A place of silodosin in the treatment 
of LUTS/BPH according to evidence-based medicine and real clinical practice


DOI: https://dx.doi.org/10.18565/urology.2021.5.94-98

S.V. Kotov, D.A. Bogdanov

Department of Urology and Andrology of Pirogov Russian National Research Medical University, Moscow, Russia
Lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) are common disorder in older men. The mainstay of conservative treatment for BPH is α1-adrenoblockers. A review of the literature on silodosin, a selective α-adrenergic blocker, is discussed in the article. In clinical studies, there was a significant improvement in IPSS scores and maximum urinary flow rate in patients who received silodosin at a daily dose of 8 mg compared to those receiving placebo. It should be noted that silodosin has demonstrated long-term safety and early onset of efficacy. Compelling literature data to support the clinical benefit of silodosin for the treatment of LUTS associated with BPH is presented.
Keywords: silodosin, BPH, lower urinary tract symptoms, α1-a-blocker

About the Autors


Corresponding author: S.V. Kotov – Ph.D., MD, professor, Head of the Department of Urology and Andrology of Pirogov Russian National Research Medical University, Moscow, Russia, e-mail: urokotov@mail.ru


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