PMID- 25770728 OWN - NLM STAT- MEDLINE DCOM- 20150629 LR - 20191210 IS - 1527-9995 (Electronic) IS - 0090-4295 (Linking) VI - 85 IP - 5 DP - 2015 May TI - Solifenacin or mirabegron could improve persistent overactive bladder symptoms after dutasteride treatment in patients with benign prostatic hyperplasia. PG - 1151-1155 LID - S0090-4295(15)00107-7 [pii] LID - 10.1016/j.urology.2015.01.028 [doi] AB - OBJECTIVE: To evaluate the clinical response and adverse events (AEs) of solifenacin (SOL) or mirabegron (MIR) in benign prostatic hyperplasia patients with persistent overactive bladder (OAB) symptoms after dutasteride (DUT) treatment. METHODS: Fifty cases with residual OAB symptom score (OABSS) >/= 5 and OABSS Q3 >/= 2 after at least 6 months treatment of DUT were included in this study. Patients were administered 5 mg/d of SOL (N = 25) or 50 mg/d of MIR (N = 25), and International Prostate Symptom Score (IPSS) and OABSS were prospectively collected at 4 and 12 weeks. The safety was evaluated by changes in postvoided residual urine volume and the incidence of AEs. RESULTS: After DUT administration, the mean prostate volume, IPSS, and OABSS were 39.0 mL, 17.6, and 8.1, respectively. SOL 5 mg significantly reduced the IPSS, OABSS, and OABSS Q3 at 4 and at 12 weeks (-3.1, -2.7, -1.3; P <.05); however, 4 patients could not continue the SOL treatment owing to AEs. All patients could continue the 12 weeks of MIR treatment, and MIR 50 mg reduced IPSS and OABSS at 4 weeks and reduced IPSS, OABSS, and the OABSS Q3 (-3.0, -2.5, -0.9; P <.05) at 12 weeks. Postvoided residual urine volume increased by >/= 100 mL after treatment in 2 cases in the SOL group but not in any patient in the MIR group. CONCLUSION: Additional SOL or MIR might result in amelioration of the persistent OAB symptom after DUT treatment in patients with an enlarged prostate. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Maeda, Takahiro AU - Maeda T AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan; Department of Urology, Tokyo Saiseikai Central Hospital, Tokyo, Japan. FAU - Kikuchi, Eiji AU - Kikuchi E AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. Electronic address: eiji-k@kb3.so-net.ne.jp. FAU - Hasegawa, Masanori AU - Hasegawa M AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Ishioka, Katsura AU - Ishioka K AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Hagiwara, Masayuki AU - Hagiwara M AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Miyazaki, Yasumasa AU - Miyazaki Y AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Shinojima, Toshiaki AU - Shinojima T AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Miyajima, Akira AU - Miyajima A AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. FAU - Oya, Mototsugu AU - Oya M AD - Department of Urology, Keio University School of Medicine, Tokyo, Japan. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20150312 PL - United States TA - Urology JT - Urology JID - 0366151 RN - 0 (5-alpha Reductase Inhibitors) RN - 0 (Acetanilides) RN - 0 (Adrenergic beta-3 Receptor Agonists) RN - 0 (Azasteroids) RN - 0 (Muscarinic Antagonists) RN - 0 (Quinuclidines) RN - 0 (Tetrahydroisoquinolines) RN - 0 (Thiazoles) RN - KKA5DLD701 (Solifenacin Succinate) RN - MVR3JL3B2V (mirabegron) RN - O0J6XJN02I (Dutasteride) SB - IM MH - 5-alpha Reductase Inhibitors/*therapeutic use MH - Acetanilides/*therapeutic use MH - Adrenergic beta-3 Receptor Agonists/*therapeutic use MH - Aged MH - Aged, 80 and over MH - Azasteroids/*therapeutic use MH - Dutasteride MH - Humans MH - Male MH - Middle Aged MH - Muscarinic Antagonists/*therapeutic use MH - Prospective Studies MH - Prostatic Hyperplasia/complications MH - Quinuclidines/*therapeutic use MH - Solifenacin Succinate MH - Tetrahydroisoquinolines/*therapeutic use MH - Thiazoles/*therapeutic use MH - Urinary Bladder, Overactive/*drug therapy/etiology EDAT- 2015/03/17 06:00 MHDA- 2015/06/30 06:00 CRDT- 2015/03/16 06:00 PHST- 2014/10/31 00:00 [received] PHST- 2015/01/13 00:00 [revised] PHST- 2015/01/23 00:00 [accepted] PHST- 2015/03/16 06:00 [entrez] PHST- 2015/03/17 06:00 [pubmed] PHST- 2015/06/30 06:00 [medline] AID - S0090-4295(15)00107-7 [pii] AID - 10.1016/j.urology.2015.01.028 [doi] PST - ppublish SO - Urology. 2015 May;85(5):1151-1155. doi: 10.1016/j.urology.2015.01.028. Epub 2015 Mar 12.