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BPH is extremely common, affecting up to 50% of men aged 60 years. The most bothersome symptoms are lower urinary tract symptoms (LUTS), and it can frequently co-exist with a number of other conditions including sexual dysfunction. See diagram.
Since the development of prazosin some 25 years ago, the most widely used agents for BPH are alpha-adrenergic blockers (e.g. doxazosin and tamsulosin) and 5alpha-reductase inhibitors (e.g. finasteride).
In an effort to tackle this mature market, recent trends have moved towards the use of combination drug strategies, the treatment of co-morbid illnesses and a drive towards getting silent sufferers to present for treatment.
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