Assessment Of Knowledge, Barriers, And Facilitators To Surgical Management Of Benign Prostatic Hyperplasia (Bph): A Study At The Urology Unit Of The Korle Bu Teaching Hospital

Abstract

Background: Benign prostatic hyperplasia (BPH) has numerous health implications and is a major health concern for aging men, however surgical intervention is considered the most effective and golden standard intervention among other options. Aim. The main aim was to assess the facilitators and barriers to the surgical management of BPH among patients diagnosed with BPH. The specific objectives were to examine the knowledge, barriers, and factors facilitating the uptake of surgical intervention in the management of BPH among patients at Korle Bu Teaching Hospital. Methodology The study used a quantitative approach and a cross-sectional design to answer the research questions. It was conducted among a sample of 390 male patients attending the urology clinic. It had a non-responsive rate of 7.5%. A simple random sampling technique was used to administer the questionnaire to the respondents. Likert options chosen by the respondents were summed and mean values calculated and used for further analysis. A logistic regression (univariate and multivariate) model was used to find factors (predictors) for the dependent variable. Findings: About, 45.4% of the respondent had “high knowledge” on surgical intervention in the management of BPH. The result of multivariate logistic regression showed that age had an odds of 1.07 of not doing surgery with every unit age increase. For every unit increase in knowledge of their condition decreases the likelihood of rejecting surgery intervention as an option for BPH by the odds of 0.59 or decreased the likelihood of rejecting surgery intervention by 41.0%. Similarly, an increase in the age of diagnosis decreases the likelihood of rejecting surgery intervention as an option for BPH by the odds of 0.45 or decreases the likelihood of rejecting surgery intervention by 55.0%. Wearing of catheter had odds of 5.3 of rejecting surgical intervention with a unit increase in catheter years. Barriers had odds of 22.0 of rejecting the surgical intervention of BPH with a unit increase in the number of barriers. Conclusion. Close to half of the respondents had “high knowledge” on surgical intervention in the management of BPH and more than half disagreed and/ or were uncertain to choose surgical intervention. Patient’s age, age of diagnosis, years of wearing catheter, knowledge scores and, general barriers were significant factors in predicting uptake of surgery as BPH intervention.