title: Use of selenium-silymarin mix reduces lower urinary tract symptoms and prostate specific antigen in men.
abstract: The aim of this double-blind, placebo controlled clinical trial was to assess the effects of a combination of selenium and silymarin in men with lower urinary tract symptoms, benign prostatic hyperplasia and a prostate specific antigen (PSA) ≤2.5ng/ml. The volunteers were randomized to two groups: the first one (n=26) received 240μg selenium (in the form of yeast l-selenomethionine) plus 570mg silymarin daily for 6 months and the second (n=29) received placebo. Outcome measures were changes in the International Prostate Symptom Score (IPSS), bladder volume (V), urinary flow rate, ultrasound estimated postvoid residual urine volume (RV), serum PSA, testosterone and selenium levels, safety clinical biochemistry, hematology and oxidative stress parameters at baseline and on day 180. The results showed statistically significant differences (p<0.05) between treatment and control groups for the following parameters: IPSS score, urodynamic parameters: maximal rate of urine flow (Qmax), average flow (Qave), V and RV, total PSA value and serum selenium levels. There was a significant reduction in PSA in the selenium-silymarin group but no effect on blood testosterone level. Overall the treatment was well-tolerated with no adverse effects.
authors.affiliation: Department of Medical Chemistry and Biochemistry, Faculty of Medicine and Dentistry, Palacký University, Hnevotinska 3, Olomouc 77515, Czech Republic.
authors.forename: Jitka
authors.initials: J
authors.lastname: Vostalova
authors.forename: Ales
authors.initials: A
authors.lastname: Vidlar
authors.forename: Jitka
authors.initials: J
authors.lastname: Ulrichova
authors.forename: Jana
authors.initials: J
authors.lastname: Vrbkova
authors.forename: Vilim
authors.initials: V
authors.lastname: Simanek
authors.forename: Vladimir
authors.initials: V
authors.lastname: Student
mesh_terms: D000368:Aged; D004311:Double-Blind Method; D004338:Drug Combinations; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000097:blood / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D020944:Silybum marianum / Q000737:chemistry*; D008517:Phytotherapy; D010936:Plant Extracts / Q000494:pharmacology / Q000627:therapeutic use; D017430:Prostate-Specific Antigen / Q000097:blood*; D011470:Prostatic Hyperplasia / Q000097:blood / Q000150:complications / Q000188:drug therapy*; D012643:Selenium / Q000494:pharmacology / Q000627:therapeutic use*; D012838:Silymarin / Q000494:pharmacology / Q000627:therapeutic use*; D013739:Testosterone / Q000097:blood; D014131:Trace Elements / Q000494:pharmacology / Q000627:therapeutic use*; D014554:Urination / Q000187:drug effects
chemical_list: D004338:Drug Combinations; D010936:Plant Extracts; D012838:Silymarin; D014131:Trace Elements; D013739:Testosterone; D017430:Prostate-Specific Antigen; D012643:Selenium
keywords: Selenium; Serum PSA; Silymarin; Urinary symptoms; Urodynamic parameters