Benign prostatic hyperplasia (BPH) / lower urinary tract symptoms (LUTS) Urological and Genital Diseases Benign prostatic hyperplasia (BPH)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 55 and 80 years old 2. Digital rectal examination negative for prostate cancer 3. Prostate-specific antigen (PSA) = 4 ng / ml, International Prostate Symptom Score (IPSS) = 12, prostate volume = 60 cc (assessed by suprapubic ultrasound), Qmax = 15 ml / s, post -void residual urine <150 ml.
Exclusion criteria
Exclusion criteria: 1. Prostate cancer, previous bladder cancer, diabetes mellitus, neurogenic disorders, severe liver disease, history of orthostatic hypotension or syncope, symptomatic urinary tract infection 2.Anti-androgens, antidepressants (neuroleptics, anticholinergics) therapy, recent treatment with an a blocker (within 1 month) or phytotherapy including saw palmetto extract (within 3 months), previous medical therapy with 5-ARI or surgical treatment for LUTS/BPH 3. Patients with catheter or with an episode of acute retention of urine in the last 4 weeks.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction of IPSS (= 3 points from baseline), a percentage reduction of IPSS (IPSS%) = 25%, increase of Qmax (= 30% from the baseline) and the reduction of PVR in patients treated with SeR, Ly and Se (Profluss ®) + tamsulosin compared to those treated with SeR, Ly and Se (Profluss®) or tamsulosin monotherapies after 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoints of the study were considered the change in erectile function (assessed by the International Index of Erectile Function-5 questionnaire), prostate volume, serum PSA and QoL at 1 year | — |
Countries
Italy