PROSTATIC INJECTION OF BOTULINUM A TOXIN: AN ALTERNATIVE TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA

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YARMOHAMMADI A.A.; MOULAEI MAHMOUD; YAGHOUBI S.

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Journal: Journal of Knowledge & Health in Basic Medical Sciences Year:2009 | Volume:4 | Issue:1 Page(s): 8-11

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Title

PROSTATIC INJECTION OF BOTULINUM A TOXIN: AN ALTERNATIVE TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA

Author(s)

YARMOHAMMADI A.A. | MOULAEI MAHMOUD | YAGHOUBI S. | Issue Writer Certificate

Keywords

PROSTATEQ4

OUTLINE A TOXINQ4

BENIGN PROSTATIC HYPERPLASIA (BPH)Q4

Abstract

Introduction: We examined the clinical effectiveness of PROSTATE injection of botulinum A toxin in the treatment of BPH. Methods: In this descriptive study, 55 men with BPH, who had failed medical treatment and were poor risks for surgery, were treated by injection of botulinum A toxin into different parts of the transition zone. Amounts of PROSTATE-specific antigen (PSA), PROSTATE symptom scores, quality-of-life index, PROSTATE volume, postvoid residual urine volume, and peak urinary flow rates were recorded and compared for all patients before injection and 3 and 6 months after the injection. Results: The mean patient age was 78 ±2.5 years. The mean symptom score and quality-of- life index significantly improved after3 months. Maximal urinary flow rate (Qmax) showed a significant increase after 3 and 6 months of treatment. Postvoid residual urine volume had a significant decrease after 3 and 6 months (P<0.05). Mean serum total PSA decreased from 5.1±1.5 ng/ml to 2.7±1=0.9 ng/ml within 3 months after the treatment (P>0.05). PROSTATE volume decreased from 65±8=m8l to 59±6 ml within 1 month and to 49±5 ml within 3 months (P<0.05). The maximal treatment effect was seen after 1 week. At the end of the 6- month follow up, 48patients had improved symptoms and in 32patients, medical treatments were discontinued. Only in 7patients, symptoms were remaining. Conclusion: The study showed that prostatic injection of botulinum A toxin (BTX-A) leads to rapid reduction of PROSTATE volume as well as reduction in urethral resistance in patients with bladder outlet obstruction due to enlargement of PROSTATE and it can be regarded as a treatment for resistant urinary retention in patients with benign prostatic hyperplasia who are poor risks for surgery. This alternative treatment has the minimal side effects. It may even be considered as an adjuvant treatment in patients with PROSTATE cancer.

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APA: Copy

YARMOHAMMADI, A.A., YAGHOUBI, S., & MOULAEI, MAHMOUD. (2009). PROSTATIC INJECTION OF BOTULINUM A TOXIN: AN ALTERNATIVE TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA. KNOWLEDGE AND HEALTH, 4(1), 8-11. SID. https://sid.ir/paper/107843/en

Vancouver: Copy

YARMOHAMMADI A.A., YAGHOUBI S., MOULAEI MAHMOUD. PROSTATIC INJECTION OF BOTULINUM A TOXIN: AN ALTERNATIVE TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA. KNOWLEDGE AND HEALTH[Internet]. 2009;4(1):8-11. Available from: https://sid.ir/paper/107843/en

IEEE: Copy

A.A. YARMOHAMMADI, S. YAGHOUBI, and MAHMOUD MOULAEI, “PROSTATIC INJECTION OF BOTULINUM A TOXIN: AN ALTERNATIVE TREATMENT FOR BENIGN PROSTATIC HYPERPLASIA,” KNOWLEDGE AND HEALTH, vol. 4, no. 1, pp. 8–11, 2009, [Online]. Available: https://sid.ir/paper/107843/en

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