Evidence map›Paper›PMID 30027406›Full record

Trial reportWorld journal of urology2019

The effect of hexanic extract of Serenoa repens on prostatic inflammation: results from a randomized biopsy study.

Stavros Gravas, Michael Samarinas, Konstantina Zacharouli, Anastasios Karatzas, Vasileios Tzortzis, Georgios Koukoulis, Michael Melekos

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in World journal of urology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Quantification of the Role of TeupolMedicina (Kaunas, Lithuania) · 2025
    Observational
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Efficacy and Safety of the Hexanic Extract ofJournal of clinical medicine · 2022
    Article
  12. Review
  13. Article
  14. The Clinical Impact of Hexanic Extract ofJournal of clinical medicine · 2020
    Article
  15. Review
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

7 authors.

Stavros GravasDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece. sgravas2002@yahoo.com.ORCID http://orcid.org/0000-0001-7805-6651
Michael SamarinasDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Konstantina ZacharouliDepartment of Pathology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Anastasios KaratzasDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Vasileios TzortzisDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Georgios KoukoulisDepartment of Pathology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Michael MelekosDepartment of Urology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of hexanic extract of Serenoa repens (HESr) on prostatic inflammation in patients with diagnosed prostatic inflammation.

methodsPatients with prostatic inflammation histologically confirmed by TRUS prostatic biopsy were randomized either to receive HESr (320 mg/day) or no treatment. A second biopsy was performed 6 months later according to standard clinical practice. Inflammation was assessed by the Irani's score and immunohistochemical staining using the CD3, CD4 and CD8 (for T-leucocytes), CD20 (for B-leucocytes) and CD163 (for macrophages) antibodies.

resultsOverall 97 patients were eligible for analysis. In the HESr group the mean inflammation grading and aggressiveness grading score significantly decreased from 1.55 and 1.55 at baseline to 0.79 (p = 0.001) and 0.87 (p = 0.001) at the second biopsy, respectively. In the control group the mean inflammation grading score was 1.44 at first biopsy and 1.23 at the second biopsy. The mean aggressiveness gradings core was 1.09 and 0.89, respectively. No statistical significance was found (p = 0.09 and p = 0.74).The mean decrease in all inflammation scores was statistically higher in the HESr patients compared to controls. The immunohistochemical staining showed a significant change in the expression of the analyzed antibodies for the HESr patients compared to the first biopsy. In the nontreatment group, no significant difference was found at the second biopsy. The change in expression of each antibody in the HESr group was statistical significant compared to control.

conclusionsHESr seems to reduce prostatic inflammation in terms of histological and immunohistochemical parameters in this specific patients population.

Indexed as

PhytotherapySerenoaAgedAntigens, CDAntigens, CD20Antigens, Differentiation, MyelomonocyticBiopsyB-LymphocytesCD163 AntigenCD3 ComplexCD4 AntigensCD4-Positive T-LymphocytesCD8 AntigensCD8-Positive T-LymphocytesHexanesHumansAntigens, CDAntigens, CD20Antigens, Differentiation, MyelomonocyticCD163 AntigenCD3 ComplexCD4 AntigensCD8 AntigensHexanesPlant ExtractsReceptors, Cell SurfaceBenign prostatic hyperplasiaImmunohistochemistryInflammationSerenoa repens

Identifiers

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Registered trials

None linked

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.