Urodynamic effects of doxazosin in men with lower urinary tract symptoms and benign prostatic obstruction. Results from three double-blind placebo-controlled studies.

Abstract:

OBJECTIVES:Urodynamic investigations provide an objective, quantitative evaluation of urinary function in patients with benign prostatic obstruction (BPO). The effects of doxazosin, a selective alpha 1-adrenoceptor antagonist, on urodynamic measurements were investigated in three double-blind, placebo-controlled clinical studies of the treatment of BPO. METHODS:302 normotensive and mildly hypertensive men with BPO were evaluated. Patients were randomized to receive doxazosin (1-4 mg o.d.) or placebo for 4-29 weeks. RESULTS:Doxazosin significantly improved free urinary flow rates compared with placebo. Urodynamic studies confirmed that doxazosin was effective in improving urinary flow, and also showed a reduction in detrusor pressure, resulting in decreased voiding time and increased voided volume. Analysis of pressure-flow data demonstrated a significant reduction in a measure of urethral resistance in doxazosin-treated patients. CONCLUSION:These results indicate that doxazosin is an important treatment option for patients with troublesome lower urinary tract symptoms and BPO.

journal_name

Eur Urol

journal_title

European urology

authors

Abrams P

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

39-46

issue

1

eissn

0302-2838

issn

1873-7560

journal_volume

32

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
  • Tumor marker doubling time in patients with prostate cancer: determination of prostate-specific antigen and prostatic acid phosphatase doubling time.

    abstract::To estimate the growth rate of prostate cancer, the doubling times of prostate-specific antigen (PSA) and prostatic acid phosphatase (PAP) were determined in 51 patients: 44 were refractory to endocrine therapy, and 7 were in an untreated state. Since an exponential increase in PSA and PAP was observed in all patients...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000475162

    authors: Akimoto S,Masai M,Akakura K,Shimazaki J

    更新日期:1995-01-01 00:00:00

  • Innovative approaches to the hormonal treatment of advanced prostate cancer.

    abstract::Androgen ablation therapy is the treatment of choice for the palliation of patients with advanced prostate cancer. In addition to palliation, maximal androgen ablation (MAA), with a combination of medical or surgical castration and an antiandrogen, has been shown to increase the survival of patients with metastatic pr...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:

    authors: Trachtenberg J

    更新日期:1997-01-01 00:00:00

  • Technique and results of laparoscopic adrenalectomy.

    abstract:OBJECTIVES:Our technique of laparoscopic adrenalectomy as well as the results of this method are presented. METHODS:Transperitoneal laparoscopic adrenalectomy was performed in 18 consecutive patients (10 right side, 8 left side) for Conn's disease (7 patients), pheochromocytoma (6 patients), Cushing's syndrome (1 pati...

    journal_title:European urology

    pub_type: 临床试验,杂志文章

    doi:10.1159/000474218

    authors: Janetschek G,Altarac S,Finkenstedt G,Gasser R,Bartsch G

    更新日期:1996-01-01 00:00:00

  • PSA bouncing after short term androgen deprivation and 3D-conformal radiotherapy for localized prostate adenocarcinoma and the relationship with the kinetics of testosterone.

    abstract:OBJECTIVES:To assess the factors effecting PSA bounce and to identify any possible relationship with biochemical control after 3-D conformal radiotherapy (3D-CRT) and total androgen deprivation (TAD) for prostate cancer by evaluating four previously described PSA bounce definitions. METHODS:Between January 1998 and Ja...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2005.04.007

    authors: Akyol F,Ozyigit G,Selek U,Karabulut E

    更新日期:2005-07-01 00:00:00

  • Gene therapy for erectile dysfunction: fact or fiction?

