Effect of oleic, lauric and myristic acids on phenylephrine-induced contractions of isolated rat vas deferens
|
|
- Lindsey Watson
- 5 years ago
- Views:
Transcription
1 Indian Journal of Experimental Biology Vol. 49, September 2011, pp Effect of oleic, lauric and myristic acids on phenylephrine-induced contractions of isolated rat vas deferens ML Arruzazabala, Y Pérez, Y Ravelo, V Molina*, D Carbajal, R Mas & E Rodríguez Centre of Natural Products, National Centre for Scientific Research 25 th Ave, 158 st., P.O 6880, Cubanacán, Havana City, Cuba Received 24 February 2011; revised 24 June 2011 D-004, a lipid extract of Roystonea regia fruits that contains oleic, lauric and myristic acids as major components inhibits α1-adrenoreceptors-mediated contractile responses in isolated rat vas deferens and prostate trips; no study has demonstrated a similar effect for oleic, lauric or myristic acids individually. Therefore, the effects of D-004 (250 µg/ml), oleic (100 µg/ml), lauric (50 µg/ml) or myristic (25 µg/ml) acids and their combined effects on phenylephrine (PHE: mol/l) induced contractions has been studied. No treatment changed the basal tone of the preparations, but all inhibited PHE-induced contractions. D-004 produced the highest inhibition, followed by lauric acid, which was more effective than myristic and oleic acids against PHE-induced contractions of control group. D-004 and the mixture of the three acids produced similar inhibitions. Keywords: D-004; Oleic, lauric and myristic acids; Phenylefrine induced contractions, Vas deferens Benign prostatic hyperplasia (BPH), a common disease in the aging men, is a histological condition that consists in an hyperplastic process leading to a measurable growth of glandular-epithelial and stromal/muscle prostatic tissue, which may contribute to the lower urinary tract symptoms (LUTS) common in men with BPH 1, 2. Hormonal factors, like the androgenic hormones testosterone (T) and dihydrotestosterone (DHT), play a crucial role in the etiology of BPH 3, while growth factors and estrogens may contribute to this condition as well. LUTS, however, may or may not be linked with prostate enlargement and bladder outlet obstruction 2. Indeed, urinary outlet obstruction in BPH does not result from the urethral compression produced by the hypertrophied prostate only, but from the enhanced stimulation of α 1 -adrenoceptors (AR) of both urethral and prostatic smooth muscle 2,4,5, being reported an increased number of α 1 -AR in the prostate of patients with BPH 6. Therefore,α 1 -AR-blockers are among the first-line pharmacological options to treat BPH, mainly effective in relieving LUTS in these patients 7. Plant extracts, like saw palmetto lipid extracts (SPLE), are widely used to treat BPH and related *Correspondent author Telephone: [537] Fax: [537] vivian.molina@cnic.edu.cu LUTS Although some trials have failed to find differences versus placebo 11,12, most studies have supported that saw palmetto is effective to treat BPH/LUTS, with an efficacy comparable to that of finasteride and tamsulosin 13,14. Multiple, rather than a single mechanism, contribute to the efficacy of SPLE in BPH, like the inhibition of prostate 5 α-reductase activity and the antagonism of α 1 -AR in vitro and in vivo 18,19. In addition, major components of SPLE, like lauric, oleic, myristic acids, have been shown to produce similar effects, since lauric acid is a potent inhibitor of 5 α-reductase activity, oleic and myristic acids being also able to inhibit the enzyme activity 15,20. A recent study also demonstrated that like SPLE, lauric, oleic, myristic and linoleic acids also inhibited the specific binding of radioligands to α 1 AR, receptors 21. D-004 is a lipid extract of the royal palm (Roystonea regia) fruits that contains a mixture of free fatty acids wherein oleic, lauric, palmitic and myristic acids are major components. D-004 has been shown to inhibit competitively rat prostate 5αreductase activity in vitro 22, and orally given prevented T-induced, but not DHT-induced, prostate hyperplasia (PH) in rodents As SPLE, D-004 also antagonizes α 1 -AR-mediated responses in both in vitro and in vivo conditions. In vitro, D-004 inhibited markedly and dose-dependently
2 ARRUZAZABALA et al.: OLEIC, LAURIC & MYRISTIC ACIDS ON CONTRACTILE RESPONSES 685 norepinephrine (NE) and phenylephrine (PHE)- induced contractions in isolated preparations of rat vas deferens and prostate trips, respectively 27, 28. Also, oral treatment with D-004 to rats significantly reduced the histological features of PH and the urodynamic changes (void volume reduction) induced with PHE 29,30, and modestly, but significantly, attenuated the NE-induced hypertensive effects 28. To our knowledge, however, no work had demonstrated that weather any of the major components of D-004 can inhibit α 1 -AR-mediated responses. The present study investigated whether the major components (oleic, lauric and myristic acids) of D-004 were able to inhibit PHE-induced contractions in isolated rat vas deferens. Animals Young adult male SD rats of 9 weeks old, weighing g, were purchased from the National Centre for Laboratory Animals Production (CENPALAB, Havana, Cuba). Animals were adapted to laboratory conditions (temperature 25 ± 3 C, 60 ± 5% RH and 12:12 h L:D cycle) for 7 days. Food (rodent chow obtained from CENPALAB) and water were provided ad libitum. Animals handle were maintained in accordance with the Cuban Regulations for the use of laboratory animals and ethical principles for animal management. An independent ethical board approved the use of the animals in the study. Chemicals D-004 (batch ) was obtained from the Chemistry Department of the Centre of Natural Products (Havana City, Cuba). The batch had the following composition (percentages of the relative weight of each acid with respect to that of the raw material): caprilic (C 8: 0; 0.4%), capric (C 10:0 ; 0.7%), lauric (C 12:0 ; 23.9%), myristic (C 14:0 ;10.9%), palmitic (C 16:0 ; 10.4%), palmitoleic (C 16:1 ; 0.1%), stearic (C 18:0 ; 2.5%), oleic (C 18:1 ; 32.9%), linoleic (C 18:2 ; 9.1%), and linolenic (C 18:3 ; 0.1%), which was assessed with a validated gas chromatography method. Batch purity (total content of these acids within the raw material) was 91.7%. D-004 and oleic, lauric and myristic acids (Sigma Chemical CO, St Louis, USA) were suspended in a 2% Tween 65/H 2 O vehicle, and suspensions were prepared immediately before use. Phenylephrine (PHE) was obtained from QUIMEFA, Havana Cuty, Cuba. In vitro effects on PHE-induced vas deferens contractions The animals were anaesthetized with ether. The vas deferens were dissected free from extraneous tissue and mounted in organ baths containing Tyrode solution and bubbled with 5% CO 2 and 95% O Experiment 1 In this experiment, the effects of adding D-004 (250 µg/ml), oleic (100 µg/ml), lauric (50 