%0 Journal Article %A Alcaraz, Antonio %A Gacci, Mauro %A Ficarra, Vincenzo %A Medina-Polo, José %A Salonia, Andrea %A Fernández-Gómez, Jesús M %A Ciudin, Alexandru %A Castro-Díaz, David %A Rodríguez-Antolín, Alfredo %A Carballido-Rodríguez, Joaquín %A Cózar-Olmo, José M %A Búcar-Terrades, Santiago %A Pérez-León, Noemí %A Brenes-Bermúdez, Francisco J %A Molero-García, José M %A Ledesma, Antonio Fernández-Pro %A Herdman, Michael %A Manasanch, José %A Angulo, Javier C %A Group, On Behalf Of The Qualiprost Study %T Efficacy and Safety of the Hexanic Extract of Serenoa repens vs. Watchful Waiting in Men with Moderate to Severe LUTS-BPH: Results of a Paired Matched Clinical Study. %D 2022 %@ 2077-0383 %U http://hdl.handle.net/10668/21238 %X We investigated changes in symptoms and quality of life (QoL) in men with moderate-to-severe lower urinary tract symptoms associated with benign prostatic hyperplasia (LUTS/BPH) receiving the hexanic extract of Serenoa repens (HESr) and compared results with a matched group on watchful waiting (WW). Data was from a real-world, open-label, prospective, multicenter study. This sub-group analysis included patients with moderate-to-severe symptoms receiving either the HESr 320 mg/daily for six months (HESr) or who remained untreated for LUTS/BPH (WW). Changes in urinary symptoms and QoL were measured by IPSS and BII questionnaires. Two statistical approaches (iterative matching and propensity score pairing) were used to maximize between-group comparability at baseline. Tolerability was assessed in the HESr group. After iterative matching, data for analysis was available for 783 patients (102 WW, 681 HESr). IPSS scores improved by a mean (SD) of 3.8 (4.4) points in the HESr group and by 2.2 (4.5) points in the WW group (p = 0.002). Changes in BII score were 1.8 (2.4) points and 1.0 (2.2) points, respectively (p %K BPH %K adverse effects %K hexanic extract of Serenoa repens %K moderate-severe LUTS %K quality of life %K sexual function %K tolerability %K watchful waiting %~