在男性患有下尿路症状的男性患者中,早期和有效的膀过活管理的障碍
Paul Rasner1, Maria Arcila-Ruiz2, José Ailton Fernandes Silva3
1Urological Department, Moscow State University of Medicine and Dentistry, Moscow, Russia.
PloS one
|July 23, 2025
概括
男性的过度活性膀 (OAB) 经常因为症状重叠与良性前列腺阻塞而被遗漏. 解决泌尿科医生对诊断和治疗的障碍是改善患者结果的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 男人的健康 男人的健康
- 下尿道的症状 下尿道的症状
背景情况:
- 男性的过度活性膀 (OAB) 经常被诊断不足和治疗不足.
- OAB的症状可以与良性前列腺阻塞 (BPO) 重叠,使诊断复杂化.
- 由于OAB症状的污名化或正常化,男性可能会推迟寻求护理.
研究的目的:
- 确定泌尿科医生在治疗下尿道症状 (LUTS) 的男性中面临的障碍.
- 了解泌尿科医生对OAB诊断和治疗在这个患者群体的观点.
主要方法:
- 定性研究涉及对60名泌尿科医生进行深入采访.
- 从澳大利亚,巴西,哥伦比亚,俄罗斯,韩国和泰国招募了参与者.
- 用专题分析来分析采访数据.
主要成果:
- 由于储存症状的多因素原因,诊断变得复杂.
- 患者报告的结果工具未得到充分利用.
- 污名化,规范化,沟通挑战和低估OAB影响管理.
- 泌尿科医生可能无法完全理解治疗的权衡.
结论:
- 改善男性的OAB诊断和管理需要解决泌尿科医生识别的障碍.
- 鼓励使用患者报告的结果工具,并澄清治疗概况,可以提高护理.
- 及时诊断和对治疗策略的信心增加是潜在的结果.
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