µg/ml) or myristic acid (25 µg/ml) were observed. The respective concentrations of each acid were equivalent to those present in the added amount (250 µg/ml) of D-004. In brief, following an equilibration period of 30 min, a control set of experiments were conducted. Rat vas deferens preparations were suspended in organ bath containing tyrode solution with Tween 65/H 2 O (control) and contractions were induced with successive accumulative concentrations of PHE ( mol/l). Then, suspensions of D-004, oleic or lauric or myristic acid at the concentrations referred above were added to bath solution in independent experiments, and 20 min after the contractile responses to PHE were recorded. Experiment 2 In experiment 2, the effects of D-004 (250 µg/ml) and of combined effect of oleic (100 µg/ml), lauric (50 µg/ml) and myristic acid (25 µg/ml) on PHE-induced contractions in rat vas deferens was studied. Briefly, after a 30 min equilibration period, independent experiments assessed the effects of tyrode solutions containing Tween 65/H 2 O (control), D-004 (250 µg/ml) or oleic (100 µg/ml) + lauric (50 µg/ml) + myristic acid (25 µg/ml) on rat deferens vas contractions induced with successive accumulative concentrations of PHE ( mol/l). Contractions of the tissues were recorded isotonically using a lever transducer attached to a Nihon Kohden transducer attached to the Nihon Kohden polygraph. Statistical analysis All values of tissues responses were related to maximal response of control group (E/Emax). Comparison between study groups was performed using the Kruskal-Wallis one-way test. Differences between individual groups and control groups were compared using Dunn s test. P < 0.05 was considered significant. Statistical analysis were performed using Pathtox system software (version 4.2.2; Xybion Corp; Cedar Knolls, NJ, USA) Results Experiment 1 The addition of the vehicle, D-004, lauric, oleic or myristic acids did not change the basal tone of the isolated vas deferens, but D-004 and all the three acids inhibited PHE-induced contractions (Table 1). D-004 (250 µg/ml) and lauric acid (50 µg/ml) significantly inhibited the contractions induced with all the concentrations of PHE (
3 686 INDIAN J EXP BIOL, SEPTEMBER mol/l) used in the dose-response curves, meanwhile myristic acid inhibited only the contractions induced with two concentrations of PHE ( and mol/l) and oleic acid only those induced with PHE mol/l. According to the effects on contractions induced with the highest concentration of PHE, the D-004 produced the highest inhibition, followed by lauric acid, while inhibitions with myristic and oleic acids were similar. Experiment 2 The inhibitory effects of the joint addition of the three acids and D-004 on PHE-induced contractions on vas deferens were statistically similar (Table 2). Discussion The results demonstrate that lauric, oleic and myristic acids, major components of D-004, were able to antagonize PHE-induced contractions on isolated rat vas deferens preparations and that the effect of adding together these three acids at the same relative concentrations present in D-004 were the same of those elicited by D-004 (250 µg/ml). In addition to inhibit 5α-reductase in vitro 23 and to prevent testosterone-induced prostate hyperplasia in rodents in vivo 24-27, D-004 markedly and dose dependently inhibited PHE-induced contractions in isolated vas deferens and rat prostate preparations in vitro 27, 28. Although lauric, oleic and myristic acids, major components of D-004, have been identified as bioactive compounds of SPLE that inhibit prostate 5 α-reductase activity 15-17, no study had reported if they can inhibit α 1 -AR-mediated contractile responses. Therefore, in order to know the pharmacologically active constituents of D-004 that contributes to its effects on α 1 -AR-mediated contractions, the present work was undertaken. The present study first confirms the inhibitory effect of D-004 on α 1 -AR-mediated contractions, since the fact that D-004 significantly inhibited PHEinduced contractions of isolated vas deferens is consistent with its effects on nor-epinephrine and PHE-induced contractions in isolated rat vas deferens and prostate preparations 27,28, respectively. In addition, it was observed that the addition of lauric (50 µg/ml), oleic (100 µg/ml) and myristic (25 µg/ml) acids also inhibited significantly PHEinduced contractions of rat vas deferens; lauric acid exhibiting the highest inhibition against PHE-induced contractions of control group, showing that the acids, the major components of D-004, are the active compounds of D-004 responsible of its inhibitory effect. Further, the fact that D-004 (250 µg/ml) and the mixture of the three acids at the same concentrations referred above produced a similar inhibition of the PHE-induced contraction confirms this assumption and practically ruled out the possibility of other(s) component of D-004 involved in this effect. Treatments Table 1 Effect of D-004, OA, LA and MA on PHE-induced contractions (E/Emax, %) of rat vas deferens [Values are mean ± SD] PHE concentrations (mol/l) Control 1.07 ± ± ± ± ± ± ± 0.00 D004 (250 µg/ml) 0 ± ± 0.5 b 3 ± 0.81 c 17 ± 3.43 c 30 ± 6.02 c 41± 7.51 d 42 ± 7.26 d LA (50 µg/ml) 0 ± ± 0.00 a 7.6 ± 2.00 a 20 ± 5.80 b 40 ± b 52 ± b 54 ± be OA (100 µg/ml) 0 ± ± ± ± a 51± ±19.92 e 65± e MA (25 µg/ml) 0 ± ± ± 3.05 a 28 ± 9.36 a 57 ± ± e 72 ± e PHE= phenylephrine, LA=lauric acid, MA=myristic acid, AO=oleic acid, P values: a < 0.05, b < 0.01, c < 0.001, d < ; e < 0.05 as compared with control (a-d) and with D-004 (e) (Dunn test). Treatments Table 2 Effect of D-004 (250 µg/ml) and the mixture of OA (100 µg/ml), LA (50 µg/ml) plus (MA 25 µg/ml) on PHE-induced contractions (E/Emax, %) of rat vas deferens [Values are mean ± SD] PHE concentrations (mol/l) Control 0.8 ± ± ± ± ± ± ± 0.00 D004 0 ± ± ± 3.85 * 22 ± 7.17* 47 ± 12.94* 51± 9.88* 51± 9.88* OA + LA +MA 0 ± ± ± 4.31* 29 ± * 55 ± 13.79* 62 ± 13.19* 62 ± 13.19* PHE= phenylephrine, LA= lauric acid, MA= myristic acid, AO=oleic acid, *P< 0.01 as compared with control (Dunn test)
