Benign Prostatic Hyperplasia
Conditions
Keywords
prostate, dutasteride, vascular endothelial growth factor, hypoxia inducible factor
Brief summary
The purpose of this study is to determine whether dutasteride may influence the expression of angiogenesis factors such as hypoxia inducible factor (HIF)-1alpha and vascular endothelial growth factor (VEGF) in patients with lower urinary tract symptoms/benign prostatic hyperplasia (LUTS/BPH).
Detailed description
A total of 41 patients awaiting transurethral resection of the prostate (TURP) will be divided into two groups (1:1); twenty patients will receive no medication and 21 will receive 0.5 mg dutasteride daily for 2 to 4 weeks until TURP. In both groups, the extent, intensity and intracellular location of hypoxia inducible factor (HIF)-1alpha and vascular endothelial growth factor (VEGF)will be evaluated. Microvessel density will be also compared in the two groups.
Interventions
5mg, oral, daily, 2-4 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
* informed consent * 50 years old or older * International Prostate Symptom Score (IPSS) \>8 * Maximum flow rate (Qmax) \<15 ml/s * transurethral resection of the prostate (TURP)
Exclusion criteria
* urethral catheter * urinary tract infection (UTI) * liver disease * renal disease * unexplained hematuria * prostate specific antigen (PSA) \> 4ng/ml (included if prostate biopsy was negative) * interstitial cystitis * bladder cancer or prostate cancer * pelvic surgery or irradiation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HIF-1a and VEGF expression | 2 weeks | effects of dutasteride on the expression of angiogenesis markers in rat and human prostates |