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You and Jeong: The Clinical Effects of Amitriptyline on the Nocturia of Patients with Benign Prostatic Hyperplasia
Original Article
Korean Journal of Urology

Korean Journal of Urology 2008; 49(4): 343-349.

Published online: 30 April 2008

DOI: https://doi.org/10.4111/kju.2008.49.4.343

The Clinical Effects of Amitriptyline on the Nocturia of Patients with Benign Prostatic Hyperplasia

Seung Hyun You, Hee Jong Jeong

Department of Urology, Wonkwang University School of Medicine, Iksan, Korea.

uro94c@wmc.wonkwang.ac.kr

Received 12 November 2007       Accepted 13 February 2008

Copyright © 2008 The Korean Urological Association

Abstract

Purpose

We evaluated the effects of amitiptyline, as one of the first-line therapies, on the nocturia of patients with benign prostatic hyperplasia (BPH).

Materials and Methods

Between June 2005 and December 2006, 50 patients completed this study (Group I=20, Group II=14, Group III=16). Group I was treated with doxazocin 4mg, group II was treated with doxazocin 4mg and tolterodine 4mg and the third group was treated with doxazocin 4mg and amitriptyline 10mg. We measured the treatment efficacy, the clinical parameters and we examined three days of the voiding diaries at baseline and after 4 weeks of treatment, respectively.

Results

After 4 weeks of treatment, all the patients had significant improvement for the International Prostate Symptom Score (IPSS) and the quality of life (QoL) score among the clinical parameters and they also showed improvement of their frequency of micturition per 24 hours, per night (nocturnal frequency) among the voiding diary parameters (p<0.05). For the post-treatment comparison of the nocturnal frequency, there was a significant difference between group I and group II as well as between group I and group III (p<0.05), and there was no difference between group II and group III (p>0.05). Although there was 1 case of mild dry-mouth in group II and 1 case of mild dry-mouth and drowsiness in group III, none of the patient dropped out due to side effects.

Conclusions

We found significant improvement in the IPSS, the QoL score and the nocturnal frequency after treatment with amitriptyline 10mg. Therefore, amitriptyline 10mg would be helpful as a first-line therapy for BPH patients with nocturia.

Keywords: Amitriptyline, Nocturia, Prostatic hyperplasia

Figures and Tables

Fig. 1
Comparison of nocturnal frequency between each group. Note the significant improvement after treatment in groups II and III (p=0.043, p=0.001) and there was no indifference between groups II and III (p=0.101) at post-treatment. *: baseline (p=0.669), †: 4 weeks (p=0.001) by the Kruskall-Wallis test.
kju-49-343-g001
Table 1
The baseline characteristics of the patients in each groups
kju-49-343-i001

p>0.05, by Kruskall-Wallis test, PSA: prostate-specific antigen, IPSS: International Prostate Symptom Score, QoL: quality of life, Qmax: maximal flow rate, PVR: postvoid residual urine

Table 2
Comparison of the clinical parameters between the pre- and post-treatment in each group
kju-49-343-i002

*: by Wilcoxon signed rank test, IPSS: International Prostate Symptoms Score, QoL: quality of life, Qmax: maximal flow rate, PVR: postvoid residual urine

Table 3
Comparison of the urine volume and voiding frequency between the pre- and post-treatment in each group
kju-49-343-i003

*: by Wilcoxon signed rank test

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