Evidence map›Paper›PMID 39441013›Full record

ArticleInternational journal of urology : official journal of the Japanese Urological Association2025

Dutasteride, a 5 alpha reductase inhibitor, could be associated with the exacerbation of inflammation in patients with benign prostatic hyperplasia.

So Inamura, Yusuke Fukiage, Hisato Kobayashi, Manami Tsutsumiuchi, Masaya Seki, Minekatsu Taga, Masato Fukushima, Motohiro Kobayashi, Osamu Yokoyama, Naoki Terada

Abstract read
In one paragraph

Article in International journal of urology : official journal of the Japanese Urological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. The role of estrogen receptor β in maintaining basal cells and modulating the immune environment in the prostate.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  2. 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

10 authors.

So InamuraDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Yusuke FukiageDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Hisato KobayashiDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Manami TsutsumiuchiDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Masaya SekiDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Minekatsu TagaDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Masato FukushimaDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Motohiro KobayashiDepartment of Tumor Pathology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Osamu YokoyamaDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.
Naoki TeradaDepartment of Urology, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan.ORCID https://orcid.org/0009-0005-1082-6089

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundα-1 blockers and dutasteride are widely used as agents to treat benign prostatic hyperplasia (BPH); the impact of these drugs on prostatic inflammation is still unclear. Herein, we investigated the impact of α-1 blockers and dutasteride treatment of BPH in terms of the degree of prostatic inflammation. MATERIALS AND

methodsTissue specimens were obtained from 143 BPH patients who were administered α-1 blockers up until their operation. Thirty-three of the patients had also been treated with dutasteride before the procedure. The degree of prostatic inflammation was quantified histologically by the ratio of high endothelial venule (HEV)-like vessels. We divided this retrospective cohort into α-1 blocker monotherapy and combination therapy (α-1 blockers + dutasteride) groups and evaluated clinical parameters of the two groups in relation to the degree of chronic prostatic inflammation. At the same time, we assessed factors exacerbating chronic prostatic inflammation.

resultsComparison of the monotherapy and combination therapy groups showed no significant differences in the parameters of the urodynamic study or degree of chronic prostatic inflammation, whereas the IPSS total score, voiding subscore, nocturia, intermittency, weak stream, and straining were significantly lower in the combination than the monotherapy group. The duration of α-1 blockers administration was not correlated with the ratio of HEV-like vessels, while that of dutasteride was strongly correlated (correlation coefficient = 0.595; p < 0.001). Multiple regression analysis demonstrated that the duration of dutasteride administration was a key factor exacerbating the degree of chronic prostatic inflammation.

conclusionsThe present study showed that despite their ameliorating effect on prostatic hyperplasia, dutasteride contributed significantly to chronic prostatic inflammation.

Indexed as

5-alpha Reductase InhibitorsAdrenergic alpha-1 Receptor AntagonistsAzasteroidsProstatic HyperplasiaProstatitisAgedAged, 80 and overDrug Therapy, CombinationDutasterideHumansInflammationMaleMiddle AgedProstateRetrospective Studies5-alpha Reductase InhibitorsAdrenergic alpha-1 Receptor AntagonistsAzasteroidsDutasteridealpha‐1 blockerchronic prostatic inflammationdihydrotestosteronedutasteridehigh endothelial venule‐like vesselIPSS

Identifiers

PMID39441013
PMCPMC11803178

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Registered trials

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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.