4 ARRUZAZABALA et al.: OLEIC, LAURIC & MYRISTIC ACIDS ON CONTRACTILE RESPONSES 687 The addition of D-004 or of oleic, lauric and myristic acids did not affect the basal tone of rat vas deferens, which do not reproduce a sympathomimetic effect of SPLE. Thus, SPLE had been shown to antagonize NE-induced contractions in smooth muscle isolated preparations 31,32, however, Cao et al. 33 reported that its addition to isolated rat prostates strips produced an unexpected contractile baseline effect, not reported before. Considering that D-004 shares some similarities in composition and effects with SPLE, the effects of D-004 and the three acids on vas deferens basal tone was studied. These results suggest that other component(s) of SPLE different from oleic, lauric or myristic acid is (are) involved in this sympathomimetic effect. Since α 1 -AR mediate the contractile response of the prostate, which is responsible for about 50% of the prostatic urethral pressure in BPH patients, a treatment that antagonizes α1-ar mediated responses should be useful to manage BPH/LUTS 4-7. The present results add to the understanding of the active compounds of D-004 that contributes to the antagonism of α 1 -AR blockermediated responses, a key mechanism in its potential benefit to manage BPH/LUTS. Conclusions The results of the present study demonstrate that the major components of D-004 (oleic, lauric and myristic acids) were active to inhibit the contractile responses induced by PHE in rat vas deferens, and that the effect of D-004 was greater than those of the individual acids, but equivalent to that of the sum of these acids. References 1 Nix J & Carson C, Medical management of benign prostatic hypertrophy, Can J Urol, 14 (2007) Roehrborn C G, Pathology of benign prostatic hyperplasia, Int J Impot Res, 20 (2008) S11. 3 Carson C & Rittmaster R, The role of dihydrotestosterone in benign prostatic hyperplasia, Urology, 61 (2003) 2. 4 Schwinn D A & Roehrborn C G. Alpha1-adrenoceptor subtypes and lower urinary tract symptoms, Int J Urol, 15 (2008) Michel M C, Taguchi K & Schafers R S, Alpha 1- adrenoceptor subtypes in the human cardiovascular and urogenital systems, Adv Pharmacol, 42 (1998) Yamada S, Ashizawa N, Ushijima H, Nakayama K, Hayashi E & Honda K, Alpha-1 adrenoceptors in human prostate: characterization and alteration in benign prostatic hypertrophy, J Pharmacol Exp Ther, 242 (1987) Olke M, Hofner K, Berges R R & Jonas U, Drug therapy of benign prostatic hyperplasia syndrome with alpha 1-receptors blockers. Basic principles and clinical results, Urologe A, 41 (2002) Gordon A & Shaughnessy A F. Saw Palmetto for prostate disorders, Am Fam Physician, 67 (2003) Plosker G L & Brodgen RN, Serenoa repens (Permixon). A review of its pharmacology and therapeutic efficacy in benign prostatic hyperplasia, Drugs Aging, 9 (1996) Aliev IuG, Vinarov A, Lokshin KL & Spivak LG, Five-years experience in treating with prostatic hyperplasia patiens with permixon (Serenoa repens Pierre Fabre Medicament), Urologia 1 (2002) Willetts K E, Clements M S & Champion S, Serenoa repens extract for benign prostate hyperplasia: A randomized controlled trial, BJU Int, 92 (2003) Bent S, Kane C, Shinohara K, Nehuhaus J, Hudes E S & Goldberg H, Saw palmetto for benign prostatic hyperplasia, N Engl J Med, 354 (2006) Carraro J C, Raynaud J P, Koch G, Chirsholm G D, Di Silverio F & Teilac P, Comparisons of phytotherapy (Permixon) with finasteride in the treatment of benign prostate hyperplasia: A randomized international study of 1098 patients, Prostate, 29 (1996) Debruyne F, G. Koch., P. Boyle., F.C Da Silva., J.G. Gillenwater & F.C Hamdy. Groupe d etude PERMAL, Comparison of a phytotherapeutic agent (Permixon) with an alpha blocker (Tamsulosin) in the treatment of benign prostatic hyperplasia: A 1 year randomized international study, Prog Urol, 12 (2002) Raynaud J P, Cousse H & Martin P M. Inhibition of type 1 and type 2 5-alpha reductase activity by free fatty acids, active ingredients of Permixon. J Steroid Biochem Mol Biol, 82 (2002) Rhodes L, Primka R L, Berman C, Vergult G, Gabriel M, Pierre-Malice M & Gibelin B, Mechanisms involved in the spasmolytic effect of extracts from Sabal serrulata fruit on smooth muscle, Prostate, 22 (1993) Weisser H, Tunn S, Behnke B & Krieg M L, Effects of the sable serrulata extract IDS 89 and its subfractions on 5-alpha reductase activity in human prostatic hyperplasia, Prostate, 28 (1996) Goepel M, Hecker U, Krege S, Rubben H & Michel M C, Saw palmettos extracts potently and non-competitively inhibit human alpha 1 adrenoceptors in vitro, Prostate, 38 (1999) Goepel M, Dihn L & Mitchell A, Do Saw palmetto extracts block human alpha 1-adrenoceptors subtypes in vivo?, Prostate, 46 (2001) Niederprum H J, Schweikert H U & Zanker K S, Testosterone 5-alpha-reductase inhibition by free fatty acids from Sabal serrulata fruits, Phytomedicine, 1 (1994) Abe M, Ito Y, Oyunzul L, Oki Fujino T & Yamada S, Pharmacological relevant receptor binding characteristics and 5-α reductase inhibitory activity of free fatty acids contained in saw Palmetto extract, Biol Pharm Bull, 32 (2009) Pérez Y, Menéndez R, Más R & González R M, In vitro effect of D-004, a lipid extract of the fruit of the Cuban royal palm (Roystonea regia), on prostate steroid 5α-reductase activity, Curr Ther Res Exptl & Clin, 67 (2006) Arruzazabala M L, Carbajal D, Mas R, Molina V, González V & Rodríguez E, Preventive effect of D-004, a lipid extract from Cuban royal palm (Rostoynea regia) fruits, on prostate
5 688 INDIAN J EXP BIOL, SEPTEMBER 2011 hyperplasia induced with testosterone on intact and castrated rodents, Drugs Exptl Clin Res, 30 (2004) Carbajal D, Arruzazabala M L, Mas R, Molina V, Rodríguez E & González V, Effect of D-004, a lipid extract from Cuban royal palm fruit, on inhibiting prostate hyperplasia induced with testosterone and dihydrotestosterone in rats, Curr Ther Res Exptl Clin, 65 (2004) Carbajal D, Molina V, Mas R & Arruzazabala M L, Therapeutic effect of D-004 a lipid extract from Roystonea regia fruits on prostate hyperplasia induced in rats, Drugs Exp Clin Res, 31 (2005) Noa M, Arruzazabala M L, Carbajal D, Mas R & Molina V, Effect of D-004, a lipid extract from Cuban royal palm fruit, on histological changes of prostate hyperplasia induced with testosterone in rats, Int J Tiss Reac, 27 (2005) Arruzazabala M L, Pérez Y, Molina V, Carbajal D, Ravelo Y & Mas R, Effect of D-004, a lipid extract from royal palm (Roystonea regia) fruits, on phenylephrine-induced contractions of isolated rat prostate, Rev Cubana Farmacia, 43 (2009) Arruzazabala M L, Mas R, Carbajal D & Molina V, Effect of D-004, a lipid extract from the Cuban royal palm fruit, on in vitro and in vivo effects mediated by alpha-adrenoceptors in rats, Drugs R & D, 6 (2005) Arruzazabala M L, Mas R, Molina V, Noa M & Carbajal D, Effect of D-004, a lipid extract from the Cuban royal palm fruit on atypical prostate hyperplasia induced by phenylephrine in rats, Drug R & D, 7 (2006) Arruzazabala M L, Molina V, Más R & Carbajal D, Effects of D-004, tamsulosin and the combined therapy D004 plus tamsulosin on urodynamic changes induced with phenylephrine in rats, Arzn-Forsc Drug Res, 58 (2008) Gutiérrez M, García de Boto M J, Cantabrana B & Hidalgo A, Mechanisms involved in the spasmolytic effect of extracts from Sabal serrulata fruit on smooth muscle, Gen Pharmacol, 27 (1996) Odenthal K P & Rauwald H W, Lipophilic extract from Sabal serrulata inhibits contractions in smooth muscle tissue, Aktuelle Urologie, 27 (1996) Cao N, Haynes J M & Ventura S, Saw palmetto is an indirectly acting sympathomimetic in the rat-isolated prostate gland, Prostate, 66 (2005) 115.
