A Swedish version of a quality of life questionnaire for partners of men with symptoms suggestive of benign prostatic obstruction

Malignant features of a benign waiting list

Objective:

Transurethral resection of the prostate (TURP) operations are frequently deferred. Consequently, patients awaiting TURP have multiple urology-related admissions for problems such as urinary retention. This audit aims to determine the effect of TURP deferments on the frequency and duration of urology-related admissions, as well as the financial implication in our institution over a three-month period.

Patients and methods:

A retrospective, electronic database review of patients who received a TURP at Northwick Park Hospital, between 1 January 2014–31 March 2014, was carried out. The following data were extracted: (a) date the patient was listed for TURP; (b) date patient underwent TURP; (c) number of deferments between a patient being listed for surgery and receiving their operation; (d) reason(s) for deferment; and (e) number, duration and indication of urology-related inpatient admissions whilst awaiting TURP. Using this data, we calculated the cost of urology-related admissions whilst awaiting surgery.

Results:

In total, 44 patients underwent a TURP operation. Of these, 21 patients had their TURP deferred. There were 23 urology-related admissions whilst patients awaited a TURP. Fifteen of these admissions were attributed to eight patients with deferments to surgery. They spent a total of 45 days/30 nights in hospital. The remaining eight urology-related admissions were accounted for by six patients with no deferments to surgery. They spent 12 days/3 nights in hospital. We approximate a daily cost of £250 for an NHS bed. This equates to a total cost of £11,250 (£1406 per patient) for the eight patients who had TURPs deferred versus £3000 (£500 per patient) for those six patients without deferments.

Conclusion:

Patients who have their TURP operations deferred have an increased frequency and duration of urology-related admissions, associated with an additional cost of at least £900 per patient.

Sleep and partner-specific quality of life in partners of men with lower urinary tract symptoms compared with partners of men from the general population

OBJECTIVE

The aims of this study were to examine differences between partners of men with lower urinary tract symptoms (LUTS) suggestive of benign prostatic obstruction (BPO) and partners of men from the population regarding sleep and two aspects of quality of life, partner-specific quality of life and health-related quality of life (HRQoL), and to identify factors related to the partner-specific quality of life and the parameter sleep efficiency.

MATERIALS AND METHODS

The design was descriptive and comparative. The subjects were partners of men with LUTS suggestive of BPO (n = 126) and partners of randomly selected men from the general population (n = 131). Self-administered questionnaires about demography, comorbidity, sleep, sexuality, partner-specific quality of life and HRQoL were used.

RESULTS

Partners of men with LUTS suggestive of BPO were significantly more affected in all variables measuring partner-specific quality of life compared with partners from the population. The most impaired aspects were compassion and worry about an operation or cancer. In logistic regression, the only explanatory factors were having a partner belonging to the LUTS group for impaired partner-specific quality of life and having a bed partner for high sleep efficiency. There were no significant differences between the two groups regarding the quantity and quality of sleep or the HRQoL.

CONCLUSIONS

The partner-specific quality of life was impaired in partners of men with LUTS suggestive of BPO. Sleep and HRQoL did not differ between partners of men with LUTS and partners from the population.

[The impact of urinary incontinence of the lives of wives of men with incontinence: an integrative review]

Male urinary incontinence has been related to several factors, among which benign prostatic hyperplasia and prostate cancer treatment are highlighted. Urinary incontinence has negative effects on patients as well as on their relatives and caregivers. In the present study, an integrative review was performed with the purpose to identify the impact that urinary incontinence has on the lives of the patients' partners. The article survey was performed on the following databases: CINAHL, EMBASE, SCOPUS, MEDLINE, and PubMed. Articles were included if they were written in Portuguese, English or Spanish, and excluded if they did not mention the patients' wives. The final sample was comprised of 15 articles from seven countries. The articles were distributed into the following categories: Psychological Distress, Fatigue, Change in Sex Life, and Limitations on Social Life. The category Psychological Distress was present in all articles and was rated as having the most impact on these women's lives.