    abstract:OBJECTIVES:Erectile dysfunction (ED) is a major health problem that seriously affects the quality of life of patients and their partners. Although all three selective phosphodiesterase type 5 inhibitors (PDE5-Is) are effective in the majority of ED cases, PDE5-I therapy is less efficacious in some hard-to-treat populat...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1016/j.eururo.2006.08.007

    authors: Kendirci M,Teloken PE,Champion HC,Hellstrom WJ,Bivalacqua TJ

    更新日期:2006-12-01 00:00:00

  • Development and internal validation of a nomogram predicting the probability of prostate cancer Gleason sum upgrading between biopsy and radical prostatectomy pathology.

    abstract:OBJECTIVE:Previous reports indicate that as many as 43% of men with low grade PCa at biopsy will be diagnosed with high-grade PCa at RP. We explored the rate of upgrading from biopsy to RP specimen in our contemporary cohort, and developed a model capable of predicting the probability of biopsy Gleason sum upgrading. ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2005.11.007

    authors: Chun FK,Steuber T,Erbersdobler A,Currlin E,Walz J,Schlomm T,Haese A,Heinzer H,McCormack M,Huland H,Graefen M,Karakiewicz PI

    更新日期:2006-05-01 00:00:00

  • Safety and efficacy of alprostadil sterile powder (S. Po., CAVERJECT) in diabetic patients with erectile dysfunction.

    abstract:OBJECTIVES:To evaluate the long-term efficacy and safety of intracavernosal alprostadil (CAVERJECT((R))) in diabetic patients with erectile dysfunction (ED). PATIENTS AND METHODS:This study included 31 diabetic men (aged 44-75 years) with ED of >/=4 months duration. All patients were initially instructed in the self-i...

    journal_title:European urology

    pub_type: 临床试验,杂志文章

    doi:10.1159/000020277

    authors: Tsai YS,Lin JS,Lin YM

    更新日期:2000-08-01 00:00:00

  • Long-term safety and tolerability of tadalafil in the treatment of erectile dysfunction.

    abstract:OBJECTIVE:To assess the long-term safety and tolerability of tadalafil for patients with erectile dysfunction (ED). PATIENTS AND METHODS:This was a multicentre, open-label, 24-month extension trial involving 1173 men with ED. The mean age was 57 (range 23-83) years and 74.8% of patients were taking concomitant medicat...

    journal_title:European urology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/j.eururo.2003.11.010

    authors: Montorsi F,Verheyden B,Meuleman E,Jünemann KP,Moncada I,Valiquette L,Casabé A,Pacheco C,Denne J,Knight J,Segal S,Watkins VS

    更新日期:2004-03-01 00:00:00

  • Importance of individual response in symptom score evaluation.

    abstract::In making treatment decisions for patients with benign prostatic hyperplasia (BPH), physicians have to rely on the efficacy data published in the literature and adapt this to individual patient's needs. Criticism can be made, however, of the randomised clinical trials (RCTs) that are performed, as the patients enrolle...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1159/000049884

    authors: Desgrandchamps F

    更新日期:2001-01-01 00:00:00

  • Cancer of the penis. Experience at the Norwegian Radium Hospital 1974-1985.

    abstract::The cancer-related 5-year survival was 80% in 79 patients with penile cancer treated at the Norwegian Radium Hospital from 1974 to 1985 (N0 = 61, N1-2 = 12, N3 = 6). Sentinel node biopsy (SLN) of the inguinal lymph nodes medial to the saphenous vein helps to identify patients with early regional spread. The survival f...

    journal_title:European urology

    pub_type: 杂志文章

    doi:

    authors: Fosså SD,Hall KS,Johannessen NB,Urnes T,Kaalhus O

    更新日期:1987-01-01 00:00:00

  • Transrectal ultrasound-guided implantation of Adjustable Continence Therapy (ProACT): surgical technique and clinical results after a mean follow-up of 2 years.

