Objective: Although benign prostatic hy- perplasia (BPH) is not a life threatening disease, it affects sleep quality, psychological state, daily activities and sexuality, leading to significant morbidities such as depression and low quality of life. In this study, we aimed to investigate the ten- dency of urologists in our country in the diagnosis and treatment of BPH.
Material and Methods: Based on current Urology guidelines, a web-based 33-items ques- tionnaire including BPH diagnosis and treatment was created. Between October 2016 and January 2017, Urologists who are members of the Turkish Urological Association and working actively have been invited to participate by e-mail. Urology residents and retired urologists were not included in the study.
Results: In our study, 200 Urologists com- pleted a multiple-choice questionnaire consisting of 33 questions. The participants; 60.5% were spe- cialist, 14% were assistant professors, 12.5% were associate professors and 13% were professors. International Prostate Symptom Score (IPSS) was always performed by %19.5 of participants and digital rectal examination(DRE) was performed by %39 of participants for all the admissions with LUTS. Tamsulasin was the most preferred alfa blocker with the rate of %33 and silodosin was the most accused alfa blocker for side effects by the participants. Monopolar systems were the most used method for surgeries with the rate of %65,5 but bipolar systems were the most preferred method for endoscopic BPH surgical treatments with the rate of %62,2. Diod laser was the least used and preferred method for endoscopic BPH treatment.
Conclusion: Laser technology has lost its popularity in recent years and bipolar technologies has become the most preferred method for the endoscopic BPH treatments. Alfa blockers are still used as a first choice for BPH medical treatment.
Keywords: BPH, LUTS, Urologist
Abstract
Objective: Although benign prostatic hy- perplasia (BPH) is not a life threatening disease, it affects sleep quality, psychological state, daily activities and sexuality, leading to significant morbidities such as depression and low quality of life. In this study, we aimed to investigate the ten- dency of urologists in our country in the diagnosis and treatment of BPH.
Material and Methods: Based on current Urology guidelines, a web-based 33-items ques- tionnaire including BPH diagnosis and treatment was created. Between October 2016 and January 2017, Urologists who are members of the Turkish Urological Association and working actively have been invited to participate by e-mail. Urology residents and retired urologists were not included in the study.
Results: In our study, 200 Urologists com- pleted a multiple-choice questionnaire consisting of 33 questions. The participants; 60.5% were spe- cialist, 14% were assistant professors, 12.5% were associate professors and 13% were professors. International Prostate Symptom Score (IPSS) was always performed by %19.5 of participants and digital rectal examination(DRE) was performed by %39 of participants for all the admissions with LUTS. Tamsulasin was the most preferred alfa blocker with the rate of %33 and silodosin was the most accused alfa blocker for side effects by the participants. Monopolar systems were the most used method for surgeries with the rate of %65,5 but bipolar systems were the most preferred method for endoscopic BPH surgical treatments with the rate of %62,2. Diod laser was the least used and preferred method for endoscopic BPH treatment.
Conclusion: Laser technology has lost its popularity in recent years and bipolar technologies has become the most preferred method for the endoscopic BPH treatments. Alfa blockers are still used as a first choice for BPH medical treatment.
Keywords: BPH, LUTS, Urologist