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Patients' perceptions of transrectal prostate biopsy: a qualitative study.
A B Chapple1, S Ziebland, S Brewster
1DIPEx Research Group, Department of Primary Health Care, University of Oxford, Headington, UK. alison.chapple@dphpc.ox.ac.uk
European Journal of Cancer Care
|May 19, 2007
Summary
Men undergoing transrectal prostate biopsy often find it uncomfortable, with some experiencing significant pain and stress. Providing detailed information and reassurance can alleviate patient fears and improve the biopsy experience.
Area of Science:
- Urology
- Patient Experience Research
- Oncology
Background:
- Transrectal prostate biopsy is a common procedure for diagnosing prostate cancer.
- Understanding patient perspectives is crucial for improving healthcare delivery.
- Previous research has not fully captured the nuanced experiences of men undergoing this procedure.
Purpose of the Study:
- To explore and understand men's lived experiences of transrectal prostate biopsy.
- To identify common concerns and anxieties associated with the procedure.
- To inform best practices for patient care and communication.
Main Methods:
- Qualitative interpretive approach utilizing in-depth interviews.
- Thematic analysis and constant comparison of participant narratives.
- Recruitment of 50 men across diverse UK settings.
Main Results:
- Most men reported the biopsy as 'uncomfortable', but a subset experienced significant pain, stress, and exhaustion.
- Common fears included cancer cell transmission and metastasis due to the biopsy.
- Participants desired more detailed pre-procedure information and opportunities for reassurance.
Conclusions:
- Men's experiences of transrectal prostate biopsy vary, ranging from mild discomfort to severe distress.
- Addressing patient fears through comprehensive information and psychological support is essential.
- Enhanced patient education and pain management strategies should be implemented.