    abstract:BACKGROUND:Treatment for stress urinary incontinence (SUI) after radical prostatectomy (RP) with the male Adjustable Continence Therapy (ProACT) system, implanted using fluoroscopy for guidance, has been described with promising clinical results. OBJECTIVE:This retrospective study aims to describe the surgical techniq...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2009.11.031

    authors: Gregori A,Romanò AL,Scieri F,Pietrantuono F,Incarbone GP,Salvaggio A,Granata A,Gaboardi F

    更新日期:2010-03-01 00:00:00

  • Toxic catheters and diminished urethral blood circulation in the induction of urethral strictures.

    abstract::Local effects of indwelling urinary catheters are poorly characterized. Latex catheter brands of various degrees of tissue toxicity were implanted into the urethra of 27 male piglets. The systemic hemodynamic states varied from normal to hypovolemia, where the circulation changes simulated the extracorporeal perfusion...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000472651

    authors: Talja M,Virtanen J,Andersson LC

    更新日期:1986-01-01 00:00:00

  • Influence of photoselective vaporization of the prostate on sexual function: results of a prospective analysis of 149 patients with long-term follow-up.

    abstract:BACKGROUND:Even though transurethral resection of the prostate remains the gold standard treatment for lower urinary tract symptoms (LUTS) refractory to medical therapy, photoselective vaporization of the prostate (PVP) has become a popular alternative. Early PVP studies seem encouraging, but few data exist regarding t...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2010.04.027

    authors: Bruyère F,Puichaud A,Pereira H,Faivre d'Arcier B,Rouanet A,Floc'h AP,Bodin T,Brichart N

    更新日期:2010-08-01 00:00:00

  • Evidence for eosinophil activation in eosinophilic cystitis.

    abstract::Eosinophilic cystitis (EC) is a rare condition. Recent studies have shown that activated eosinophils release cytotoxic cationic proteins which can induce tissue damage. Moreover, in vitro studies have shown that interleukin-5 (IL-5) is a cytokine able to attract and activate eosinophils. The goal of this study was to ...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000475293

    authors: Dubucquoi S,Janin A,Desreumaux P,Rigot JM,Copin MC,François M,Torpier G,Capron M,Gosselin B

    更新日期:1994-01-01 00:00:00

  • Urachal Carcinoma Shares Genomic Alterations with Colorectal Carcinoma and May Respond to Epidermal Growth Factor Inhibition.

    abstract::Metastatic urachal carcinoma is a rare, understudied, and aggressive malignancy with limited treatment options. Histologically, urachal carcinomas resemble enteric adenocarcinomas and anecdotally respond to systemic therapies utilized in colorectal cancer. Targeted exome sequencing of archival primary tumor tissue fro...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2016.04.037

    authors: Collazo-Lorduy A,Castillo-Martin M,Wang L,Patel V,Iyer G,Jordan E,Al-Ahmadie H,Leonard I,Oh WK,Zhu J,McBride RB,Cordon-Cardo C,Solit DB,Sfakianos JP,Galsky MD

    更新日期:2016-11-01 00:00:00

  • Increase in the prevalence of symptomatic upper urinary tract stones during the last ten years.

    abstract:PURPOSE:In industrialized countries the prevalence of upper urinary tract stones has continually increased during the 20th century, but there are considerable differences between countries and also within the same country. To study whether there is still an increase in the frequency of renal stones, an investigation wa...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000020094

    authors: Trinchieri A,Coppi F,Montanari E,Del Nero A,Zanetti G,Pisani E

    更新日期:2000-01-01 00:00:00

  • Laparoscopic pelvic lymph node dissection for staging of prostatic cancer.

    abstract::Assessment of the pelvic lymph node status is a major concern in prostatic cancer staging. In spite of a normal abdominopelvic CT scan examination in patients with organ-confined disease, 7-30% will have lymph node metastases at pathological examination and will not benefit from radical prostatectomy. Laparoscopy enab...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000475282

    authors: Doublet JD,Gattegno B,Thibault P

    更新日期:1994-01-01 00:00:00

  • Prostate Cancer Registries: Current Status and Future Directions.

