Men's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urology Department, Shohada-e-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tajrish Sq, Tehran, Iran.
BMC Urol. 2024 Oct 8;24(1):219. doi: 10.1186/s12894-024-01612-7.
Benign prostatic hyperplasia (BPH) is common and presents as lower urinary tract symptoms (LUTS). Understanding patient concerns and treatment preferences is essential for effective management. This study aimed to investigate the attitudes, preferences, and expectations of Iranian patients with BPH, and compare them with those of urologists in addressing this condition.
A cohort of patients diagnosed with BPH underwent assessment during their initial visit. Before any counseling, their attitudes, concerns, and expectations regarding benign prostate enlargement were evaluated using semi-structured interviews. Patient responses were analyzed based on educational levels and age. Additionally, correspondence was initiated with thirty urologists who graduated within the past twelve years to assess their attitudes toward BPH, concerns, and treatment approaches. Interview questions were constructed using the Delphi method, and their validity was confirmed. Responses from both groups were analyzed and compared. Descriptive statistics, independent t-test, Chi-squared test, Mann-Whitney U, and principal component analysis (PCA) with varimax rotation were used for statistical analysis.
The study comprised 261 patients and 30 urologists. Findings revealed that 86.2% of patients and 86.7% of urologists perceived a lack of sufficient patient knowledge about BPH. Patients across all educational levels and age groups expressed a desire for more information about their condition. Primary concerns among patients included exacerbation of urinary symptoms, potential malignancy, and sexual dysfunction. While patients generally preferred pharmacological treatments, those older than 75 years showed a significantly higher preference for surgical options. Conversely, urologists exhibited greater concern for long-term clinical complications associated with BPH. Results indicated significant parallels between the attitudes of urologists and patients in assessing the multifaceted impact of BPH on patient well-being.
This study enhances our understanding of patient attitudes and concerns regarding BPH, thereby facilitating more effective treatment strategies. Our findings encourage urologists to enhance patient perspectives by delivering comprehensive information. Furthermore, the comparison between patient and urologist attitudes towards BPH underscores the importance of tailored care and patient-centered approaches in optimizing outcomes for individuals with BPH.
良性前列腺增生（BPH）很常见，表现为下尿路症状（LUTS）。了解患者的关注点和治疗偏好对于有效管理至关重要。本研究旨在调查伊朗 BPH 患者的态度、偏好和期望，并将其与泌尿科医生在处理这种疾病时的态度进行比较。
一组被诊断为 BPH 的患者在首次就诊时进行评估。在进行任何咨询之前，使用半结构化访谈评估他们对良性前列腺增大的态度、关注点和期望。根据教育水平和年龄分析患者的反应。此外，与过去 12 年内毕业的 30 名泌尿科医生进行了通信，以评估他们对 BPH 的态度、关注点和治疗方法。使用 Delphi 方法构建访谈问题，并确认其有效性。分析比较两组的回复。使用描述性统计、独立 t 检验、卡方检验、Mann-Whitney U 检验和主成分分析（PCA）与方差极大旋转进行统计分析。
该研究包括 261 名患者和 30 名泌尿科医生。结果表明，86.2%的患者和 86.7%的泌尿科医生认为患者对 BPH 的了解不足。所有教育水平和年龄组的患者都表示希望获得更多有关其病情的信息。患者的主要关注点包括尿症状恶化、潜在恶性肿瘤和性功能障碍。尽管患者普遍更喜欢药物治疗，但 75 岁以上的患者对手术选择的偏好明显更高。相反，泌尿科医生更关注 BPH 相关的长期临床并发症。研究结果表明，泌尿科医生和患者在评估 BPH 对患者整体健康的多方面影响方面态度存在显著相似之处。
本研究增强了我们对患者对 BPH 的态度和关注点的理解，从而促进了更有效的治疗策略。我们的研究结果鼓励泌尿科医生通过提供全面的信息来增强患者的观点。此外，患者和泌尿科医生对 BPH 的态度比较强调了针对个体定制护理和以患者为中心的方法的重要性，以优化 BPH 患者的治疗效果。
