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Therapeutic Advances in Urology
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Reviews

Overactive bladder in males

Alex Gomelsky

Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA 71103, USA

Roger R. Dmochowski

Department of Urologic Surgery, Vanderbilt University Medical Center, A-1392, Medical Center North, Nashville, TN 37232, USA, roger.dmochowski{at}Vanderbilt.edu

The prevalence of overactive bladder (OAB) symptoms is considerable in both men and women and the impact on quality of life (QOL) is equally substantial. Ironically, despite nearly equal prevalence, OAB symptoms in men are infrequently treated, and often with medical therapies aimed at bladder outlet obstruction (BOO). In this review, we examine the pathophysiology of OAB and its evaluation in the context of benign prostatic hypertrophy and concomitant BOO. We then consider the efficacy and safety of individual therapeutic options for lower urinary tract symptoms in men, focusing on the mainstays of medical therapy: {alpha}-adrenergic blockers, 5-{alpha} reductase inhibitors, and antimuscarinic agents. Finally, we aim to comment on new therapeutic strategies and targets that may one day be available for the treatment of male OAB.

Key Words: anticholinergic • benign prostatic hypertrophy • overactive bladder

Therapeutic Advances in Urology, Vol. 1, No. 4, 209-221 (2009)
DOI: 10.1177/1756287209350383


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