Effect of D-004, a lipid extract from royal palm (Roystonea regia) fruits, on phenylephrine-induced contractions of isolated rat prostate
PRODUCTOS NATURALES Effect of D-004, a lipid extract from royal palm (Roystonea regia) fruits, on phenylephrine-induced contractions of isolated rat prostate Efecto de D-004, un extracto lipídico extraído
More informationIn Vitro Effect of D-O04, a Lipid Extract of the Fruit of the Cuban Royal Palm (Roystonea regia), on Prostate Steroid 5 -Reductase Activity
ZURRENT THERAPEUTIC RESEARCF VOLUME 67, NUMBER 6, NOVEMBER/DECEMBER 2006 In Vitro Effect of D-O04, a Lipid Extract of the Fruit of the Cuban Royal Palm (Roystonea regia), on Prostate Steroid 5 -Reductase
More informationDifferent Ripening Stages of Roystonea regia Fruits Influence their Effects on Testosterone-induced Prostate Enlargement in Rats
Latin American Journal of Pharmacy (formerly Acta Farmacéutica Bonaerense) Lat. Am. J. Pharm. 27 (1): 41-5 (2008) Trabajos originales Recibido el 18 de septiembre de 2007 Aceptado el 24 de noviembre de
More informationD-004 ameliorates phenylephrine-induced urodynamic changes and increased prostate and bladder oxidative stress in rats
Original Article D-004 ameliorates phenylephrine-induced urodynamic changes and increased prostate and bladder oxidative stress in rats Ambar Oyarzábal, Yohani Pérez, Vivian Molina, Rosa Mas, Yazmin Ravelo,
More informationVOLUME 69, NUMBER I, FEBRUARY 2008
VOLUME 69, NUMBER I, FEBRUARY 2008 Effects of D-004, a Lipid Extract of the Fruit of the Cuban Royal Palm (Roystonea regia) or the Lipidosterolic Extract of Saw Palmetto (Serenoa repens) on the Sexual
More informationEvaluation of D-004 effects in the Uterotrophic Assay in Mature Ovariectomized Rats
Latin American Journal of Pharmacy (formerly Acta Farmacéutica Bonaerense) Lat. Am. J. Pharm. 27 (5): 710-5 (2008) Original article Received: May 2, 2008 Accepted: July 19, 2008 Evaluation of D-004 effects
More informationMEDICAL THERAPY. Endocrine Approaches. Página 1 de 5.
Página 1 de 5 MEDICAL THERAPY Part of "32 - BENIGN PROSTATIC HYPERPLASIA" Use of pharmacologically defined and a variety of so-called alternative medications to attempt to improve BPH voiding dysfunction
More informationNot all brands are created equal: a comparison of selected components of different brands of Serenoa repens extract
Review Not all brands are created equal: a comparison of selected components of different brands of Serenoa repens extract FK Habib 1 * & MG Wyllie 2 1 Prostate Research Group, University Department of
More informationIndex. urologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Ablation, of prostate, holmium laser, 485 495 African prune tree (Pygeum africanum), 454 455 Alfuzosin, 445 446 Alpha-adrenergic agonists,
More informationPharmacologically Relevant Receptor Binding Characteristics and 5a-Reductase Inhibitory Activity of Free Fatty Acids Contained in Saw Palmetto Extract
646 Biol. Pharm. Bull. 32(4) 646 650 (2009) Vol. 32, No. 4 Pharmacologically Relevant Receptor Binding Characteristics and 5a-Reductase Inhibitory Activity of Free Fatty Acids Contained in Saw Palmetto
More informationBenign Prostatic Hyperplasia. Jay Lee, MD, FRCSC Clinical Associate Professor University of Calgary
Benign Prostatic Hyperplasia Jay Lee, MD, FRCSC Clinical Associate Professor University of Calgary Copyright 2017 by Sea Courses Inc. All rights reserved. No part of this document may be reproduced, copied,
More informationBenign Prostatic Hyperplasia (BPH):
Benign Prostatic Hyperplasia (BPH): Evidence Based Guidelines for Primary Care Providers Jeanne Martin, DNP, ANP-BC Objectives 1. Understand the pathophysiology and prevalence of BPH 2. Select the appropriate
More informationMMM. Topic The use of Tadalafil 5mg daily for the treatment of BPH-LUTS
Dr Tan & Partners MMM Vol. 1 No. 1 Morbidity & Mortality Meeting 14 th November 2014 Introduction Topic The use of Tadalafil 5mg daily for the treatment of BPH-LUTS Tadalafil 5mg daily is a well established
More informationDOWNLOAD OR READ : TREATMENT OF BENIGN PROSTATIC HYPERPLASIA PDF EBOOK EPUB MOBI
DOWNLOAD OR READ : TREATMENT OF BENIGN PROSTATIC HYPERPLASIA PDF EBOOK EPUB MOBI Page 1 Page 2 treatment of benign prostatic hyperplasia treatment of benign prostatic pdf treatment of benign prostatic
More informationAlpha antagonists from initial concept to routine clinical practice
european urology 50 (2006) 635 642 available at www.sciencedirect.com journal homepage: www.europeanurology.com Editorial 50th Anniversary Alpha antagonists from initial concept to routine clinical practice
More informationIn order to better educate patients, family physicians must familiarize themselves
Focus on CME at the University of Manitoba Not All Herbs Are Remedies In order to better educate patients, family physicians must familiarize themselves with regulatory categories for herbal products.
More informationRole of herbal drugs in the management of benign prostatic hyperplasia: Clinical trial to evaluate the efficacy and safety of Himplasia
[Medicine Update (2003): 11(2), 55-58] Role of herbal drugs in the management of benign prostatic hyperplasia: Clinical trial to evaluate the efficacy and safety of Himplasia Arora, R.P., CMO, Rajiba L.
