Short-term subjective efficacy of doxazosin in predicting probability of prostatectomy in the management of benign prostatic hyperplasia in patients with severe symptoms

dc.contributor.authorÇam, Kamil
dc.contributor.authorAkman, Ramazan Yavuz
dc.contributor.authorKayıkçı, Ali
dc.contributor.authorŞenel, Ferda
dc.contributor.authorErol, Ali
dc.date.accessioned2020-04-30T23:31:56Z
dc.date.available2020-04-30T23:31:56Z
dc.date.issued2003
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000185987900005en_US
dc.descriptionPubMed: 14633082en_US
dc.description.abstractBackground. The severity of symptoms still constitutes the major indication for transurethral prostatectomy, despite the extensive utilization of medical treatments. The aim of the study presented here was to investigate the impact of doxazosin on symptoms in relation to the probability of consequent surgery in severely symptomatic patients. Methods. Patients with an International Prostate Symptom Score (IPSS) between 18 and 35 were included in the study. The patients received 4 mg/day doxazosin, and subjective efficacy was assessed by IPSS at the first and third months. In addition, the patients were classified at the third month according to a single question regarding satisfaction with medical treatment in terms of symptom relief as 'ineffective, no change, and effective'. Results. A total of 178 patients constituted the study group. Mean total symptom scores were 24, 19 and 17 at baseline, first and third months, respectively (P < 0.05). According to results of the questionnaire, 23% of the patients claimed the treatment was ineffective, and subsequently, the majority of this group (93%) underwent prostatectomy in a year. In addition, 33% of the patients reported no change in their symptoms, while 44% reported that the medication was effective. However, after 1 year, 59% and 15% of these cases underwent surgical treatment, respectively. The probability of surgery in the 'ineffective' group was significantly higher compared to the remaining groups (P < 0.05). Conclusion. The majority of patients with severe symptoms who were not satisfied with the medication at the 3rd month underwent surgery. This observation may provide a predictor for subsequent probability of prostatectomy. Therefore, reassessment of patients would be a cost-effective approach for the treatment of BPH in severely symptomatic patients.en_US
dc.identifier.doi10.1046/j.1442-2042.2003.00711.xen_US
dc.identifier.endpage586en_US
dc.identifier.issn0919-8172
dc.identifier.issue11en_US
dc.identifier.startpage582en_US
dc.identifier.urihttps://doi.org/10.1046/j.1442-2042.2003.00711.x
dc.identifier.urihttps://hdl.handle.net/20.500.12684/4539
dc.identifier.volume10en_US
dc.identifier.wosWOS:000185987900005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBlackwell Publishing Asiaen_US
dc.relation.ispartofInternational Journal Of Urologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectbenign prostatic hyperplasiaen_US
dc.subjectdoxazosinen_US
dc.subjectmanagementen_US
dc.titleShort-term subjective efficacy of doxazosin in predicting probability of prostatectomy in the management of benign prostatic hyperplasia in patients with severe symptomsen_US
dc.typeArticleen_US

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