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Related Experiment Videos

Shared care for benign prostatic hyperplasia: a feasibility study

S B Morris1, C Pogson, R J Shearer

  • 1Department of Urology, St George's Hospital, London, UK.

British Journal of Urology
|July 1, 1995
PubMed
Summary
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Many men with benign prostatic hyperplasia (BPH) symptoms can be managed in the community after assessment at a shared-care clinic. This approach streamlines care for uncomplicated urinary outflow obstruction.

Area of Science:

  • Urology
  • Community Health
  • Healthcare Management

Background:

  • Benign prostatic hyperplasia (BPH) frequently causes urinary outflow obstruction.
  • Direct access shared-care clinics offer a potential solution for managing BPH symptoms.

Purpose of the Study:

  • To assess the proportion of BPH patients with urinary outflow obstruction manageable in the community post-shared-care clinic assessment.
  • To evaluate the effectiveness of a shared-care model for BPH management.

Main Methods:

  • 127 men with suspected urinary outflow obstruction were referred to a consultant urologist.
  • Investigations included urinalysis, PSA, renal function tests, X-ray, ultrasound, and uroflowmetry.
  • The study determined how many men could be managed in the community after shared-care clinic evaluation.

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Main Results:

  • 69% of men had uncomplicated BPH-related outflow obstruction.
  • 38% were manageable in the community after initial shared-care assessment.
  • An additional 21% could be managed in the community after specialist investigation.

Conclusions:

  • Shared-care clinics can effectively assess many men with uncomplicated BPH outflow obstruction.
  • A significant proportion of these patients can be managed within the community setting.
  • A shared-care protocol has been implemented based on these findings.