Barriers to prostate cancer screening: psychological aspects and descriptive variables - is there a correlation?

Methods. aEuro integral Patients (345) who underwent DRE for the first time from February 2006 to December 2007 were evaluated for their psychological reactions and feelings after the examination. Results. aEuro integral The average age of the patients was 52.8 years (25 - 85 years); 40.94%% had felt fear (examination fear 15.94%%, and diagnosis fear 25%%), 26.45%% shame and 48.26%% indicated they were not thinking about anything. There was no correlation between age, educational level and emotional reactions. Most patients (96.8%%) would undergo a DRE again and 52.35%% had considered it better than they had imagined. Of these patients, 41.81%% were illiterate/incomplete elementary school. Only 4.12%% described having a negative experience. The factors that persuaded the patients to book an appointment were: 50.1%% made their own decision, 26.67%% were recommended by a physician, 18.55%% family/friends and 6.67%% were influenced by the media. Wives booked 24.06%% of the consultations. Although 85.47%% of patients had some previous knowledge about the examination, 80.81%% felt they had further clarification afterward. Lower educational level was related to lack of information about DRE, while 52.38%% who made their own decision had previous knowledge of the importance of DRE. Conclusion. aEuro integral The majority of the patients found DRE less awkward than they had imagined it to be and would repeat the examination in the future. Fear and shame before the examination are present and are barriers to the DRE.141667

Satisfaction analysis in men presenting with localized prostate cancer treated with radical prostatectomy or radiotherapy: Psychological and social aspects

Objective: Analyze the treatment satisfaction and impact on patients with localized prostate cancer. Methods: One-hundred and eighty patients, with mean age of 60 years, were divided into three groups: group I - 100 patients submitted to radical retropubic prostatectomy (RRP), group II - 40 patients who underwent radiotherapy (RT), and group III - 40 healthy men. A questionnaire was applied to the groups to assess physical and psychological changes 18 months after treatment. The investigational tool was based on two questionnaires; first: SF-36 (Short Form Health Survey), second: FACT-P (Functional Assessment Cancer Therapy). Results: In group I, 70% never used pads, 5% presented with complete urinary incontinence, and 10% reported occasional stool leakage. In group II, 85% did not use pads and 5% reported two pads a day; 15% reported stool leakage or intestinal cramps. Sexual dysfunction was similar in both groups: 75% of the surgical group and 72.5% of the radiotherapy group reported erectile dysfunction. In the control group, 40% reported erectile dysfunction; 10% reported occasional stool leakage and none had changes regarding the overall treatment-related satisfaction. Seventy-eight percent of the RRP group and 77.5% of the RT group reported being happy respecting satisfaction with the accepted or chosen treatment, and affirmed that would choose it again. Conclusions: The assessment of treatment-related satisfaction determines the treatment tolerability. This study's results did not show any significant changes in this issue between both treatment modalities (p>0.05).32441141