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Patients' perspective on prostatic artery embolization : A qualitative study

Holm, Alexander ; Lindgren, Hans LU ; Bläckberg, Mats LU ; Augutis, Marika ; Jakobsson, Peter ; Tell, Mattias ; Wallinder, Jonas ; Lundström, Karl-Johan and Styrke, Johan (2021) In SAGE Open Medicine 9. p.1-6
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... (More)

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.

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type
Contribution to journal
publication status
published
subject
in
SAGE Open Medicine
volume
9
pages
1 - 6
publisher
SAGE Publications
external identifiers
  • pmid:33786178
  • scopus:85105760440
ISSN
2050-3121
DOI
10.1177/20503121211000908
language
English
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yes
id
987dc957-8db1-4abe-9df9-44af5300ba18
date added to LUP
2021-05-17 13:04:23
date last changed
2024-06-13 16:36:47
@article{987dc957-8db1-4abe-9df9-44af5300ba18,
  abstract     = {{<p>Objectives: The aim was to describe the patients' experience of undergoing prostatic artery embolization.</p><p>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.</p><p>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.</p><p>Conclusions: From the patients' perspective, prostatic artery embolization is a well-tolerated method for treating benign prostate hyperplacia.</p>}},
  author       = {{Holm, Alexander and Lindgren, Hans and Bläckberg, Mats and Augutis, Marika and Jakobsson, Peter and Tell, Mattias and Wallinder, Jonas and Lundström, Karl-Johan and Styrke, Johan}},
  issn         = {{2050-3121}},
  language     = {{eng}},
  pages        = {{1--6}},
  publisher    = {{SAGE Publications}},
  series       = {{SAGE Open Medicine}},
  title        = {{Patients' perspective on prostatic artery embolization : A qualitative study}},
  url          = {{http://dx.doi.org/10.1177/20503121211000908}},
  doi          = {{10.1177/20503121211000908}},
  volume       = {{9}},
  year         = {{2021}},
}