Addressing Mental Health in Urology Patients: The Time is Now

Klaassen, Zachary; Wallis, Christopher J.D.

doi:10.1016/j.euf.2020.08.009

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…Given findings of MHI and suicide risk within urologic oncology, it could be helpful for physicians and healthcare providers in urology to coordinate between medical, socioeconomic, and psychosocial factors in treatment for urogenital cancers. 130 This is especially true for patients of low socioeconomic or racially underrepresented backgrounds who may not have said access to mental health resources during treatment of urogenital cancers. 131 To provide greater psychosocial support for patients undergoing GU cancer treatment, incorporating mental health metrics into patient care (such as questionnaires to assess early treatment for MHI) and a combined effort of careful coordination with psychiatrists and psychologists for psychotherapy, psychopharmacology, and neuro-stimulation treatment modems may be helpful.…”

Section: Discussionmentioning

confidence: 99%

Mental Health in Urologic Oncology

Anderson

Razzak

McDonald

et al. 2022

Health Psychology Research

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This article is a systematic review of mental health in urologic oncology patients with prostate cancer (PCa), bladder cancer (BC), renal cell carcinoma (RCC), testicular cancer (TC), or penile cancer (PeCa). For all pathologies, a focus on increasing quality of life post-treatment demonstrated a positive impact in reducing Mental Health Illness (MHI) prevalence. Cancer specific mental health care may be given to patients to reduce suicide risk in BC patients and sexual identify and masculinity counseling may improve mental health for TC or PeCa patients. In order to better accommodate patient’s mental health needs when undergoing GU cancer treatment, we recommend incorporation of mental health metrics such as questionnaires to assess early treatment of MHI, a greater emphasis on psychosocial support with the patient’s loved ones, peers, and healthcare team, alongside advising healthy habits such as exercise which has been shown to drastically reduce MHI incidence across all pathologies. We hope that these measures conducted by urologists and oncologists, alongside possible coordination with psychiatrists and psychologists for psychotherapy, psychopharmacology, and neuro-stimulation treatment modems may be helpful in the long term to reduce MHI incidence in urology oncology patients. Given the higher incidence of MHI in oncology patients and in the patient population after the Covid-19 pandemic, MHI awareness in the sphere of urologic oncologic treatment continues to be crucial when creating a collaborative treatment platform for patients.

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Section: Discussionmentioning

confidence: 99%

Mental Health in Urologic Oncology

Anderson

Razzak

McDonald

et al. 2022

Health Psychology Research

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“…This point is underscored by findings that men with prostate and bladder cancer with a pre‐existing mental health diagnosis experienced significantly higher chances of dying from their cancer within 1–10 years compared with those without such challenges. Specifically, men with a history of mental health hospitalisation were about twice as likely to die from prostate or bladder cancer 12 . These stark data highlight the critical impact of untreated mental health issues on not only the management but also the outcomes of urological conditions, emphasising the need for a care approach that integrates psychological and physical health treatment.…”

Section: Overcoming Stigma In Men's Urological Healthmentioning

confidence: 99%

“…Specifically, men with a history of mental health hospitalisation were about twice as likely to die from prostate or bladder cancer. 12 These stark data highlight the critical impact of untreated mental health issues on not only the management but also the outcomes of urological conditions, emphasising the need for a care approach that integrates psychological and physical health treatment. Addressing these barriers necessitates a multifaceted approach to reshape societal perceptions of masculinity and health.…”

Section: Overcoming Stigma In Men's Urological Healthmentioning

confidence: 99%

Psychological impact of urological disorders on men's mental health: the need for integrated support

Sitharthan

2024

Trends Urol & Men's Health

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Urological disorders impact men's physical health and mental wellbeing, necessitating integrated mental health support within urology. This article examines the psychological distress associated with conditions like prostate cancer and erectile dysfunction, compounded by societal expectations that often discourage men from seeking help. It highlights the importance of a holistic care model that addresses physical symptoms and psychological impacts. The authors advocate for a paradigm shift towards comprehensive care, enhanced training for urologists and dismantling societal stigma to improve patient outcomes and establish a new standard in men's health care.

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“…1 Specifically, within the field of urology, while there has been previous work assessing mental health illnesses and its interactions with urology conditions, many of the literature has centered on patients with genitourinary conditions. 2 While the treatment of mental health illnesses are in the scope of psychiatrists and clinical psychologists, careful interprofessional coordination and initial spotting of mental health conditions need to be conducted by urologists. In this literature review, we hope to provide a detailed overview and guide on cases reported on rare mental health disorders that presented in the field of urology.…”

Section: Introductionmentioning

confidence: 99%

Rare Mental Health Disorders Affecting Urologic Care: A Comprehensive Review

Razzak

Orlando

Angelette

et al. 2022

Health Psychology Research

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Management of mental health illnesses and needs are important in fostering psychosocial support, interprofessional coordination, and greater adherence to treatment protocols in the field of urology. This can be especially true for mental health conditions that may greatly impact the presentation of a patient in the healthcare setting with urologic symptoms. This review describes the history, epidemiology, pathophysiology, clinical presentation, and treatment of somatic symptom disorder, illness anxiety disorder, compulsive sexual behavior/hypersexuality, factitious disorder, malingering symptoms, and conversion disorder in the realm of urology. Given the newly updated psychiatric diagnoses in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, there has been a lack of studies reviewing how these illnesses may present in a urology patient encounter. Additionally, as these mental health illnesses may carry a rare incidence compared to other well-known mental health illness such as generalized depression or generalized anxiety disorder, we have found that the lack of provisions and recognition of the diseases can prolong the timeline for diagnosis and lead to an increased cost in both healthcare and quality of life of patients with these mental health illnesses. This review provides awareness on these mental health conditions which may greatly impact patient history and presentation within the field of urology. Additionally, urologic care providers may have an improved understanding of interdisciplinary management of such illnesses and the common symptoms patients may present with such diseases.

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Addressing Mental Health in Urology Patients: The Time is Now

Cited by 5 publications

References 22 publications

Mental Health in Urologic Oncology

Mental Health in Urologic Oncology

Psychological impact of urological disorders on men's mental health: the need for integrated support

Rare Mental Health Disorders Affecting Urologic Care: A Comprehensive Review

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