title: Effects of a supplement combining Pycnogenol®and l-arginine aspartate on lower urinary dysfunction compared with saw palmetto extract.
abstract: OBJECTIVE
  Lower urinary tract symptoms (LUTS) and sexual dysfunction (SDys) are common problems that affect quality of life (QOL) in elderly men. In addition to prescribed drugs, many over-the-counter medications including supplements are used to treat QOL diseases. Phosphodiesterase inhibitors are reported to be effective for both LUTS and SDys by increasing nitric oxide levels. French maritime pine bark extract Pycnogenol®, which is a potent nitric oxide donor, is reported to be effective for SDys. However, no reports have been published on whether it ameliorates LUTS.
  
  
  METHODS
  Open-labeled, randomized study. The effects of two supplements, Nokogiriyashi EX®containing 160 mg saw palmetto (SP) extract per tablet and Edicare®containing 10 mg of Pycnogenol®, 115 mg of l-arginine and 92 mg of aspartate (PAA) per tablet on International Prostate Symptom Score (IPSS), IPSS-QOL, Overactive Bladder Symptom Score (OABSS), International Index of Erectile Function 5 (IIEF5), Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), urinary 8-OHdG and uroflowmetry (UFM) of total 40 men with LUTS and SDys were examined.
  
  
  RESULTS
  19 subjects were instructed to take two tablets of SP, on the other 20 were on four tablets of PAA for 16 weeks. IPSS and IPSS-QOL showed statistically significant improvements in both groups. OABSS and IIEF5 were significantly improved in the PAA group. Conversely, ICIQ-SF, 8-OHdG and UFM did not change in either group.
  
  
  CONCLUSIONS
  PAA might be an effective therapeutic alternative for elderly patients with LUTS and SDys.
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yagi
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
authors.forename: Ryo
authors.initials: R
authors.lastname: Sato
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
authors.forename: Kojiro
authors.initials: K
authors.lastname: Nishio
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
authors.forename: Gaku
authors.initials: G
authors.lastname: Arai
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
authors.forename: Shigehiro
authors.initials: S
authors.lastname: Soh
authors.affiliation: Department of Urology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okada
keywords: Lower urinary tract symptoms; Oxidative stress; Pycnogenol®; Saw palmetto; Sexual dysfunction