PMID- 31625449 OWN - NLM STAT- MEDLINE DCOM- 20200924 LR - 20200924 IS - 1557-9891 (Electronic) IS - 1557-9883 (Print) IS - 1557-9883 (Linking) VI - 13 IP - 5 DP - 2019 Sep-Oct TI - Meta-Analysis of Efficacy and Safety of Tadalafil Plus Tamsulosin Compared with Tadalafil Alone in Treating Men with Benign Prostatic Hyperplasia and Erectile Dysfunction. PG - 1557988319882597 LID - 10.1177/1557988319882597 [doi] LID - 1557988319882597 AB - This meta-analysis was performed to evaluate the efficacy and safety of tadalafil plus tamsulosin compared with tadalafil alone in treating men with benign prostatic hyperplasia (BPH) and erectile dysfunction (ED) after 12 weeks' treatment. Systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-analyses. MEDLINE, EMBASE, and the Cochrane Controlled Trials Register were searched to collect randomized controlled trials. The references of related articles were also searched. Four articles including 621 patients were involved in the analysis. The study identified that combination-therapy had significant improvements in total international prostate symptom score (IPSS), quality of life (QoL) and maximum urine flow rate (Qmax) compared with monotherapy, and there were no obvious significance in respects of post-void residual volume, international index of erectile function and IPSS storage. The difference of total IPSS was mainly reflected in the change of IPSS voiding. For safety, combination-therapy had a higher incidence rate of any adverse events (AEs) and discontinuation due to AEs than monotherapy with the exception of pain. In conclusion, the combination of tadalafil and tamsulosin provided a better improvement of IPSS voiding, QoL and Qmax compared with tadalafil alone in treating men with BPH and ED, and the former therapy appeared to show a higher incidence of AEs. FAU - Zhou, Zhongbao AU - Zhou Z AD - Binzhou Medical University, Yantai, Shandong, China. AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Zheng, Xuesong AU - Zheng X AD - Department of Urology, Qixia People's Hospital, Yantai, Shandong, China. FAU - Wu, Jitao AU - Wu J AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Gao, Zhenli AU - Gao Z AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Xu, Zhunan AU - Xu Z AD - Binzhou Medical University, Yantai, Shandong, China. AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. FAU - Cui, Yuanshan AU - Cui Y AUID- ORCID: 0000-0002-9810-8145 AD - Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China. AD - Department of Urology, Beijing TianTan Hospital, Capital Medical University, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Systematic Review PL - United States TA - Am J Mens Health JT - American journal of men's health JID - 101287723 RN - 0 (Phosphodiesterase Inhibitors) RN - 0 (Vasodilator Agents) RN - 742SXX0ICT (Tadalafil) RN - G3P28OML5I (Tamsulosin) SB - IM MH - Aged MH - Drug Therapy, Combination MH - Erectile Dysfunction/*drug therapy MH - Humans MH - Male MH - Middle Aged MH - Phosphodiesterase Inhibitors/*therapeutic use MH - Prostatic Hyperplasia/*drug therapy MH - Tadalafil/*therapeutic use MH - Tamsulosin/*therapeutic use MH - Treatment Outcome MH - Vasodilator Agents/*therapeutic use PMC - PMC6801893 OTO - NOTNLM OT - benign prostatic hyperplasia OT - erectile dysfunction OT - meta-analysis OT - tadalafil OT - tamsulosin COIS- Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2019/10/19 06:00 MHDA- 2020/09/25 06:00 PMCR- 2019/10/18 CRDT- 2019/10/19 06:00 PHST- 2019/10/19 06:00 [entrez] PHST- 2019/10/19 06:00 [pubmed] PHST- 2020/09/25 06:00 [medline] PHST- 2019/10/18 00:00 [pmc-release] AID - 10.1177_1557988319882597 [pii] AID - 10.1177/1557988319882597 [doi] PST - ppublish SO - Am J Mens Health. 2019 Sep-Oct;13(5):1557988319882597. doi: 10.1177/1557988319882597.