    abstract:CONTEXT:Disease-specific registries that enroll a considerable number of patients play a major role in prostate cancer (PCa) research. OBJECTIVE:To evaluate available registries, describe their strengths and limitations, and discuss the potential future role of PCa registries in outcomes research. EVIDENCE ACQUISITIO...

    journal_title:European urology

    pub_type: 杂志文章,评审

    doi:10.1016/j.eururo.2015.05.046

    authors: Gandaglia G,Bray F,Cooperberg MR,Karnes RJ,Leveridge MJ,Moretti K,Murphy DG,Penson DF,Miller DC

    更新日期:2016-06-01 00:00:00

  • Thermoregulation during transurethral microwave thermotherapy: experimental and clinical fundamentals.

    abstract::Transurethral microwave thermotherapy of 340 patients treated at our center for benign prostatic hypertrophy shows the importance of the role played by two thermoregulation processes during the procedure. The first one is artificial and automatically driven by the machine (the power output and cooling rate are adjuste...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000474683

    authors: Devonec M,Berger N,Fendler JP,Joubert P,Nasser M,Perrin P

    更新日期:1993-01-01 00:00:00

  • Retroperitoneal fibrosis after chemotherapy.

    abstract::We report the case of a patient with a non-Hodgkin lymphoma, who after a standard chemotherapy protocol, developed retroperitoneal fibrosis (RPF) in the absence of radiotherapy or other known causes. The final diagnosis was reached with the microscopic examination of tissue obtained by fine-needle aspiration and true-...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2006.03.013

    authors: Fassina A,Boscolo Berto R,El Mazloum R,Gottardo F,Artibani W

    更新日期:2007-01-01 00:00:00

  • Fundamentals for the development of a lithotripter of the new generation. A survey of the principle knowledge and skills contributing to the progress in lithotripter efficiency for a wide scale of application.

    abstract::An improved shock wave source is required for the extended application of extracorporeal lithotripsy in proven and anticipated novel fields of therapy. Fundamental research was performed in the domains: disintegration efficiency; hydrophone stability; absolute calibration, and source optimization. The combined experie...

    journal_title:European urology

    pub_type: 杂志文章

    doi:

    authors: Köhler G,Schätzle U,Granz B

    更新日期:1991-01-01 00:00:00

  • A preoperative prognostic model for patients treated with nephrectomy for renal cell carcinoma.

    abstract:BACKGROUND:Currently two pretreatment prognostic models with limited accuracy (65-67%) can be used to predict survival in patients with localized renal cell carcinoma (RCC). OBJECTIVE:We set out to develop a more accurate pretreatment model for predicting RCC-specific mortality after nephrectomy for all stages of RCC....

    journal_title:European urology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.eururo.2008.07.037

    authors: Karakiewicz PI,Suardi N,Capitanio U,Jeldres C,Ficarra V,Cindolo L,de la Taille A,Tostain J,Mulders PF,Bensalah K,Artibani W,Salomon L,Zigeuner R,Valéri A,Descotes JL,Rambeaud JJ,Méjean A,Montorsi F,Bertini R,Patard

    更新日期:2009-02-01 00:00:00

  • Association of smoking with urgency in older people.

    abstract:OBJECTIVE:To evaluate the association of smoking with urgency in older people. METHODS:A population-based survey involving 1,059 people aged 60-89 years. A stratified sampling method was used and data were collected by interviews. The response rate was 82%. The indicators were urgency, former and current smoking, alco...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000049774

    authors: Nuotio M,Jylhä M,Koivisto AM,Tammela TL

    更新日期:2001-08-01 00:00:00

  • Renal angiomyolipoma. A report of 11 cases.

    abstract::Renal angiomyolipomas are benign mesenchymal tumours. Whether isolated or associated with phacomatosis, they are histologically identical, but it is often difficult to distinguish an isolated angiomyolipoma from renal cancer. When it is combined with phacomatosis, it is frequently bilateral and can provoke retroperito...

