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Older Men and Sexual Function: Is BPH Treatment a High Stakes Decision?

How the possibility of treatment-induced sexual dysfunction affects men's decision making about benign prostatic hyperplasia (BPH) treatment has not been well studied. As part of a study (N = 188) of older men's reactions to a videotape BPH treatment decision aid, narrative data were analy...

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Bibliographic Details
Published in:International journal of men's health 2006-03, Vol.5 (1), p.93-101
Main Authors: Kelly-Blake, Karen, Holmes-Rovner, Margaret, Lillie, Janet, Bonham, Vence, Wills, Celia E, Rovner, David, Price, Chrystal
Format: Article
Language:English
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Summary:How the possibility of treatment-induced sexual dysfunction affects men's decision making about benign prostatic hyperplasia (BPH) treatment has not been well studied. As part of a study (N = 188) of older men's reactions to a videotape BPH treatment decision aid, narrative data were analyzed for 74 men who stated concerns about treatment-induced sexual dysfunction. College-educated men (n = 54) were more likely than non-college educated men (n = 20) to mention sexual concerns. A substantial proportion of men appeared to view BPH treatment decision making as "high stakes" due to the risk of sexual dysfunction, including 23% who preferred watchful waiting to "riskier" medications or surgery. The extent to which these concerns also occur but are not necessarily stated by non-college educated men requires additional investigation. Within a partnership health care approach, clinicians who are counseling men about BPH treatment options should ask about possible concerns about treatment-induced sexual dysfunction. [PUBLICATION ABSTRACT]
ISSN:1532-6306
1933-0278
DOI:10.3149/jmh.0501.93