Alexander Holm1, Hans Lindgren2,3, Mats Bläckberg4, Marika Augutis5, Peter Jakobsson6, Mattias Tell7, Jonas Wallinder7, Karl-Johan Lundström1, Johan Styrke1. 1. Department of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden. 2. Department of Clinical Sciences, Faculty of Medicine, Lund University, Lund, Sweden. 3. Department of Interventional Radiology and Surgery, Helsingborg Hospital, Helsingborg, Sweden. 4. Department of Urology, Helsingborg Hospital, Helsingborg, Sweden. 5. Department of Research and Development, Sundsvalls Hospital, Sundsvall, Sweden. 6. Department of Radiology, Östersunds Hospital, Östersund, Sweden. 7. Department of Surgery, Sundsvalls Hospital, Sundsvall, Sweden.
Abstract
OBJECTIVES: The aim was to describe the patients' experience of undergoing prostatic artery embolization. METHODS: A retrospective qualitative interview study was undertaken with 15 patients of mean age 73 years who had undergone prostatic artery embolization with a median duration of 210 min at two medium sized hospitals in Sweden. The reasons for conducting prostatic artery embolization were clean intermittent catheterization (n = 4), lower urinary tract symptoms (n = 10) or haematuria (n = 1). Data were collected through individual, semi-structured telephone interviews 1-12 months after treatment and analysed using qualitative content analysis. RESULTS: Four categories with sub-categories were formulated to describe the results: a diverse experience; ability to control the situation; resumption of everyday activities and range of opinions regarding efficacy of outcomes. Overall, the patients described the procedure as painless, easy and interesting and reported that while the procedure can be stressful, a calm atmosphere contributed to achieving a good experience. Limitations on access to reliable information before, during and after the procedure were highlighted as a major issue. Practical ideas for improving patient comfort during the procedure were suggested. Improved communications between treatment staff and patients were also highlighted. Most patients could resume everyday activities, some felt tired and bruising caused unnecessary worry for a few. Regarding functional outcome, some patients described substantial improvement in urine flow while others were satisfied with regaining undisturbed night sleep. Those with less effect were considering transurethral resection of the prostate as a future option. Self-enrolment to the treatment and long median operation time may have influenced the results. CONCLUSIONS: From the patients' perspective, prostatic artery embolization is a well-tolerated method for treating benign prostate hyperplacia.
OBJECTIVES: The aim was to describe the patients' experience of undergoing prostatic artery embolization. METHODS: A retrospective qualitative interview study was undertaken with 15 patients of mean age 73 years who had undergone prostatic artery embolization with a median duration of 210 min at two medium sized hospitals in Sweden. The reasons for conducting prostatic artery embolization were clean intermittent catheterization (n = 4), lower urinary tract symptoms (n = 10) or haematuria (n = 1). Data were collected through individual, semi-structured telephone interviews 1-12 months after treatment and analysed using qualitative content analysis. RESULTS: Four categories with sub-categories were formulated to describe the results: a diverse experience; ability to control the situation; resumption of everyday activities and range of opinions regarding efficacy of outcomes. Overall, the patients described the procedure as painless, easy and interesting and reported that while the procedure can be stressful, a calm atmosphere contributed to achieving a good experience. Limitations on access to reliable information before, during and after the procedure were highlighted as a major issue. Practical ideas for improving patient comfort during the procedure were suggested. Improved communications between treatment staff and patients were also highlighted. Most patients could resume everyday activities, some felt tired and bruising caused unnecessary worry for a few. Regarding functional outcome, some patients described substantial improvement in urine flow while others were satisfied with regaining undisturbed night sleep. Those with less effect were considering transurethral resection of the prostate as a future option. Self-enrolment to the treatment and long median operation time may have influenced the results. CONCLUSIONS: From the patients' perspective, prostatic artery embolization is a well-tolerated method for treating benign prostate hyperplacia.
Authors: Connie N Hess; Mitchell W Krucoff; Shubin Sheng; Kevin J Anstrom; W Britt Barham; Ian C Gilchrist; Robert A Harrington; Alice K Jacobs; Roxana Mehran; John C Messenger; Daniel B Mark; Sunil V Rao Journal: Am Heart J Date: 2015-05-04 Impact factor: 4.749
Authors: Matthias Oelke; Alexander Bachmann; Aurélien Descazeaud; Mark Emberton; Stavros Gravas; Martin C Michel; James N'dow; Jørgen Nordling; Jean J de la Rosette Journal: Eur Urol Date: 2013-03-13 Impact factor: 20.096
Authors: João M Pisco; Luis C Pinheiro; Tiago Bilhim; Marisa Duarte; Jorge R Mendes; Antonio G Oliveira Journal: J Vasc Interv Radiol Date: 2011-01 Impact factor: 3.464