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. 2021 Mar 12:9:20503121211000908.
doi: 10.1177/20503121211000908. eCollection 2021.

Patients' perspective on prostatic artery embolization: A qualitative study

Alexander Holm  1 , Hans Lindgren  2   3 , Mats Bläckberg  4 , Marika Augutis  5 , Peter Jakobsson  6 , Mattias Tell  7 , Jonas Wallinder  7 , Karl-Johan Lundström  1 , Johan Styrke  1
Affiliations

Patients' perspective on prostatic artery embolization: A qualitative study

Alexander Holm et al. SAGE Open Med. .

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 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.

Keywords: Prostatic artery embolization; benign prostate hyperplacia; doctor–patient; health care users’ experiences; nurse–patient communication; patient education.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: H.L. has received compensation according to a proctoring and training agreement with ev3 Nordic AB, William Cook Europe ApS and Merit Medical AB. These sponsors had no involvement in any part of the study. The study was conducted without sponsoring from any medical device company. A.H., K.-J. L., M.A., M.T., J.W. and J.S. have no conflicts of interest.

Figures

Figure 1.
Figure 1.
Sample selection. PAE: prostatic artery embolization.
Figure 2.
Figure 2.
The results divided into categories and subcategories according to content analysis.
See this image and copyright information in PMC

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