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[Fake News BPH - what is really true!]
M Oelke1, T Bschleipfer2, K Höfner3
1Klinik für Urologie, Kinderurologie und Urologische Onkologie, Prostatazentrum Nordwest, St. Antonius-Hospital, Möllenweg 22, 48599, Gronau, Deutschland. matthias.oelke@st-antonius-gronau.de.
Der Urologe. Ausg. A
|February 22, 2019
Summary
Misconceptions about benign prostatic hyperplasia (BPH) persist despite evidence-based guidelines. This study clarifies BPH terminology and pathophysiology, debunking common myths to improve patient care and reduce malpractice.
Area of Science:
- Urology
- Men's Health
- Medical Education
Background:
- Lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) is a prevalent condition in men over 50.
- Despite established guidelines, misconceptions regarding LUTS/BPH terminology and pathophysiology are common, leading to potential malpractice.
Purpose of the Study:
- To identify and address prevalent false assumptions about benign prostatic hyperplasia (BPH).
- To clarify the correct terminology and pathophysiology of LUTS/BPH.
Main Methods:
- A critical review of 12 selected 'fake news' articles identified through a PubMed search.
- Analysis focused on debunking common myths related to BPH.
Main Results:
- Benign prostatic hyperplasia (BPH) does not progress in stages; traditional staging classifications are outdated.
- Prostate size has a weak, inconsistent correlation with bladder outlet obstruction (BOO), making it unreliable for diagnosis.
- Current BPH medications and transurethral resection of the prostate (TURP) techniques may not fully address BOO as previously assumed.
Conclusions:
- Persistent use of incorrect BPH terminology and pathophysiology stems from a lack of guideline implementation.
- Factors contributing to this include insufficient knowledge, individual beliefs, cost, and a greater focus on oncology over BPH education.
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