Tadalafil – a therapeutic option in the management of BPH‐LUTS. Issue 1 (January 2014)

• Record Type: Journal Article
• Authors: Carson, C. C.; Rosenberg, M.; Kissel, J.; Wong, D. G.
• Is Part Of: International journal of clinical practice. Volume 68:Issue 1(2014)
• Page Start: 94
• Page End: 103
• Publication Date: 2014-01
• Subjects: Clinical medicine -- Periodicals; Medicine -- Periodicals; 610.5
• DOI: 10.1111/ijcp.12305
• Languages: English
• ISSNs: 1368-5031

Abstract

<abstract abstract-type="main" id="ijcp12305-abs-0001"> <title>Summary</title> <sec id="ijcp12305-sec-0001" sec-type="section"> <title>Background/Aims</title> <p>Men with signs of benign prostatic hyperplasia (BPH) may experience lower urinary tract symptoms (LUTS) such as urinary frequency, urgency, intermittence, nocturia, straining, incomplete emptying or a weak urinary stream. The effective management of LUTS suggestive of BPH (BPH‐LUTS) requires careful consideration of several factors, including the severity of a patient's symptoms, concurrent or other coexisting medical conditions, the ability to improve symptoms and impact quality of life (QOL), as well as the potential side effects of available treatment options. Several clinical studies have assessed phosphodiesterase type 5 (PDE5) inhibitors in reducing LUTS; however, tadalafil is the only PDE5 inhibitor approved for the treatment of signs and symptoms of BPH, as well as in men with both erectile dysfunction (ED) and the signs and symptoms of BPH. This review examined articles that assessed tadalafil in patients with signs and symptoms of BPH, with or without erectile dysfunction (ED), which led to regulatory approval in the United States and Europe.</p> </sec> <sec id="ijcp12305-sec-0002" sec-type="section"> <title>Results</title> <p>In dose‐ranging and confirmatory studies, results demonstrate that tadalafil significantly improved total International Prostate Symptom Score (IPSS) following 12 weeks of treatment with once daily tadalafil 5 mg. Statistically significant improvements in Benign Prostatic Hyperplasia Impact Index (BII), IPSS subscores, IPSS QOL and International Index of Erectile Function (IIEF) were also observed. Improvement in urinary symptoms occurred regardless of age, previous treatment with an α<sub>1</sub>‐adrenergic blocker, BPH‐LUTS severity at baseline or ED status.</p> </sec> <sec id="ijcp12305-sec-0003" sec-type="section"> <title>Conclusions</title> <p>While tadalafil is most frequently recognised as a standard treatment option for men with ED, it also represents a well‐tolerated and effective treatment option in men with moderate to severe BPH‐LUTS.</p> </sec> </abstract>