Abstract

The clinical observations that LUTS in men with BPH is relieved by α-blockers, 5-α-reductase (5AR) inhibitors, and phosphodiesterase (PDE) inhibitors imply that α-adrenoceptors and the downstream products of 5AR and PDE are involved in the pathophysiology of these symptoms. The specific targets mediating the effectiveness of these 3 classes of drugs remain poorly understood. Over the past 30 years, we have learned how to effectively treat LUTS secondary to BPH without unraveling the underlying pathophysiology of LUTS/BPH. 1 Shapiro E. Lepor H. Pathophysiology of clinical benign prostatic hyperplasia. Urol Clin North Am. 1995; 22: 285 PubMed Google Scholar Dose-ranging Study of the Luteinizing Hormone-releasing Hormone Receptor Antagonist Cetrorelix Pamoate in the Treatment of Patients With Symptomatic Benign Prostatic HyperplasiaUrologyVol. 76Issue 4PreviewTo compare the efficacy of 4 dosage regimens of cetrorelix pamoate, a sustained release formulation that allows for more convenient dosing, in patients with symptomatic benign prostatic hyperplasia (BPH). Repeated dosing with cetrorelix acetate was shown to be active in the treatment of BPH symptoms. Full-Text PDF

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