Review of the experience and evidence of Pygeum africanum in urological practice.

Pygeum africanum (P. africanum) is still being employed in urology practice for the treatment of lower urinary tract symptoms secondary to benign prostate hyperplasia.A non-exhaustive review has been carried out about P. africanum, its mechanisms of action "in vitro" as well as "in vivo", clinical trials and routine clinical practice.The conclusions of the review and the reflections of the authors on the use of P. africanum are described.Although with an evidence level IV (based on expert opinion) the use of P. africanum seems to be an option in the urological therapeutic arsenal.