Emerging drugs to target lower urinary tract symptomatology (LUTS)/benign prostatic hyperplasia (BPH): focus on the prostate

  • Stefan ÜckertEmail author
  • George T. Kedia
  • Dimitrios Tsikas
  • Annika Simon
  • Andreas Bannowsky
  • Markus A. Kuczyk
Original Article



The benign prostatic syndrome, comprising lower urinary tract symptomatology secondary to benign prostatic hyperplasia/enlargement, represents a major health care issue in westernized countries. The pharmacological management involves alpha-adrenoceptor antagonists, intervention into the hormonal control of prostate growth using inhibitors of the enzyme 5-alpha-reductase, and stimulation of the nitric oxide/cyclic GMP pathway by tadalafil, an inhibitor of the phosphodiesterase type 5.


This review summarizes the achievements which have been made in the development of drug candidates assumed to offer opportunities as beneficial treatment options in the management of the benign prostatic syndrome.


A review of the literature has revealed that the line of development is focusing on drugs interfering with peripheral neuromuscular/neuronal mechanisms (nitric oxide donor drugs, agonists/antagonists of endogenous peptides, botulinum toxin, NX-1207), the steroidal axis (cetrorelix) or the metabolic turn-over (lonidamine), as well as the combination of drugs already established in the treatment of lower urinary tract symptomatology/benign prostatic hyperplasia (phosphodiesterase 5 inhibitor plus alpha-adrenoceptor antagonist).


Many research efforts have provided the basis for the development of new therapeutic modalities for the management of lower urinary tract dysfunctions, some of which might be offered to the patients in the near future.


Lower urinary tract symptoms (LUTS) Benign prostatic hyperplasia (BPH) Pharmacotherapy 


Author contributions

SÜ: data collection, manuscript writing. GTK: data collection, manuscript writing. DT: data collection/analysis, manuscript editing. AS: data collection, manuscript writing. AB: data collection/analysis. MAK: manuscript editing.

Compliance with ethical standards

Conflict of interest

The authors declare no conflict of interest and have received no payment for the preparation of the manuscript.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Surgery, Department of Urology and Urological OncologyHannover Medical SchoolHannoverGermany
  2. 2.Core Unit Proteomics, Center of Pharmacology and ToxicologyHannover Medical SchoolHannoverGermany
  3. 3.Department of Internal MedicineHannover Medical SchoolHannoverGermany
  4. 4.Department of UrologyImland Klinik GmbHRendsburgGermany

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