alpha 1-Blockers in Men with Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Obstruction: Is Silodosin Different?

作者：Roehrborn Claus G; Cruz Francisco; Fusco Ferdinando^*

来源：Advances in Therapy, 2017, 33(12): 2110-2121.

DOI：10.1007/s12325-016-0423-5

• Alpha-blockers
• Silodosin
• Urology

Available alpha 1-blockers (ABs) have different profiles of receptor selectivity. Silodosin exhibits the highest selectivity for the alpha(1A) adrenergic receptor. This pharmacological feature couples with a singular urodynamic and clinical profile. The magnitude of bladder outlet obstruction improvement in patients receiving silodosin is higher if compared to other ABs. From a clinical point of view, current evidence suggests an advantage in favor of silodosin in terms of nocturia improvement and cardiovascular safety. The incidence of ejaculatory dysfunction with silodosin is higher compared to other Abs.

• 出版日期2017-1