    journal_title:European urology

    pub_type: 杂志文章

    doi:

    authors: Mazeman E,Wemeau L,Biserte J,Riquet D

    更新日期:1980-01-01 00:00:00

  • Moving beyond the headlines: improving the technical quality of radical prostatectomy.

    abstract::Recent work from surgeons in Europe and the United States has provided both the motivation, and a blueprint, for implementing peer assessments of technical skill as a robust and practical strategy for evaluating and ultimately improving technical expertise with radical prostatectomy. ...

    journal_title:European urology

    pub_type: 评论,社论

    doi:10.1016/j.eururo.2014.02.009

    authors: Miller DC,Birkmeyer JD

    更新日期:2014-06-01 00:00:00

  • EAU guidelines on non-muscle-invasive urothelial carcinoma of the bladder, the 2011 update.

    abstract:CONTEXT AND OBJECTIVE:To present the 2011 European Association of Urology (EAU) guidelines on non-muscle-invasive bladder cancer (NMIBC). EVIDENCE ACQUISITION:Literature published between 2004 and 2010 on the diagnosis and treatment of NMIBC was systematically reviewed. Previous guidelines were updated, and the level ...

    journal_title:European urology

    pub_type: 杂志文章,实务指引,评审

    doi:10.1016/j.eururo.2011.03.017

    authors: Babjuk M,Oosterlinck W,Sylvester R,Kaasinen E,Böhle A,Palou-Redorta J,Rouprêt M,European Association of Urology (EAU).

    更新日期:2011-06-01 00:00:00

  • Cystectomy and urinary diversion during twenty years--complications and metabolic implications.

    abstract::A retrospective analysis of 130 cases of cystectomy and urinary diversion for bladder carcinoma was performed. A logistic regression analysis found preoperative irradiation to be associated with early complications (p = 0.014), whereas no such association was observed with late complications. Metabolic evaluation in 5...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000474326

    authors: Jahnson S,Pedersen J

    更新日期:1993-01-01 00:00:00

  • The role of ESWL in the treatment of calculi with anomalous kidneys.

    abstract:OBJECTIVE:To evaluate the efficacy of Extracorporeal shock wave lithotripsy (ESWL) in renal anomalies. MATERIAL AND METHODS:From 1991 to May 1995. 53 patients with calculi in anomalous kidneys presented to our clinic for treatment with ESWL. Average patient age was 39 years, a range of 6-66 years. These patients (32 m...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000474472

    authors: Semerci B,Verit A,Nazli O,Ilbey O,Ozyurt C,Cikili N

    更新日期:1997-01-01 00:00:00

  • Robotic partial nephrectomy for complex renal tumors: surgical technique.

    abstract:OBJECTIVES:Laparoscopic partial nephrectomy requires advanced training to accomplish tumor resection and renal reconstruction while minimizing warm ischemia times. Complex renal tumors add an additional challenge to a minimally invasive approach to nephron-sparing surgery. We describe our technique, illustrated with vi...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1016/j.eururo.2007.09.047

    authors: Rogers CG,Singh A,Blatt AM,Linehan WM,Pinto PA

    更新日期:2008-03-01 00:00:00

  • Biochemical course after radical retropubic prostatectomy: preliminary results.

    abstract:OBJECTIVE:To investigate prognostic factors in localized and lymphatically spread prostate cancer. METHODS:The biochemical course after radical retropubic prostatectomy in 306 patients was subject to a retrospective analysis. RESULTS:Prostate-specific antigen (PSA), Gleason score (prostatectomy specimen) and patholog...

    journal_title:European urology

    pub_type: 杂志文章

    doi:10.1159/000052479

    authors: Weckermann D,Wawroschek F,Hamm M,Haude K,Harzmann R

    更新日期:2001-04-01 00:00:00