Efficacy of silodosin in patients undergoing brachytherapy: a randomized trial involving a pressure flow study.

Abstract

PURPOSE:

The purpose of the study is to investigate the efficacy of an alpha-1 adrenergic receptor antagonist (silodosin) for the treatment of lower urinary tract symptoms (LUTS) associated with interstitial (125)I implantation for prostate cancer.

METHODS:

This randomized single-center study involved 105 patients (53 with and 52 without silodosin). Silodosin was postoperatively administered, daily, for 6 months (8 mg/day). Urinary symptoms and pressure flow were evaluated preoperatively and postoperatively at 1, 3, 6, and 12 months.

RESULTS:

At 12 months, interstitial (125)I implantation had induced a significant decrease in prostate volume (28.3 ± 11.1-20.5 ± 8.1 g in the silodosin group and 26.1 ± 9.7-17.7 ± 4.9 g in the controls) and the prostate-specific antigen level (7.1 ± 3.6-1.4 ± 1.7 ng/mL in the silodosin group and 8.1 ± 4.3-1.3 ± 1.2 ng/mL in the controls). Significant improvements in the international prostate symptom voiding subscores at 6 months and quality of life at 3 months were observed in those receiving silodosin. The pressure flow studies demonstrated that silodosin had significantly enlarged the bladder capacity when the first non-voiding contraction was seen at 3 and 12 months (3M: 127.1 ± 74.8 vs. 118.2 ± 83.9 mL, p = 0.001; 12M: 123.7 ± 79.3 vs. 100.3 ± 73.4 mL, p = 0.01); however, there were no improvements in the bladder outlet obstruction index (BOOI) or urinary flow.

CONCLUSIONS:

Silodosin temporarily improved LUTS, but did not improve the BOOI after (125)I implantation in the prostate.

• Authors: Nobutaka Shimizu, Takafumi Minami, Koichi Sugimoto, Yoshitaka Saito, Yutaka Yamamoto, Taiji Hayashi, Hidenori Tsuji, Masahiro Nozawa, Kazuhiro Yoshimura, Tokumi Ishii, Hirotsugu Uemura, Kiyoshi Nakamatsu
• Journal: World journal of urology (World J Urol) Vol. 32 Issue 6 Pg. 1423-32 (Dec 2014) ISSN: 1433-8726 [Electronic] Germany
• PMID: 24435207 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Adrenergic alpha-1 Receptor Antagonists
• Indoles
• silodosin

Topics

• Adrenergic alpha-1 Receptor Antagonists (therapeutic use)
• Aged
• Brachytherapy (adverse effects)
• Humans
• Indoles (therapeutic use)
• Lower Urinary Tract Symptoms (drug therapy, etiology, physiopathology)
• Male
• Middle Aged
• Prostatic Neoplasms (pathology, physiopathology, radiotherapy)
• Quality of Life
• Treatment Outcome
• Urinary Bladder Neck Obstruction (drug therapy, etiology, physiopathology)
• Urodynamics