Defining minimal invasive surgical therapy for benign prostatic obstruction surgery: Perspectives from a global knowledge, attitude, and practice survey

Awareness and compliance of urologists in the Middle East with minimally invasive surgical devices for the management of benign prostate hyperplasia

“…Rezūm and Urolift were proven to have a low perioperative morbidity rate, and ambulatory surgery feasibility, minimal blood loss, and faster postoperative recovery are consistent with the recommendations in the AUA guidelines. [ 5 6 10 ] Interestingly, 18% of participants had no prior knowledge of these devices nor clinical experience with using any of these devices. However, this percentage is lower than the 30% previously reported by Cheng et al .…”

“…Contrary to our report, most participants in the latter study were unfamiliar with Aquablation. This may be explained by the low response rate in Cheng et al .’s study,[ 5 ] in which <30% of participants did not complete the whole survey because of its length. Moreover, more than half of the participants in the latter survey are practicing in academic institutions, reflecting the poor participation of urologists working in public hospitals or private sectors.…”

“…The comparable outcomes of these devices and traditional prostate surgeries were consistent with a recent survey in which more than 40% of participants believed that Urolift and Rezūm were superior to TURP, in terms of lower blood loss, faster recovery, shorter duration of catheterization and lower incidences of postoperative incontinence and ejaculatory dysfunction. [ 5 ] Most of our participants felt it was too early to judge the role of these MIDs, which may have been due to the lack of comparative trials of these devices and standard TURP,[ 13 ] which would have impacted the urologists’ confidence in appropriately answering these questions.…”

“…[ 4 ] Some practitioners believe that Rezūm, Urolift, and iTIND are superior to transurethral resection of the prostate (TURP) in terms of feasibility as day surgery, less blood loss, faster recovery, lower incontinence rate, shorter catheterization time, and less ejaculatory dysfunction. [ 4 5 ] However, others believe that these MIDs are potentially inferior to traditional procedures for BPH and would be most appropriate for patients who would like to maintain sexual function or those who are medically unfit for general or prolonged anesthesia. [ 3 ]…”

Effect of continuity nursing based on the theory of Knowledge-Attitude-Practice on quality of life, self-efficacy, and treatment compliance in elderly patients with benign prostatic hyperplasia

“…[5] Previous research has examined the application of the theory of KAP and continuity nursing in the nursing management of BPH patients. [6–8] However, studies investigating the effects of continuity nursing based on the theory of KAP on intervention outcomes in elderly patients with BPH remain scarce. This study aims to explore the impact of continuity nursing based on the theory of KAP on the quality of life, self-efficacy, and treatment compliance of elderly BPH patients, with the goal of providing clinical guidance.…”