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Clinical and urodynamic efficacy and safety of different modes of pharmacotherapy for men with LUTS/BPH depending of their androgenic status

Abstract

Background. Research objective is an efficiency and safety analysis of different ways of treatment of lower urinary tract symptoms/benign prostatic hyperplasia (LUTS/BPH), including androgen substitutive therapy. Methods. The results of the survey and conservative treatment of 187 men with LUTS/BPH were analyzed. Monotherapy α1-blocker, 5α-reductase inhibitor and plant complex received 40, 35 and 30 patients, respectively. Another 40 people received combination therapy (α1-blocker and 5α-reductase inhibitor) and 42 patients with age-related hypogonadism additionally received the testosterone undecenoate. Results. The efficacy of standard medical therapy without androgen status of patients was on average 70.2 %. Additional androgen substitutive therapy of testosterone with the undecanoate contributed significantly more pronounced therapeutic effect in hypogonadal men. Conclusions. The study confirmed the high clinical and urodynamic efficacy and safety of a combination of standard treatment and androgen substitutive therapy in hypogonadal men with LUTS/BPH.

About the Authors

O. I. Bratchikov
Kursk State Medical University
Russian Federation


I. A. Tyuzikov
Clinic of Professor Kalinichenko
Russian Federation


E. A. Shumakova
Kursk State Medical University
Russian Federation


A. A. Gres
Belorussian Medical Academy of Postgraduate Education
Russian Federation


S. A. Churaev
Kursk State Medical University
Russian Federation


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For citations:


Bratchikov O.I., Tyuzikov I.A., Shumakova E.A., Gres A.A., Churaev S.A. Clinical and urodynamic efficacy and safety of different modes of pharmacotherapy for men with LUTS/BPH depending of their androgenic status. Pacific Medical Journal. 2016;(1):29-32. (In Russ.)

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ISSN 1609-1175 (Print)