The I-PSS total score and nocturnal urine volume significantly improved only by furosemide
treatment. Pirfenidone Conclusion: Furosemide treatment definitively improved nocturia with nocturnal polyuria. GJG treatment may also induce mild improvement of nocturnal polyuria, although further study is required to confirm its efficacy. “
“The purpose of our study was to evaluate the effect of alfuzosin and tadalafil as combination therapy compared with each monotherapy, in patients with lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). Men over the age of 50 years with LUTS secondary to BPH and an International Prostate Symptom Score (IPSS) 8 or higher, were randomized to receive 10 mg alfuzosin (n = 25), 10 mg tadalafil (n = 25) or the combination of both the drugs (n = 25) once daily for 3 months. Symptoms were assessed at baseline, 6 weeks Panobinostat and 3 months. The primary endpoint was the change in IPSS from the baseline. Secondary endpoints were changes in IPSS storage and voiding subscores, peak urinary flow rate, residual urine volume, IPSS quality of life score and erectile domain score. There were significant
improvements in all IPSS scores, peak urinary flow rate and IPSS quality of life score from baseline at both 6 weeks and 3 months in all the three groups (P < 0.003). Combination therapy was better than monotherapy in improving IPSS scores and reducing post-void residual urine volume (P < 0.005). Combination therapy was similar to alfuzosin regarding improvement
in maximum urine flow rate (P = 0.22), similar to tadalafil in improvement on erectile function (P = 0.22) and better than each monotherapy in improving the IPSS quality of life (P ≤ 0.015). Alfuzosin and tadalafil combination therapy provides greater symptomatic improvement as compared to either monotherapy in men with LUTS due to BPH. Benign prostatic hyperplasia (BPH) is a common disease of ageing men. It is clinically characterized by the progressive and bothersome developmentof lower urinary Nintedanib (BIBF 1120) tract symptoms (LUTS). The incidence of moderate to severe LUTS in a large prospective cohort of United States men was about 44% and the progression rate was about 26.5%.[1] Currently, alpha-blockers and 5α-reductase inhibitors (5ARIs) represent the most effective treatment options for BPH. Although these drugs are effective, they are associated with side-effects, which include dizziness, hypotension and sexual dysfunction. These side-effects may be exacerbated by combination therapy. Erectile dysfunction (ED) and LUTS associated with BPH generally begin when men are in the fifth or sixth decade of life and become more common with increases in age. Regular sexual activity is normal in aging men and satisfaction with sex life is an important dimension of quality of life.