PMID- 25605342 OWN - NLM STAT- MEDLINE DCOM- 20151228 LR - 20181202 IS - 1166-7087 (Print) IS - 1166-7087 (Linking) VI - 25 IP - 3 DP - 2015 Mar TI - [Negative effects on sexual function of medications for the treatment of lower urinary tract symptoms related to benign prostatic hyperplasia]. PG - 115-27 LID - S1166-7087(14)00690-3 [pii] LID - 10.1016/j.purol.2014.12.003 [doi] AB - PURPOSE: The aim of this review is to discuss the negative effects on sexual function of medications for lower urinary tract symptoms secondary to benign prostatic hyperplasia (LUTS-BPH). METHODS: An international non-systematic literature review was performed. It included randomized trials of seven drugs of interest and the summaries of the characteristics of these products. This work did not aim comparison between the drugs. RESULTS: Only maximal reported frequencies are presented in this abstract. With prolonged-release alfuzosin, they were 2.8% vs. 1.3% for erectile dysfunction, compared to placebo and 1% vs. 0% for ejaculatory dysfunction. With doxazosin, the incidence was 5.8% vs. 3.3% for erectile dysfunction, 3.6% vs. 1.9% for reduced libido and 0.4% vs. 1.4% for ejaculatory disorders. The incidence of ejaculatory disorders with tamsulosin, was 11% vs. <1% with the placebo and with silodosin, it was 28.1% vs. 1.1%. With finasteride, at 12 months, the highest frequency was 9% vs. 5% for erectile dysfunction, 4.4% vs. 1.5% for ejaculatory disorders and 6.4% vs. 3.4% for reduced libido. At 24 months, for dutatsteride, frequencies were 7.3% vs. 4.0% for erectile dysfunction, 2.2% vs. 0.8% for ejaculatory disorders and 4.2% vs. 2.1% for reduced libido. For tadalafil, a phosphodiesterase-5 inhibitor, and tolerodine, an anticholinergic drug, no negative effect on ejaculation or libido has been reported. For plant extracts, no sexual adverse effects (AEs) were reported among the most common AEs. CONCLUSION: The medications for LUTS-BPH may alter erection, ejaculation or libido. A greater knowledge of the adverse effects of each of these drugs could guide physicians in the clinical management of men with BPH-LUTS. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Descazeaud, A AU - Descazeaud A AD - Service de chirurgie urologique, CHU de Limoges, 87042 Limoges cedex, France. Electronic address: aureliendescazeaud@gmail.com. FAU - de La Taille, A AU - de La Taille A AD - Service d'urologie, faculte de medecine de Creteil, groupe hospitalier Henri-Mondor, 94000 Creteil, France. FAU - Giuliano, F AU - Giuliano F AD - Service de medecine physique et de readaptation, faculte des sciences de la sante, universite de Versailles Saint-Quentin en Yvelines, hopital Raymond-Poincare, 92380 Garches, France. FAU - Desgrandchamps, F AU - Desgrandchamps F AD - Service d'urologie et de transplantation, hopital Saint-Louis, universite Paris 7, institut des maladies emergentes et des therapies innovantes (iMETI), 75010 Paris, France. FAU - Doridot, G AU - Doridot G AD - 24, boulevard Vital-Bouhot, 92521 Neuilly-Sur-Seine cedex, France. LA - fre PT - Journal Article PT - Review PT - Systematic Review TT - Effets negatifs sur la sexualite des traitements medicamenteux des symptomes du bas appareil urinaire lies a l'hypertrophie benigne de la prostate. DEP - 20150117 PL - France TA - Prog Urol JT - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JID - 9307844 RN - 0 (Adrenergic alpha-Antagonists) SB - IM MH - Adrenergic alpha-Antagonists/adverse effects MH - Humans MH - Lower Urinary Tract Symptoms/*drug therapy/etiology MH - Male MH - Prostatic Hyperplasia/complications MH - Sexual Dysfunction, Physiological/*chemically induced OTO - NOTNLM OT - 5-alpha-reductase inhibitors OT - Alpha-blockers OT - Alpha-bloquants OT - Benign prostatic hyperplasia OT - Dysfonction erectile OT - Ejaculatory dysfunction OT - Erectile dysfunction OT - Hypertrophie benigne de la prostate OT - Inhibiteurs de la 5-alpha-reductase OT - Inhibiteurs de la PDE5 OT - Lower urinary tract symptoms OT - PDE5 inhibitors OT - Symptomes du bas appareil urinaire OT - Tadalafil OT - Troubles de l'ejaculation EDAT- 2015/01/22 06:00 MHDA- 2015/12/29 06:00 CRDT- 2015/01/22 06:00 PHST- 2014/07/21 00:00 [received] PHST- 2014/11/21 00:00 [revised] PHST- 2014/12/18 00:00 [accepted] PHST- 2015/01/22 06:00 [entrez] PHST- 2015/01/22 06:00 [pubmed] PHST- 2015/12/29 06:00 [medline] AID - S1166-7087(14)00690-3 [pii] AID - 10.1016/j.purol.2014.12.003 [doi] PST - ppublish SO - Prog Urol. 2015 Mar;25(3):115-27. doi: 10.1016/j.purol.2014.12.003. Epub 2015 Jan 17.