Anderson Danyon, Kumar Devesh, Divya Divya, Zepeda Jose L, Razzak Abrahim N, Hasoon Jamal, Viswanath Omar, Kaye Alan D, Urits Ivan
School of Medicine, Medical College of Wisconsin.
School of Medicine, University of Missouri- Kansas City.
Health Psychol Res. 2022 Sep 23;10(3):38352. doi: 10.52965/001c.38352. eCollection 2022.
This article is a literature review of mental health concerns in non-oncologic urology patients. Pathologies represented in this review include Peyronie's Disease (PD), erectile dysfunction (ED), urinary incontinence and urinary tract infections (UTI), infertility, benign prostatic hyperplasia (BPH), kidney stones, and urinary retention. While there has been great interventional focus as of late for urogenitary malignancies (i.e. prostate cancer awareness with the Movember campaign), literature studies and intervention focused on non-oncologic urology patients has been limited. As such, we conducted a review on urology patients with non-oncologic pathologies as an effort to increase clinician awareness of mental health concerns among such patients, increase the comfort level for clinician communication on socially sensitive topics surrounding pathologies, and review ongoing interventions conducted within these pathologies. We outlined different ongoing Mental Health Illness (MHI) needs and treatments for various pathologies. Patients with non-cancerous urologic pathologies had lower quality of life and higher incidence of MHI than the general population. As such, in line with the American Urological Association recommendations, psychological and social support from peers, therapists, and healthcare providers further prove to be crucial for some subpopulations. The review also yielded pathology specific interventions such as group therapy for ED patients. Given the higher incidence of MHI in the patient population after the Covid-19 pandemic, MHI awareness in the sphere of non-oncologic urology treatment continues to be crucial when creating a collaborative treatment platform for patients.
本文是一篇关于非肿瘤性泌尿外科患者心理健康问题的文献综述。本综述涵盖的病症包括佩罗尼氏病（PD）、勃起功能障碍（ED）、尿失禁和尿路感染（UTI）、不孕症、良性前列腺增生（BPH）、肾结石以及尿潴留。尽管近期泌尿生殖系统恶性肿瘤受到了极大的干预关注（例如“胡子月”活动提高了对前列腺癌的认识），但针对非肿瘤性泌尿外科患者的文献研究和干预却很有限。因此，我们对患有非肿瘤性病症的泌尿外科患者进行了综述，旨在提高临床医生对这类患者心理健康问题的认识，增强临床医生在围绕病症的社会敏感话题上沟通的舒适度，并回顾这些病症正在进行的干预措施。我们概述了针对各种病症不同的持续心理健康疾病（MHI）需求和治疗方法。患有非癌性泌尿外科病症的患者生活质量较低，MHI发病率高于普通人群。因此，根据美国泌尿外科学会的建议，来自同龄人、治疗师和医疗服务提供者的心理和社会支持对某些亚群体而言至关重要。该综述还得出了针对特定病症的干预措施，如针对ED患者的团体治疗。鉴于新冠疫情后患者群体中MHI发病率较高，在为患者创建协作治疗平台时，非肿瘤性泌尿外科治疗领域的MHI意识仍然至关重要。