More informationEuropean Urology 48 (2005)
European Urology European Urology 48 (2005) 269 276 BPH/Prostatic Diseases Evaluation of Male Sexual Function in Patients with Lower UrinaryTract Symptoms (LUTS) Associated with Benign Prostatic Hyperplasia
More informationIncreasing Awareness, Diagnosis, and Treatment of BPH, LUTS, and EP
Introduction to Enlarged Prostate E. David Crawford, MD Professor of Surgery (Urology) and Radiation Oncology Head, Urologic Oncology E. David Crawford Endowed Chair in Urologic Oncology University of
More informationMANAGING BENIGN PROSTATIC HYPERTROPHY IN PRIMARY CARE DR GEORGE G MATHEW CONSULTANT FAMILY PHYSICIAN FELLOW IN SEXUAL & REPRODUCTIVE HEALTH
MANAGING BENIGN PROSTATIC HYPERTROPHY IN PRIMARY CARE DR GEORGE G MATHEW CONSULTANT FAMILY PHYSICIAN FELLOW IN SEXUAL & REPRODUCTIVE HEALTH INTRODUCTION (1) Part of male sexual reproductive organ Size
More informationDIAGNOSED WITH BENIGN PROSTATIC HYPERPLASIA
Acta Poloniae Pharmaceutica ñ Drug Research, Vol. 74 No. 4 pp. 1247ñ1253, 2017 ISSN 0001-6837 Polish Pharmaceutical Society PHARMACOLOGY CLINICAL EVALUATION OF α-1-adrenolytics IN PATIENTS DIAGNOSED WITH
More informationCombination Drug Therapy for Benign Prostatic Hyperplasia (BPH)
The Annals of African Surgery www.sskenya.org Combination Drug Therapy for Benign Prostatic Hyperplasia (BPH) Author: Oliech J.S. FRCS, Affiliation: Department of Surgery, University of Nairobi. P.O. Box
More informationIndex. urologic.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Ablative therapies, transurethral needle ablation, Adverse events, sexual side effects of BPH Aging, and incidence of BPH associated with
More informationAntioxidant effects of D-004, a lipid extract from the Roystonea regia fruit, on the plasma of healthy men
Original Article Asian Journal of Andrology (2009) 11: 385 392 2009 AJA, SIMM & SJTU All rights reserved 1008-682X/09 $ 30.00 www.nature.com/aja npg 385, a lipid extract from the Roystonea regia fruit,
More informationProstate Health PHARMACIST VIEW
Prostate Health PHARMACIST VIEW Prostate Definition Prostate is a gland made of fibromuscular tissue. It is about 4 cm and surrounds the neck of the bladder and the urethra. It produces seminal fluid.
More informationBenign Prostatic Hypertrophy (BPH) is the most
Medical treatment of benign prostatic hypertrophy There is little doubt that medical therapy has transformed the treatment of benign prostatic hypertrophy (BPH). The medical treatment of BPH continues
More informationTwo American Herbs: Saw Palmetto, Black Cohosh
Two American Herbs: Saw Palmetto, Black Cohosh Herbs as Medicine Plant medicines are the most widely used medicines in the world today. An estimated eighty percent (80%) of the world's population employs
More informationPharmacological effects of saw palmetto extract in the lower urinary tract
Acta Pharmacol Sin 2009 Mar; 30 (3): 271 281 npg Invited review Pharmacological effects of saw palmetto extract in the lower urinary tract Mayumi SUZUKI 1, Yoshihiko ITO 1, Tomomi FUJINO 1, Masayuki ABE
More informationOffice Management of Benign Prostatic Enlargement
Focus on CME at McGill University Office Management of Benign Prostatic Enlargement Symptomatic benign prostate enlargement is a common medical problem encountered in our aging society. Watchful waiting,
More informationThe Journal of International Medical Research 2012; 40:
The Journal of International Medical Research 2012; 40: 899 908 Comparison of α-blocker Monotherapy and α-blocker Plus 5α-Reductase Inhibitor Combination Therapy Based on Prostate Volume for Treatment
More informationAlpha-BlockerTherapy Can Be Withdrawn in the Majority of Men Following Initial CombinationTherapy with the Dual 5a-Reductase Inhibitor Dutasteride
European Urology European Urology 44 (2003) 461 466 Alpha-BlockerTherapy Can Be Withdrawn in the Majority of Men Following Initial CombinationTherapy with the Dual 5a-Reductase Inhibitor Dutasteride J.
More informationThe Efficacy of Drugs for the Treatment of LUTS/BPH, A Study in 6 European Countries
european urology 51 (2007) 207 216 available at www.sciencedirect.com journal homepage: www.europeanurology.com Benign Prostatic Hyperplasia The Efficacy of Drugs for the Treatment of LUTS/BPH, A Study
More informationWill Medical Management of Benign Prostatic Hyperplasia Result in Better or Worse Sexual Function in Men?
Urol Sci 2011;22(1):14 18 MINI REVIEW Will Medical Management of Benign Prostatic Hyperplasia Result in Better or Worse Sexual Function in Men? Thomas I.S. Hwang 1,2,3 * 1 Shin Kong WHS Hospital, Taipei,
More informationImpact of 5-Alpha Reductase Inhibitors Treatment for Benign Prostatic Hyperplasia on Erectile Dysfunction: A Meta-Analysis
International Journal of Clinical Urology 2017; 1(1): 1-6 http://www.sciencepublishinggroup.com/j/ijcu doi: 10.11648/j. ijcu.20170101.11 Review Article Impact of 5-Alpha Reductase Inhibitors Treatment
More informationSome prostatic diseases
Some prostatic diseases Benign Prostatic Hyperplasia (Nodular Hyperplasia) Extremely common Present in a significant number of men by the age of 40 & its frequency rises progressively with age, reaching
More informationBenign Prostatic Hyperplasia. Management of Benign Prostatic Hyperplasia. Goals of Therapy
Benign Prostatic Hyperplasia Management of Benign Prostatic Hyperplasia Goals of Therapy Improve or abolish lower urinary tract symptoms (LUTS) Prevent or delay clinical progression of benign prostatic
More informationSAW PALMETTO. Proper name(s): Serenoa repens (W. Bartram) Small (Arecaceae) (USDA 1997)
SAW PALMETTO This monograph is intended to serve as a guide to industry for the preparation of Product Licence Applications (PLA) and labels for natural health product market authorization. It is not intended
More informationVictoria Sharp, MD, MBA, FAAFP. Clinical Professor of Urology and Family Medicine
Victoria Sharp, MD, MBA, FAAFP Clinical Professor of Urology and Family Medicine Victoria Sharp, MD, MBA, FAAFP Market Chief Medial Officer AmeriHealth Caritas Family of Companies Office phone: (515) 330-3740
More information(BPH) BPH BPH BPH.
* () E-mail: goodarzidavood @yahoo.com * DRE BUN () DRE U/A, U/C Cr, BUN, BUN Aloka SSID 620 Expected Frequency of Exposure 1 - Digital Rectal Examination. 2 - UDS delphis 220. 3 - AUA symptom score.
