stief CG et al. (2008) A randomised, placebo-controlled study to assess the efficacy of twice-daily vardenafil in the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. Eur Urol 53: 1236–1244
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Dr Te has declared that he has received grant/research support from, GlaxoSmithKline, Lilly Icos, Pfizer and Sanofi Aventis. He has also been a Consultant for GlaxoSmithKline.
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Te, A. Should vardenafil be used for the treatment of lower urinary tract symptoms associated with BPH?. Nat Rev Urol 5, 536–537 (2008). https://doi.org/10.1038/ncpuro1196
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DOI: https://doi.org/10.1038/ncpuro1196