The course and limitation of medical treatment for benign prostatic hyperplasia

To clarify the effects and limitation of medical treatment for benign prostatic hyperplasia (BPH), 2,476 patients with BPH were analyzed in terms of symptoms, objective findings, treatment modality and whether surgery was required during the course of medical treatment. As initial therapy, 1,320 cas...

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Détails bibliographiques
Publié dans:Hinyokika kiyo. Acta urologica Japonica. - 1962. - 40(1994), 9 vom: 08. Sept., Seite 781-8
Auteur principal: Kitagawa, N (Auteur)
Autres auteurs: Akakura, K, Akimoto, S, Shimazaki, J, Murakami, S, Ishikawa, T, Kataumi, S, Sotoma, T, Takagishi, H, Kitamura, Y
Format: Article
Langue:Japanese
Publié: 1994
Accès à la collection:Hinyokika kiyo. Acta urologica Japonica
Sujets:Clinical Trial English Abstract Journal Article Multicenter Study Androgen Antagonists
Description
Résumé:To clarify the effects and limitation of medical treatment for benign prostatic hyperplasia (BPH), 2,476 patients with BPH were analyzed in terms of symptoms, objective findings, treatment modality and whether surgery was required during the course of medical treatment. As initial therapy, 1,320 cases (53.3%) were treated with medicine and 783 cases (31.6%) underwent surgery. In the group of patients initially treated with medicine, 264 cases (20.0%) required surgery and most operations were performed within six months from the start of medical treatment. Those who required surgery had a larger prostate and more residual urine than those who continued medical treatment. This tendency was also observed in the patients treated with antiandrogen. Therefore, medical therapy might be inappropriate to treat the patients with more than 50 ml of residual urine or significantly large prostate such as goose egg sized or larger. In conclusion, medical treatment possessed potential usefulness for the management of BPH, however, there seemed to be limitation of the effects of medical treatment
Description:Date Completed 20.01.1995
Date Revised 15.11.2006
published: Print
Citation Status MEDLINE
ISSN:0018-1994