More informationEfficacy of Silodosin for Relieving Benign Prostatic Obstruction: Prospective Pressure Flow Study
Efficacy of Silodosin for Relieving Benign Prostatic Obstruction: Prospective Pressure Flow Study Yoshihisa Matsukawa,* Momokazu Gotoh, Tomonori Komatsu, Yasuhito Funahashi, Naoto Sassa and Ryohei Hattori
More informationChapter 4: Research and Future Directions
Chapter 4: Research and Future Directions Introduction Many of the future research needs listed in the 1994 Agency for Health Care Policy and Research (AHCPR) clinical practice guideline Benign Prostatic
More informationNew Treatment Modalities for Benign Prostatic Hyperplasia. Seung-June Oh, MD Department of Urology, Seoul National University Hospital
New Treatment Modalities for Benign Prostatic Hyperplasia Seung-June Oh, MD Department of Urology, Seoul National University Hospital Options for Treating BPH Pharmacotherapy blocker Agents for BPH + OAB
More informationDepartment of Urology, The University of Texas Southwestern Medical Center at Dallas, Dallas, TX
NEW PERSPECTIVES ON BPH 5- -Reductase Inhibitors Prevent the Progression of Benign Prostatic Hyperplasia Claus G. Roehrborn, MD Department of Urology, The University of Texas Southwestern Medical Center
More informationOriginal Article Japanese Urological Association. International Journal of Urology (2006) 13,
Blackwell Publishing AsiaMelbourne, AustraliaIJUInternational Journal of Urology0919-81722006 Blackwell Publishing Asia Pty Ltd2006130014051409Original ArticleTamsulosin vs doxazosin in BPH D Rahardjo
More informationEjaculation. Emission. Ejection. Orgasm
Ejaculation Emission Ejection Orgasm Ejaculation sc T10-L2 S2-4 Emission: vas deferens, prostate, bladder neck Post. Urethra distention Ejection: Pelvic Floor / bulbocavernous muscle contraction Orgasm:
More informationP R O S T A T E S U P P O R T :
P R O S T A T E S U P P O R T : GRAMINEX Flower Pollen Extract Alterations in the Intraprostatic Hormonal Metabolism by the Pollen Extract Cernilton N Sabine Tunn, M. Krieg Introduction A number of hypotheses
More informationElements for a Public Summary
VI.2 VI.2.1 Elements for a Public Summary Overview of disease epidemiology Benign prostatic hyperplasia (BPH), also called benign prostatic hypertrophy or benign prostatic obstruction, is a condition in
More informationFrank P. Begun, M.D. Associate Professor, Urology
Benign Prostate Disorders Frank P. Begun, M.D. Associate Professor, Urology Medical Director, Urological Services at OSU East Hospital The Ohio State University Objectives/Goals To understand the causes
More informationA Critical Analysis of Permixon TM in the Treatment of Lower Urinary Tract Symptoms Due to Benign Prostatic Enlargement
european urology supplements 5 (2006) 430 440 available at www.sciencedirect.com journal homepage: www.europeanurology.com A Critical Analysis of Permixon TM in the Treatment of Lower Urinary Tract Symptoms
More informationP R O S T A T E S U P P O R T :
P R O S T A T E S U P P O R T : GRAMINEX Flower Pollen Extract In vitro Evaluation of the Pollen Extract, Cernitin T-60, in the Regulation of Prostate Cell Growth F.K. HABIB, MARGARET ROSS, A.C. BUCK,
More informationHow Do New Data from Clinical Trials Allow Us to Optimise the Assessment and Treatment of Patients with Benign Prostatic Hyperplasia?
available at www.sciencedirect.com journal homepage: www.europeanurology.com How Do New Data from Clinical Trials Allow Us to Optimise the Assessment and Treatment of Patients with Benign Prostatic Hyperplasia?
More informationALPHA-ADRENERGIC RECEPTORS IN HUMAN PROSTATE. Furuya, Seiji; Yokoyama, Eiji; Kuma Tsukamoto, Taiji. Citation 泌尿器科紀要 (1983), 29(6):
Title ALPHA-ADRENERGIC RECEPTORS IN HUMAN PROSTATE Author(s) Furuya, Seiji; Yokoyama, Eiji; Kuma Tsukamoto, Taiji Citation 泌尿器科紀要 (1983), 29(6): 635-639 Issue Date 1983-06 URL http://hdl.handle.net/2433/120191
More informationPRABHAKAR SINGH*, MANOJ INDURKAR, AMITA SINGH, PALLAVI INDURKAR
Academic Sciences International Journal of Current Pharmaceutical Research ISSN- 0975-7066 Vol 5, Issue 1, 2013 Research Article COMPARISON OF THE EFFICACY AND SAFETY OF TAMSULOSIN (0.4 V/S (and) FINASTERIDE
More informationRandomized clinical trial of an ethanol extract of Ganoderma lucidum in men with lower urinary tract symptoms
DOI: 10.1111/j.1745-7262.2008.00361.x. Original Article. Randomized clinical trial of an ethanol extract of Ganoderma lucidum in men with lower urinary tract symptoms Masanori Noguchi 1, Tatsuyuki Kakuma
More informationDuring the past decade, numerous
Benign prostatic hyperplasia (BPH) is one of the most common diseases of aging men. It is estimated that by age 60 years, greater than 50% of men will have histologically documented evidence of the disease.
