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Vol. 79 2 2012

Impact of preoperative therapy with 5-a-reductase inhibitors in the treatment of benign prostatic hyperplasia

Impact of preoperative therapy with 5-a-reductase inhibitors in the treatment of benign prostatic hyperplasia

Urologia 2012; 79(2): 149 - 151

Article Type: ORIGINAL ARTICLE

DOI:10.5301/RU.2012.9277

Authors

Giacomo De Stefano, Ferdinando Fusco, Davide Arcaniolo, Antonio Pistone, Marco Capece, Simone Sannino, Vincenzo Mirone

Abstract

Benign prostatic hyperplasia is considered a progressive disease intimately linked with aging.
The long-term use of combination therapy with a 5-alpha-reductase inhibitor, together with an alpha blocker in men with moderate-severe symptoms, reduces the risk of clinical progression and BPH-related surgery.
It is unclear what the impact is of preoperative therapy with 5-ARI in patients that undergo surgery.
The aim of our study was to evaluate the impact of preoperative therapy with 5-alpha-reductase inhibitors on: a) indication on the type of surgery; b) surgical and functional outcomes; c) surgical complications.
This is a prospective observational study. It will include all patients undergoing surgery by TURP or Open Prostatectomy in a period of 24 months.
We expect results that demonstrate significant and favorable influence of pretreatment with 5-alpha-reductase inhibitors on certain outcomes. Therefore, therapy with 5-ARI could be considered as neoadjuvant to surgery, whatever this is.

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