Kulaksızoğlu Haluk, Akand Murat, Kılıç Özcan, Gül Murat, Kucur Mustafa, Göktaş Serdar
Department of Urology, Bilim University Şişli Florence Nightingale Hospital, İstanbul, Turkey.
Department of Urology, Selçuk University Faculty of Medicine, Konya, Turkey.
Turk J Urol. 2014 Sep;40(3):150-5. doi: 10.5152/tud.2014.80090.
The aim of the study was to evaluate prostate awareness in the general male population and discover the common misinformation about prostate diseases (PDs).
A cross-sectional population sampling was performed in the general population for men between the ages of 18-70 with a survey conducted by medical students. The survey consisted of 15 questions addressing different aspects of PDs and common misinformation in the general population. All participants were stratified according to age, degree of education, occupation and whether the person himself or a close relative had visited a urologist for PDs. All questionnaires were anonymous, and patients were informed about the confidentiality of the results.
A total of 1004 men between the ages of 18-70 were included in the study (mean age 38.0±12.9 years). Of those included, 20.2% were primary school graduates, 8.6% were secondary school graduates, 25.5% were high school graduates, 39.8% were university graduates, and 5.8% had a doctorate or higher education. Of all 1004 men, 31.5% had seen a urologist or attended an interview with a close relative for a PDs-related visit in a urologist's office; 56.2% reported "prostate" as a disease and only 16.5% as an organ. In terms of beliefs, 50.2% believed that all men had a "prostate," 5.4% said that sexual activity would cause PDs, 13% thought that sexual activity would prevent PD, 24.9% reported that a rectal exam would affect sexual activity, and 63.5% believed that urinating when squatting would prevent prostate hyperplasia. Prostate cancer transmission to sexual partners was marked as true by 5% of the men. As many as 41.3% of the participants believed that early prostate surgery for BPH would prevent prostate cancer, and 13% reported that sexual activity ceases with prostate surgery and that retrograde ejaculation or anejaculation is the end of sexual activity in men.
The survey clearly showed that prostate awareness is still very unsatisfactory in the Turkish male population and that urologists need to better inform the general population. PD knowledge is still lacking throughout all education levels. This is a unique study showing a cross-sectional analysis of the Turkish community; however, the applicability of these results to other communities should be evaluated.
本研究旨在评估普通男性人群对前列腺的认知情况，并发现有关前列腺疾病（PDs）的常见错误信息。
由医学生对18至70岁的普通男性人群进行横断面抽样调查。该调查包含15个问题，涉及PDs的不同方面以及普通人群中的常见错误信息。所有参与者根据年龄、教育程度、职业以及本人或近亲是否因PDs看过泌尿科医生进行分层。所有问卷均为匿名，且告知患者结果保密。
本研究共纳入1004名年龄在18至70岁之间的男性（平均年龄38.0±12.9岁）。其中，20.2%为小学毕业生，8.6%为中学毕业生，25.5%为高中毕业生，39.8%为大学毕业生，5.8%拥有博士学位或更高学历。在这1004名男性中，31.5%曾看过泌尿科医生或陪同近亲在泌尿科诊所进行过与PDs相关的就诊；56.2%将“前列腺”视为一种疾病，只有16.5%将其视为一个器官。在认知方面，50.2%的人认为所有男性都有“前列腺”，5.4%的人表示性行为会导致PDs，13%的人认为性行为可预防PD，24.9%的人报告直肠检查会影响性功能，63.5%的人认为蹲着排尿可预防前列腺增生。5%的男性认为前列腺癌会传染给性伴侣。多达41.3%的参与者认为早期进行前列腺增生手术可预防前列腺癌，13%的人报告前列腺手术后性功能会停止，逆行射精或无射精是男性性功能的终结。
该调查清楚地表明，土耳其男性人群对前列腺的认知仍然非常不尽人意，泌尿科医生需要更好地向普通人群进行宣传。在所有教育水平中，对PDs的知识仍然缺乏。这是一项对土耳其社区进行横断面分析的独特研究；然而，这些结果在其他社区的适用性应予以评估。
