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Review

Is there a role of phosphodiesterase type 5 enzyme ınhibitors in the treatment of benign prostatic hyperplasia and erectile dysfunction?


1 Sağlık Bakanlığı, Ankara Numune Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara
2 Gazi Üniversitesi Tıp Fakültesi Üroloji Anabilim Dalı, Ankara


DOI :
New J Urol. 2014; 9 (1): 79-84

Abstract

Erectile dysfunction (ED) is defined as persistent inability to achieve or maintain a penile erection sufficient for satisfactory sexu-al performance. Benign prostatic hyperplasia (BPH)  is often seen at advanced age like ED, and they share a common pathophysiologic mechanism. Both are major health problems that negatively affect the patients’ quality of life. As the first-line treatment, phosphodiesterase type 5 inhibitors (PDE5i) are used for ED, and alpha-blockers for BPH. The using of PDE5i in the treatment of lower urinary tract symptoms (LUTS) due to BPH, has been gaining popula-rity in recent years. Having therapeutic effects for both erectile function and LUTS, PDE5i are good candidates as a monotherapy in BPH pati-ents. In this review, the current status of PDE5i therapy for patients with LUTS due to BPH is discussed.

Key Words: Benign prostatic hyperplasia, erectile dysfunction, phosphodiesterase type 5 enzym inhibitors, prostate


Abstract

Erectile dysfunction (ED) is defined as persistent inability to achieve or maintain a penile erection sufficient for satisfactory sexu-al performance. Benign prostatic hyperplasia (BPH)  is often seen at advanced age like ED, and they share a common pathophysiologic mechanism. Both are major health problems that negatively affect the patients’ quality of life. As the first-line treatment, phosphodiesterase type 5 inhibitors (PDE5i) are used for ED, and alpha-blockers for BPH. The using of PDE5i in the treatment of lower urinary tract symptoms (LUTS) due to BPH, has been gaining popula-rity in recent years. Having therapeutic effects for both erectile function and LUTS, PDE5i are good candidates as a monotherapy in BPH pati-ents. In this review, the current status of PDE5i therapy for patients with LUTS due to BPH is discussed.

Key Words: Benign prostatic hyperplasia, erectile dysfunction, phosphodiesterase type 5 enzym inhibitors, prostate

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