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Review
. 2022 Nov;23(11):297-302.
doi: 10.1007/s11934-022-01118-5. Epub 2022 Oct 11.

Racial Disparities in Diagnosis and Management of Benign Prostatic Hyperplasia: A Review

Abimbola Ayangbesan  1 , Nicholas Kavoussi  2
Affiliations
Review

Racial Disparities in Diagnosis and Management of Benign Prostatic Hyperplasia: A Review

Abimbola Ayangbesan et al. Curr Urol Rep. 2022 Nov.

Abstract

Purpose of review: We sought to perform a contemporary literature review highlighting the racial disparities which exists in the evaluation and management of benign prostatic hyperplasia (BPH).

Recent findings: Current literature suggests that racial disparities exist in the diagnosis of BPH and treatment lower urinary tract symptoms (LUTS). This is seen in the presentation and diagnosis of the disease as well as a difference in preventative care with discordant incidences of medical and surgical management among racial groups. The racial disparities that exist in the diagnosis and management of BPH and LUTS require further investigation to better identify the underlying causes. This will ultimately allow for continued improvement in care delivery and a more personalized approach in patient management.

Keywords: African American; Benign prostatic hyperplasia; Healthcare disparities; Lower urinary tract symptoms; Race; Socioeconomic.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
    1. Cho A, Chughtai B, Te AE. Benign prostatic hyperplasia and male lower urinary tract symptoms: epidemiology and risk factors. Curr Bladder Dysfunction Rep. 2020.
    1. •• Patel PM, Sweigert SE, Nelson M, Gupta G, Baker M, Weaver FM, et al. Disparities in benign prostatic hyperplasia progression: predictors of presentation to the emergency department in urinary retention. J Urol. 2020;204. Highlights barrier to healthcare access and disparities in BPH/LUTS treatment by showing that African American and Hispanic males are more likely to present to the ED for acute urinary retention management than other groups.
    1. Wei JT, Schottenfeld D, Cooper K, Taylor JM, Faerber GJ, Velarde MA, et al. The natural history of lower urinary tract symptoms in black american men: relationships with aging, prostate size, flow rate and bothersomeness. J Urol. 2001;165.
    1. Hoke GP, McWilliams GW. Epidemiology of benign prostatic hyperplasia and comorbidities in racial and ethnic minority populations. Am J Med. 2008;121.
    1. Egan KB. The epidemiology of benign prostatic hyperplasia associated with lower urinary tract symptoms: prevalence and incident rates. Urol Clin North Am. 2016.

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