Cochrane · systematic review · CD001423

Serenoa repens for the treatment of lower urinary tract symptoms due to benign prostatic enlargement

Franco, JVA, Trivisonno, L, Sgarbossa, NJ, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Urology3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 16.7%Low 2 · 33.3%Moderate 1 · 16.7%High 2 · 33.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Serenoa repens compared to placebo or no intervention

Population: lower urinary tract symptoms due to benign prostatic hyperplasia
3 questions
OutcomeEffectEvidenceStatus / GRADE
Urologic symptom scoreMeasured by IPSS scores (range 0 to 35)Higher scores indicate worse symptoms.
Serenoa repens vs placebo or no intervention
no estimate extracted9 studies · 1681 participantsHigh
Quality of lifeMeasured by IPSS‐QoL score (range 0 to 6)
Serenoa repens vs placebo or no intervention
no estimate extracted5 studies · 1001 participantsHigh
Adverse eventsCumulative incidence
Serenoa repens vs placebo or no intervention
RR 1.01 [0.77, 1.31]12 studies · 2399 participantsModerate
Downgraded: risk of bias, imprecision

Serenoa repens in combination with other phytotherapy versus placebo or no intervention

Population: lower urinary tract symptoms due to benign prostatic hyperplasia
3 questions
OutcomeEffectEvidenceStatus / GRADE
Urologic symptom scoreMeasured by IPSS scores (range 0 to 35)Higher scores indicate worse symptoms.
Serenoa repens in combination with other phytotherapy vs placebo or no intervention
no estimate extracted4 studies · 460 participantsLow
Downgraded: imprecision, inconsistency
Quality of lifeMeasured by IPSS‐QoL score (range 0 to 6)
Serenoa repens in combination with other phytotherapy vs placebo or no intervention
no estimate extracted2 studies · 265 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Adverse eventsCumulative incidence
Serenoa repens in combination with other phytotherapy vs placebo or no intervention
RR 0.91 [0.58, 1.41]4 studies · 481 participantsLow
Downgraded: imprecision