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Naftopidil is an alpha 1D -selective blocker.which has been recently reported to less likely induce ejaculatory disorders. Efficacies on LUTS of the two alpha-1 blockers.silodosin and naftopidil are almost equivalent.with a small advantage of silodosin on voiding symptoms. The alpha 1D -selective blocker.naftopidil may possess superior property of preserving sexual function (especially for ejaculation).compared with the alpha 1A -selective blocker.silodosin.[29]

Noctoria is one of the bothersome LUTS and also most difficult to eliminate in aging men. Nocturnal polyurea associated with circadian change of arginine vasopressine and atrial natriuretic peptide in the elderly has been suggested as the most dominant type of nocturia. Desmopressin is effective in treating nocturia to improve the patients QOL.although a few adverse events such as hypernatremia might occur.[45]

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