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A prospective study to evaluate the efficacy and adverse effects of alpha-blockers in the management of benign prostatic hyperplasia

Vignesh Raja I C, Saravana Kumar M, Suresh Bhalaji S, Bhuvaneswari S.




Abstract

Background: Benign prostatic hyperplasia (BPH) is the most common cause for the lower urinary tract symptoms in men. The conservative management of BPH comprises of alpha blockers, especially selective alpha 1 adrenergic blockers for symptomatic relief.

Aims and Objectives: We aimed to evaluate the efficacy and adverse effects of alpha blockers in managing BPH.

Materials and Methods: After getting approval from the Institutional Human Ethics Committee and consent from subjects, this prospective, randomized, and controlled trial was conducted. In this study, patients under inclusion criteria were divided into two groups. Group I received silodosin 8 mg once daily for 8 weeks. Group II received tamsulosin 0.4 mg once daily for 8 weeks. Primary outcome measure was reduction in international prostate symptom score (IPSS). Adverse events during study period were recorded.

Results: A total of 90 patients were enrolled in this study. Ten patients were excluded and remaining 80 patients were divided as 40 in Group I (Silodosin) and 40 in Group II (Tamsulosin), patients were followed up for 8 weeks. As primary outcome, the IPSS at 8th week was significantly

Key words: Lower Urinary Tract Symptoms; Benign Prostatic Hyperplasia; International Prostate Symptom Score; Alpha Blockers; Silodosin; Tamsulosin







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050607080910111201020304
20242025

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