Evidence map›Paper›PMID 34885733›Full record

ReviewMolecules (Basel, Switzerland)2021

Treatment of Benign Prostatic Hyperplasia by Natural Drugs.

Eszter Csikós, Adrienn Horváth, Kamilla Ács, Nóra Papp, Viktória Lilla Balázs, Marija Sollner Dolenc, Maša Kenda, Nina Kočevar Glavač, Milan Nagy, Michele Protti and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Molecules (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
20.1field-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.

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

54 citing papers in PubMed, 108 citations in OpenAlex.

  1. Fucoidan fromResearch and reports in urology · 2026
    Trial
  2. Pharmaceuticals (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Pharmaceuticals (Basel, Switzerland) · 2026
    Article
  8. Nutraceutical Effects ofNutrients · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Phytochemical Characterization ofPharmaceuticals (Basel, Switzerland) · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. The Combination ofThe world journal of men's health · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. 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

14 authors at 4 institutions in 4 countries.

Eszter CsikósDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, H-7624 Pécs, Hungary.
Adrienn HorváthDepartment of Pharmaceutical Biology, Faculty of Pharmacy, University of Pécs, H-7624 Pécs, Hungary.
Kamilla ÁcsDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, H-7624 Pécs, Hungary.
Nóra PappDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, H-7624 Pécs, Hungary.
Viktória Lilla BalázsDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, H-7624 Pécs, Hungary.
Marija Sollner DolencUniversity of Ljubljana, Department of Pharmaceutical Chemistry, Faculty of Pharmacy, SI-1000 Ljubljana, Slovenia.ORCID 0000-0002-0560-3762
Maša KendaUniversity of Ljubljana, Department of Pharmaceutical Chemistry, Faculty of Pharmacy, SI-1000 Ljubljana, Slovenia.
Nina Kočevar GlavačUniversity of Ljubljana, Department of Pharmaceutical Biology, Faculty of Pharmacy, SI-1000 Ljubljana, Slovenia.
Milan NagyDepartment of Pharmacognosy and Botany, Faculty of Pharmacy, Comenius University in Bratislava, SK-832-32 Bratislava, Slovakia.
Michele ProttiResearch Group of Pharmaco-Toxicological Analysis (PTA Lab), Department of Pharmacy and Biotechnology (FaBiT), Alma Mater Studiorum-University of Bologna, 40126 Bologna, Italy.ORCID 0000-0001-9310-4957
Laura MercoliniResearch Group of Pharmaco-Toxicological Analysis (PTA Lab), Department of Pharmacy and Biotechnology (FaBiT), Alma Mater Studiorum-University of Bologna, 40126 Bologna, Italy.ORCID 0000-0002-0644-9461
Györgyi HorváthDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, H-7624 Pécs, Hungary.ORCID 0000-0001-5344-0294
Ágnes FarkasDepartment of Pharmacognosy, Faculty of Pharmacy, University of Pécs, H-7624 Pécs, Hungary.ORCID 0000-0002-8590-3203
On Behalf Of The Oemonom
University of Pecs · HUUniversity of Ljubljana · SIUniversity of Bologna · ITComenius University Bratislava · SK

Funding

Erasmus+ Programme of the European Union, Key Action 2: Strategic Partnerships Project No. 2020-1-CZ01-KA203-078218
6 · The paper itself

Abstract

Benign prostatic hyperplasia (BPH) is one of the most common urinary diseases affecting men, generally after the age of 50. The prevalence of this multifactorial disease increases with age. With aging, the plasma level of testosterone decreases, as well as the testosterone/estrogen ratio, resulting in increased estrogen activity, which may facilitate the hyperplasia of the prostate cells. Another theory focuses on dihydrotestosterone (DHT) and the activity of the enzyme 5α-reductase, which converts testosterone to DHT. In older men, the activity of this enzyme increases, leading to a decreased testosterone/DHT ratio. DHT may promote prostate cell growth, resulting in hyperplasia. Some medicinal plants and their compounds act by modulating this enzyme, and have the above-mentioned targets. This review focuses on herbal drugs that are most widely used in the treatment of BPH, including pumpkin seed, willow herb, tomato, maritime pine bark, Pygeum africanum bark, rye pollen, saw palmetto fruit, and nettle root, highlighting the latest results of preclinical and clinical studies, as well as safety issues. In addition, the pharmaceutical care and other therapeutic options of BPH, including pharmacotherapy and surgical options, are discussed, summarizing and comparing the advantages and disadvantages of each therapy.

Indexed as

3-Oxo-5-alpha-Steroid 4-DehydrogenaseBiological ProductsDihydrotestosteroneEstrogensHumansMalePhytotherapyPlant ExtractsPlants, MedicinalProstatic HyperplasiaSerenoaTestosterone3-Oxo-5-alpha-Steroid 4-DehydrogenaseBiological ProductsDihydrotestosteroneEstrogensPlant Extractssaw palmetto extractTestosteronebenign prostatic hyperplasiaclinical efficacymedicinal plantsphytotherapypreclinical studiessafety issuessaw palmetto

Identifiers

PMID34885733
PMCPMC8659259
OpenAlexW3215789183

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.