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I just was doing some research and came across this Survey.
It was done in 2002 & 2003 by 502 Patients and 100 Urologist in 5 country's. France, Germany, Italy, Spain and the UK. It is on the Patients and Doctors perception of BPH.
The patients first: Some of there concerns were cancer, lack of sleep, discomfort or embarrassment ( Sexual Functions ) Surgery was also a concern and the side effect from the surgery.
87% of the Urologist believe it will progress and 78% believe that 5 ARI's will stop the prostate from getting worse. However most urologist will give you A Blockers while only a few will give you 5 ARI's I will try to explain more later.
The study highlights the discrepancies between view and beliefs of the patients and the urologist.
Firstly BPH treatments focused on short term relief of the symptoms. Like I say before current care is to prescribe a A blocker which will relax the bladder neck and give you rapid relief. While if they gave you 5 ARI's this will inhibited the conversion of the testosterone to dehydrotestosterone ( DH ) The principal driver that make the prostate grow.
There were 2 questionnaires. One for the patients and one for the doctors. It does not say if they were the same questionnaires. The men were 45 to 80 years of age. 56 % of the men know what BPH was. 69% only talk to there wife's or partners about there BPH problems.
Most of the time men will wait 10 weeks or more to go see a doctor. They were either scared or thought is was there age. 95 % had problems with sleeping because of getting up at night. 19% had there med's changed because they did not like the side effect of the first med's that they were taking. 75% said that they would rather take pills over surgery. It also will depend on what meds you were getting. A blockers or the 5 ARI Therapy.
When assessing patients every country has a different way of on going care. 59% believe that the patient will progress to AUR in 4 years. While 82 % feel that 10 % of the men will need some type of prostate surgery. in the next 4 years.
Now with the urologist there were 20 in each country. 45% of the urologist feel that BPH has to do with aging but we have seen men in there 30's having a problem. They also feel men wait to long to see a doctor this is at 91%. 56% believe when a man finely get to there doctor it is to late and it is time for surgery. 96 % do feel that DRE & PSA test are needed. But in the UK only 35% of doctor only do PSA test.
There is a lot more in this survey that was talk about. It just make me wonder why the treatment very from country to country.
Take care all. Ken
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