Cochrane · systematic review · CD007360

Naftopidil for the treatment of lower urinary tract symptoms compatible with benign prostatic hyperplasia

Hwang, EC, Gandhi, S, Jung, JH, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

UrologyAMSTAR 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
21
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 5 · 23.8%Very low 2 · 9.5%Low 10 · 47.6%Moderate 4 · 19%High 0 · 0%

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

Naftopidil compared to tamsulosin (alpha‐blocker) for the treatment of lower urinary tract symptoms compatible with benign prostatic hyperplasia (short term)

5 questions
OutcomeEffectEvidenceStatus / GRADE
Urological symptom scores
Naftopidil vs tamsulosin (alpha‐blocker)
no estimate extracted12 studies · 965 participantsModerate
Downgraded: risk of bias
Quality of life
Naftopidil vs tamsulosin (alpha‐blocker)
no estimate extracted11 studies · 878 participantsLow
Downgraded: risk of bias
Treatment withdrawals for any reason
Naftopidil vs tamsulosin (alpha‐blocker)
RR 0.92 [0.64, 1.34]8 studies · 668 participantsLow
Downgraded: risk of bias
Cardiovascular adverse events
Naftopidil vs tamsulosin (alpha‐blocker)
RR 0.97 [0.52, 1.8]9 studies · 824 participantsLow
Downgraded: risk of bias
Sexual adverse events
Naftopidil vs tamsulosin (alpha‐blocker)
RR 0.54 [0.24, 1.22]5 studies · 397 participantsLow
Downgraded: risk of bias

Naftopidil compared to silodosin (alpha‐blocker) for the treatment of lower urinary tract symptoms compatible with benign prostatic hyperplasia (short term)

5 questions
OutcomeEffectEvidenceStatus / GRADE
Urological symptom scores
Naftopidil vs silodosin (alpha‐blocker)
no estimate extracted5 studies · 652 participantsLow
Downgraded: risk of bias
Quality of life
Naftopidil vs silodosin (alpha‐blocker)
no estimate extracted5 studies · 652 participantsLow
Downgraded: risk of bias
Treatment withdrawals for any reason
Naftopidil vs silodosin (alpha‐blocker)
RR 0.8 [0.52, 1.23]4 studies · 659 participantsLow
Downgraded: risk of bias
Cardiovascular adverse events
Naftopidil vs silodosin (alpha‐blocker)
RR 0.98 [0.39, 2.44]5 studies · 808 participantsLow
Downgraded: risk of bias
Sexual adverse events
Naftopidil vs silodosin (alpha‐blocker)
RR 0.15 [0.06, 0.42]4 studies · 348 participantsModerate
Downgraded: risk of bias

Naftopidil compared to propiverine (anticholinergic) for the treatment of lower urinary tract symptoms compatible with benign prostatic hyperplasia (short term)

5 questions
OutcomeEffectEvidenceStatus / GRADE
Urological symptom scores
Naftopidil vs propiverine (anticholinergic)
no estimate extracted1 study · 37 participantsLow
Downgraded: risk of bias
Quality of life
Naftopidil vs propiverine (anticholinergic)
no estimate extracted1 study · 37 participantsLow
Downgraded: risk of bias
Treatment withdrawals for any reasonc
Naftopidil vs propiverine (anticholinergic)
no estimate extracted1 study · 37 participantsUngraded
Cardiovascular adverse eventsc
Naftopidil vs propiverine (anticholinergic)
no estimate extracted1 study · 37 participantsUngraded
Sexual adverse eventsc
Naftopidil vs propiverine (anticholinergic)
no estimate extracted1 study · 37 participantsUngraded

Naftopidil compared to Eviprostat (phytotherapy) for the treatment of lower urinary tract symptoms compatible with benign prostatic hyperplasia (short term)

6 questions
OutcomeEffectEvidenceStatus / GRADE
Urological symptom scores
Naftopidil vs Eviprostat (phytotherapy)
no estimate extracted1 study · 49 participantsModerate
Downgraded: risk of bias
Quality of life
Naftopidil vs Eviprostat (phytotherapy)
no estimate extracted1 study · 49 participantsModerate
Downgraded: risk of bias
Treatment withdrawals for any reason
Naftopidil vs Eviprostat (phytotherapy)
no estimate extracted1 study · 49 participantsVery low
Downgraded: risk of bias
Treatment withdrawals due to adverse events
Naftopidil vs Eviprostat (phytotherapy)
no estimate extracted1 study · 49 participantsVery low
Downgraded: risk of bias
Cardiovascular adverse eventsc
Naftopidil vs Eviprostat (phytotherapy)
no estimate extracted1 study · 49 participantsUngraded
Sexual adverse eventsc
Naftopidil vs Eviprostat (phytotherapy)
no estimate extracted1 study · 49 participantsUngraded