More informationSilodosin versus naftopidil for the treatment of benign prostatic hyperplasia: A multicenter randomized trial
The study protocol was approved by the ethics committee and institutional review board of Nihon University School of Medicine. Written informed consent was obtained from all patients. From December 2007
More informationREVIEW Pathology of benign prostatic hyperplasia
(2008) 20, S11 S18 & 2008 Nature Publishing Group All rights reserved 0955-9930/08 $30.00 www.nature.com/ijir REVIEW Pathology of benign prostatic hyperplasia Department of Urology, UT Southwestern Medical
More informationEVALUATION OF THE EFFICACY OF TADALAFIL IN IMPROVING LOWER URINARY TRACT SYMPTOMS IN PATIENTS WITH SYMPTOMATIC BENIGN PROSTATIC ENLARGEMENT
Basrah Journal Of Surgery EVALUATION OF THE EFFICACY OF TADALAFIL IN IMPROVING LOWER URINARY TRACT SYMPTOMS IN PATIENTS WITH SYMPTOMATIC BENIGN PROSTATIC ENLARGEMENT MB, ChB, FIBMS, Assistant Professor
More informationDouble-Blind Placebo-Controlled Study of PR-2000 in the Management of Benign Prostatic Hyperplasia
[The Antiseptic (2002): (99), 1, 8-11] Double-Blind Placebo-Controlled Study of PR-2000 in the Management of Benign Prostatic Hyperplasia Garg, S.K., M.S., D.N.B. (Surgery), M.Ch., D.N.B. (Urology) Bombay
More informationMini-Invasive Treatment in Urological Diseases Dott. Alberto Saita Responsabile Endourologia Istituto Clinico Humanitas - Rozzano
Dipartimento di Urologia Direttore Prof. Giorgio Guazzoni Mini-Invasive Treatment in Urological Diseases Dott. Alberto Saita Responsabile Endourologia Istituto Clinico Humanitas - Rozzano alberto.saita@humanitas.it
More informationOriginal Research Article
International Surgery Journal Singh SN et al. Int Surg J. 218 May;():1866-1872 http://www.ijsurgery.com pissn 2349-33 eissn 2349-292 Original Research Article DOI: http://dx.doi.org/1.1823/2349-292.isj218199
More informationEffect of ageing on ƒ 1A-adrenoceptor mechanisms in rabbit. Issei TAKAYANAGI, Mann MORIYA and Katsuo KOIKE
J. Smooth Muscle Res. 28: 63-68, 1992. Effect of ageing on ƒ 1A-adrenoceptor mechanisms in rabbit isolated bronchial preparations Issei TAKAYANAGI, Mann MORIYA and Katsuo KOIKE Department of Chemical Pharmacology,
More informationMODULE 3: BENIGN PROSTATIC HYPERTROPHY
MODULE 3: BENIGN PROSTATIC HYPERTROPHY KEYWORDS: Prostatic hypertrophy, prostatic hyperplasia, PSA, voiding dysfunction, lower urinary tract symptoms (LUTS) At the end of this clerkship, the medical student
More informationPotency of a Novel Saw Palmetto Ethanol Extract, SPET-085, for Inhibition of 5α-Reductase II
Adv Ther (2010) 27(7): 9. DOI 10.1007/s12325-010-0041-6 ORIGINAL RESEARCH Potency of a Novel Saw Palmetto Ethanol Extract, SPET-085, for Inhibition of 5α-Reductase II Pilar Pais Received: May 7, 2010 /
More informationCurrent drug management of BPH in primary care Claire Taylor MRCS, Charlotte Foley MRCS and Roger Kirby MA, MD, FRCS Urol
Drug review BPH Current drug management of BPH in primary care Claire Taylor MRCS, Charlotte Foley MRCS and Roger Kirby MA, MD, FRCS Urol Skyline Imaging Ltd The range of drug treatments for BPH, alone
More informationa 1 -adrenoceptor antagonist on uro owmetric parameters in patients with benign prostatic hyperplasia
Single dose methodology to assess the in uence of an a 1 -adrenoceptor antagonist on uro owmetric parameters in patients with benign prostatic hyperplasia S. P. Curtis, 1 I. Eardley, 2 M. Boyce, 3 P. Larson,
More informationAlexander B. Opoku-Acheampong, Kavitha Penugonda, and Brian L. Lindshield
Evidence-Based Complementary and Alternative Medicine Volume 16, Article ID 8135135, 1 pages http://dx.doi.org/1.1155/16/8135135 Research Article Effect of Saw Palmetto Supplements on Androgen-Sensitive
More informationAssociations of obesity, physical activity and diet with benign prostatic hyperplasia and lower urinary tract symptoms
REVIEW C URRENT OPINION Associations of obesity, physical activity and diet with benign prostatic hyperplasia and lower urinary tract symptoms Omer A. Raheem a and J. Kellogg Parsons a,b,c Purpose of review
More informationEvaluation of Recent Trends in Treatment Patterns Among Men With Benign Prostatic Hyperplasia
469245JMHXXX10.1177/1557988312469245A merican Journal of Men s HealthKruep et al. Article Evaluation of Recent Trends in Treatment Patterns Among Men With Benign Prostatic Hyperplasia American Journal
More informationfor ED and LUTS/BPH Pierre Sarkis, M.D. Assistant Professor Fellow of the European Board of Urology
Tadalafil 5 mg once daily for ED and LUTS/BPH Pierre Sarkis, M.D. Assistant Professor Fellow of the European Board of Urology Why this conference? Not promotional but educational The pharmacist regularly
More informationKey words: Lower Urinary Tract Symptoms (LUTS), Prostatic Hyperplasia, Alpha-1 Adrenoceptor Antagonists, Tamsulosin, Terazosin.
The Professional Medical Journal DOI: 10.17957/TPMJ/17.4102 ORIGINAL PROF-4102 PROSTATIC HYPERPLASIA; COMPARISON BETWEEN TAMSULOSIN AND TERAZOSIN FOR EFFICACY IN MEDICAL MANAGEMENT OF LOWER URINARY TRACT
More informationRecommended drug treatment of BPH in primary care Claire Taylor MRCS, Charlotte Foley MRCS and Roger Kirby MA, MD, FRCS Urol
Drug review BPH Recommended drug treatment of BPH in primary care Claire Taylor MRCS, Charlotte Foley MRCS and Roger Kirby MA, MD, FRCS Urol Skyline Imaging Ltd The development of safe and effective drugs
More informationProstate Enlargement Reduction
Executive Summary Prostate Enlargement Reduction Healthcare Supplement What is Prostate Enlargement? For most men, these nightly bathroom runs may be the first sign of an enlarged prostate. Other symptoms
More informationEffects of Tamsulosin on Premature Ejaculation in Men with Benign Prostatic Hyperplasia
pissn: 2287-4208 / eissn: 2287-4690 World J Mens Health 2014 August 32(2): 99-104 http://dx.doi.org/10.5534/wjmh.2014.32.2.99 Original Article Effects of Tamsulosin on Premature Ejaculation in Men with
More informationTABLE 1. Differential Diagnosis of Symptomatic BPH* Category Cause of BPH Comments Malignant Adenocarcinoma of the prostate, transitional Men should b
CONCISE BENIGN PROSTATIC REVIEW HYPERPLASIA FOR CLINICIANS Evaluation and Medical Management of Benign Prostatic Hyperplasia THOMAS J. BECKMAN, MD, AND LANCE A. MYNDERSE, MD Benign prostatic hyperplasia
More informationJuly 2007 Biol. Pharm. Bull. 30(7) (2007)
July 2007 Biol. Pharm. Bull. 30(7) 1237 1241 (2007) 1237 Prediction of a 1 -Adrenoceptor Occupancy in the Human Prostate from Plasma Concentrations of Silodosin, Tamsulosin and Terazosin to Treat Urinary
More informationBenign prostatic hyperplasia (BPH) is a term that
42Clinical Pharmacist February 2012 Vol 4 For older men, benign prostatic hyperplasia is a common cause of lower urinary tract symptoms such as polyuria, incomplete bladder emptying, urinary urgency and,
More informationRole of silodosin in patients with LUTS/BPE non responding to medical treatment with tamsulosin: a prospective, open-label, pilot study
European Review for Medical and Pharmacological Sciences 2017; 21: 4941-4945 Role of silodosin in patients with LUTS/BPE non responding to medical treatment with tamsulosin: a prospective, open-label,
More informationEfficacy and safety of tamsulosin OCAS
Original Article EFFICACY AND SAFETY OF TAMSULOSIN OCAS SPEAKMAN Efficacy and safety of tamsulosin OCAS MARK SPEAKMAN Taunton and Somerset Hospital, Taunton, UK The efficacy and safety of a new tablet
More informationTolerability and toxicity of lipidosterolic extract of american dwarf palm Serenoa repens in Wistar rats: well-known extract, new insight
European Review for Medical and Pharmacological Sciences Tolerability and toxicity of lipidosterolic extract of american dwarf palm Serenoa repens in Wistar rats: well-known extract, new insight N. DUBORIJA-KOVACEVIC
More informationIn Vitro Evaluation of the Pollen Extract, Cernitin T-60, in the Regulation of Prostate Cell Growth
C A N C E R S U P P O R T : GRAMINEX Flower Pollen Extract In Vitro Evaluation of the Pollen Extract, Cernitin T-60, in the Regulation of Prostate Cell Growth F.K. HABIB, MARGARET ROSS, A.C. BUCK, L. EBELING
More information(2) Assistant Professor of Pathology
The Association between (Serum prostatic specific antigen and Dihydrotestosterone) and Efficacy of Solifenacin Therapy for Benign prostatic hypertrophy Patient in Salahalddin (1) Mohammed Mohsin Abdul-Aziz,
More informationα-blocker Monotherapy and α-blocker Plus 5-Alpha-Reductase Inhibitor Combination Treatment in Benign Prostatic Hyperplasia; 10 Years Long-Term Results
www.kjurology.org http://dx.doi.org/10.4111/kju.2012.53.4.248 Voiding Dysfunction α-blocker Monotherapy and α-blocker Plus 5-Alpha-Reductase Inhibitor Combination Treatment in Benign Prostatic Hyperplasia;
More informationDoes TRT Induce Prostate Cancer?
