Table 1.
Peak Flow Rate | QoL Question | BPH Impact | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
AUA/IPSS |
(Qmax) |
Score |
Index |
|||||||||
3–9 | 10–16 | >16 | 3–9 | 10–16 | >16 | 3–9 | 10–16 | 3–9 | 10–16 | |||
Therapy | Months | Months | Months | Months | Months | Months | Months | Months | Months | Months | ||
Alpha blockers | ||||||||||||
Alfuzosin | −4.44 | 2.05 | −1.10 | |||||||||
Doxazosin | −5.10 | −5.63 | 3.11 | 2.98 | 1.90* | −1.25 | −1.47 | −2.00 | −2.47 | |||
Tamsulosin | −4.63 | −7.53* | 1.85 | 1.86* | −1.43 | |||||||
Terazosin | −6.22 | −5.99 | 2.51 | 1.94 | 2.61* | −1.70* | −1.37 | −1.45* | −2.09 | |||
Hormonal | ||||||||||||
Finasteride | −3.44 | −3.40 | −2.37 | 2.11 | 1.66 | 1.95 | −0.75 | −0.87 | −1.50 | −1.21 | ||
Combinations | ||||||||||||
Alfuzosin/finasteride | −6.10* | 2.30* | ||||||||||
Doxazosin/finasteride | −5.64 | −6.53 | 3.96 | 3.38 | −1.15 | −1.57 | −2.20 | −2.57 | ||||
Terazosin/finasteride | −5.90* | −6.21* | 3.50* | 2.63 | −1.55* | −2.03 | ||||||
Placebo | −2.44* | −2.33* | −1.03* | 0.86* | 0.48* | 0.48* | −0.65* | −0.67* | −1.00* | −0.97* |
Numbers without asterisks are based on randomized, controlled trial (RCT) results with placebo controls.
Based on single-arm analyses; no RCT data available.
AUA. American Urological Association; BPH, benign prostatic hyperplasia; IPPS, International Prostate Symptom Score; QoL, quality of life. Reprinted with permission from The Journal of Urology, Volume 170, AUA Practice Guidelines Committee, AUA Guideline on Management of Benign Prostatic Hyperplasia (2003). Chapter 1: Diagnosis and Treatment Recommendations, p. 542, Copyright Elsevier 2003.6