Evidence map›Paper›PMID 25125424›Full record

ReviewBMJ (Clinical research ed.)2014

Lower urinary tract symptoms in men.

John M Hollingsworth, Timothy J Wilt

Registry-linked trialAbstract readReview
In one paragraph

Review in BMJ (Clinical research ed.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03144596 (The Effects of Systemic Alfuzosin and Tamsulosin Hydrochloride on Choroidal Thickness and Pupil Diameter Sizes in Cases With Benign Prostatic Hyperplasia), which is not on this map. Cited by 33 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 4 pooled it
9.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03144596 phase4completednot on this mapstarted 2015, after this paper: background citation

The Effects of Systemic Alfuzosin and Tamsulosin Hydrochloride on Choroidal Thickness and Pupil Diameter Sizes in Cases With Benign Prostatic Hyperplasia

TypeinterventionalSponsorKocatepe UniversityRan2015 to 2016Enrolled63ConditionsBenign Prostatic Hyperplasia, Pupil Anomaly, Choroid DiseaseArmsAlfuzosin Hydrochloride 10 MG, Tamsulosin Hydrochloride 0.4 MG
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Effects ofFood science & nutrition · 2025
    Article
  11. Article
  12. Review
  13. Mechanisms of prostatic inflammation-mediated male lower urinary tract symptoms.American journal of clinical and experimental urology · 2025
    Review
  14. Article
  15. Article
  16. Structural basis of αNature communications · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

John M HollingsworthDepartment of Urology, University of Michigan Medical School, Ann Arbor, MI, USA Center for Healthcare Outcomes and Policy, University of Michigan Medical School, Ann Arbor, MI, USA.
Timothy J WiltMinneapolis VA Center for Chronic Diseases Outcomes Research, Minneapolis, MN 55417, USA University of Minnesota School of Medicine, Minneapolis, MN, USA tim.wilt@va.gov.
University of Michigan–Ann Arbor · USUniversity of Minnesota · US

Funding

Effects of Physician Social Networks on Surgical Quality, Safety, and CostsK08HS020927 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HOLLINGSWORTH, JOHN MALCOLM · 2012 to 2015
$614k
AHRQ HHS 1K08HS020927-01A1AHRQ HHS K08 HS020927
6 · The paper itself

Abstract

Benign prostatic hyperplasia (BPH) is a highly prevalent and costly condition that affects older men worldwide. Many affected men develop lower urinary tract symptoms, which can have a negative impact on their quality of life. In the past, transurethral resection of the prostate (TURP) was the mainstay of treatment. However, several efficacious drug treatments have been developed, which have transformed BPH from an acute surgical entity to a chronic medical condition. Specifically, multiple clinical trials have shown that α adrenoceptor antagonists can significantly ameliorate lower urinary tract symptoms. Moreover, 5α reductase inhibitors, alone or combined with an α adrenoceptor antagonist, can reverse the natural course of BPH, reducing the risk of urinary retention and the need for surgical intervention. Newer medical regimens including the use of antimuscarinic agents or phosphodiesterase type 5 inhibitors, have shown promise in men with predominantly storage symptoms and concomitant erectile dysfunction, respectively. For men who do not adequately respond to conservative measures or pharmacotherapy, minimally invasive surgical techniques (such as transurethral needle ablation, microwave thermotherapy, and prostatic urethral lift) may be of benefit, although they lack the durability of TURP. A variety of laser procedures have also been introduced, whose improved hemostatic properties abrogate many of the complications associated with traditional surgery.

Indexed as

5-alpha Reductase InhibitorsAdrenergic alpha-AntagonistsHumansLaser TherapyLower Urinary Tract SymptomsMaleMuscarinic AntagonistsNeuromuscular AgentsPhosphodiesterase 5 InhibitorsProstatic HyperplasiaProstatismSuburethral SlingsTransurethral Resection of Prostate5-alpha Reductase InhibitorsAdrenergic alpha-AntagonistsMuscarinic AntagonistsNeuromuscular AgentsPhosphodiesterase 5 Inhibitors

Identifiers

PMID25125424
PMCPMC4688452
OpenAlexW2076843888

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.