Does TRT Induce Prostate Cancer? Prism VI, Bruges, Belgium 21-22November 2014 Herman Leliefeld, Urologist, Utrecht The Netherlands Does TRT Induce Prostate Cancer? Why is it a controversial topic? Is there
More informationTherapeutic Strategies for Managing BPH Progression
european urology supplements 5 (2006) 997 1003 available at www.sciencedirect.com journal homepage: www.europeanurology.com Therapeutic Strategies for Managing BPH Progression John M. Fitzpatrick a, *,
More information50% of men. 90% of men PATIENT FACTSHEET: BPH CONDITION AND TREATMENTS. Want more information? What are the symptoms?
PATIENT FACTSHEET: BPH CONDITION AND TREATMENTS What is Benign Prostatic Hyperplasia (enlarged prostate)? Benign prostatic hyperplasia (BPH) is a noncancerous enlargement of the prostate, the gland that
More informationEvaluating the efficacy and safety of Himplasia (PC-27) in the medical management of benign hyperplasia
[Indian Journal of Clinical Practice (2004): (14), 11, 31-36] Evaluating the efficacy and safety of Himplasia (PC-27) in the medical management of benign hyperplasia Ketan Shukla, M.S., M.Ch (Urology),
More informationComparison of Saw Palmetto (extract and whole berry) and Cernitin on prostate growth in rats
Flower Pollen Extract and Saw Palmetto Cernitin on prostate growth in rats Nadeem Talpur, 1 Bobby Echard, 1 Debasis Bagchi, 2 Manashi Bagchi 2 and Harry G. Preuss 1 1 Department of Physiology, Georgetown
More informationThe Evolution of Combination Therapy. US men eligible for BPH treatment * with projected population changes
The Management of BPH & The Impact of Combination Therapy Results Combination of Avodart and Tamsulosin (CombAT) Medical Therapy of Prostate Symptoms (MTOPS) Dr. Jack Barkin, md, fics, facs, dabu, Mcert
More informationTrans Urethral Resection of Prostate (TURP)
Trans Urethral Resection of Prostate (TURP) Patient Information Author ID: SF Leaflet Number: Urol 010 Version: 6 Name of Leaflet: Trans Urethral Resection of Prostate (TURP) Date Produced: March 2018
More informationSubject: Temporary Prostatic Stent and Prostatic Urethral Lift
02-54000-21 Original Effective Date: 03/15/05 Reviewed: 09/27/18 Revised: 10/15/18 Subject: Temporary Prostatic Stent and Prostatic Urethral Lift THIS MEDICAL COVERAGE GUIDELINE IS NOT AN AUTHORIZATION,
More informationAs man draws near the common goal Can anything be sadder Than he who, master of his soul Is servant to his bladder LUTS 2. Prevalence of BPH LUTS 5
BPH / LUTS Dr Jonny Coxon MA MD MRCS MRCGP DRCOG Beaconsfield Medical Practice, Brighton As man draws near the common goal Can anything be sadder Than he who, master of his soul Is servant to his bladder
More informationAll about the Prostate
MEN S HEALTH Dr Nick Pendleton January 16 th 2018 All about the Prostate 1 What does it do? Functions of the Prostate 1. Secretes Prostatic Fluid slightly alkaline fluid, 30% of volume of seminal fluid,
More informationThese side effects cause many men with BPH to stop using prescribed medication and use alternatives such as Saw palmetto.
Saw palmetto Suter A, Saller R, Riedi E, Heinrich M. Improving BPH symptoms and sexual dysfunctions with a saw palmetto preparation? Results from a pilot trial. Phytother Res 2012; doi: 10.1002/ptr.4696
More informationPATIENT INFORMATION 2017 NeoTract, Inc. All rights reserved. Printed in the USA. MAC Rev A
PATIENT INFORMATION OVER 70% OF MEN IN THEIR 60s HAVE SYMPTOMS OF BPH 1 BPH affects more than 500 million men worldwide, with many men suffering from symptoms of enlarged prostate. 1 You no longer have
More informationRelaxation responses of aortic rings from salt-loaded high calcium fed rats to potassium chloride, calcium chloride and magnesium sulphate
Pathophysiology 4 (1998) 275 280 Relaxation responses of aortic rings from salt-loaded high calcium fed rats to potassium chloride, calcium chloride and magnesium sulphate B.J. Adegunloye, O.A. Sofola
More informationLower Urinary Tract Symptoms
Advances in the management of BPH/LUTS Greetings from the Executive and Members of the European Association of Urology Christopher Chapple Professor of Urology Sheffield Hallam University Consultant Urological
More informationAN OVERVIEW OF THE MANAGEMENT OF MALE LOWER URINARY TRACT SYMPTOMS AND BENIGN PROSTATIC OBSTRUCTION
AN OVERVIEW OF THE MANAGEMENT OF MALE LOWER URINARY TRACT SYMPTOMS AND BENIGN PROSTATIC OBSTRUCTION *Richard Christian Rowan Nayar, Hashim Hashim Continence and Urodynamics Unit, Bristol Urological Institute,
More informationManagement of LUTS after TURP and MIT
Management of LUTS after TURP and MIT Hong Sup Kim Konkuk University TURP & MIT TURP : Gold standard MIT TUIP TUNA TUMT HIFU LASER Nd:YAG, ILC, HoLRP, KTP LUTS after TURP and MIT Improved : about 70% Persistent
More information