Psychiatric disorders in urology patients – a review of the literature
Keywords:
mental state, quality of life, urologyAbstract
The purpose of this study was to analyze the existing literature regarding patients’ mental disorders after urological treatment. Special attention was paid to problems of patients with cancer, treated surgically, and with andropause and intimate problems. Mental disorders occurring in the course of somatic diseases may be a reaction to the disease itself, its severity, nuisance, and limitations coming along with the disease. It may also be a result of poor prognosis, as well as significant change of social situation, and the outcome of somatic factors influencing the central nervous system. Also it may be a combination of two mentioned above conditions. Cancer, due to its stereotypical social perception, is mainly identified with death in agony, which can be an enormous psychological burden, even though it may not cause any limitation to physical or social activities. Many surgical procedures are associated with particularly high anxiety. The issue of andropause, called simultaneously the male midlife psychoendocrine syndrome is also associated with changes in the psyche, and patients intimate sphere. Taking into consideration urological aspect, sexual disorders occurring after surgery can be a consequence of invasive treatment. These disorders affect both men and women, although the literature devoted to women’s sexual disorders with purely urological problems is poor. Reduced sexual ability can lead to various disorders, complex and reduced self-esteem; for instance: psychosomatic, depressive and neurotic disorders, relationship and interpersonal problems, low patience. Based on the literature, it can be concluded that patients undergoing urological treatment are facing various psychological or psychiatric disturbances. These problems are often margina-lized in somatic medicine. In many cases setting proper diagnosis is difficult due to similarity of symptoms that occur in both disturbances: urological, and psychiatric. It is worth to carry on the therapy holistically, combining psychological and somatic symptoms.
References
1. Rabe-Jabłońska J. Zaburzenia psychiczne związane ze stanem somatycznym. W: Jarema M., Rabe–Jabłońska J. red., Psychiatria–podręcznik dla studentów medycyny. Warszawa; PZWL: 2011, s. 254-267.
2. de Walden-Gałuszko K., Majkowicz M. Jakość życia w chorobie nowotworowej. Gdańsk; Wydawnictwo Uniwersytetu Gdańskiego: 1994.
3. Baile W.F. Jakość życia a zaburzenia depresyjne u chorych onkologicznych. W: Meyza J. red., Jakość życia w chorobie nowotworowej. Warszawa; Centrum Onkologii Instytutu im. Marii Skłodowskiej-Curie w Warszawie: 1997, s. 167–182.
4. Araszkiewicz A., Bartkowiak W., Starzec W. Zaburzenia lękowe w chorobie nowotworowej. Psychiatr. Prakt. Ogólnolek., 2004; 4(4): 157–166.
5. de Walden-Gałuszko K., Majkowicz M., Trzebiatowska I. Najczęstsze problemy psychiatryczne w ambulatoryjnej praktyce onkologicznej. Psychoonkologia, 1998; 2: 21–26.
6. Trzebiatowska I.A. Leczenie depresji w chorobie nowotworowej–aspekty praktyczne. Psychoonkologia, 1999; 4: 47–52.
7. Bird J., Hayter M. A review of the literature on the impact of renal cancer therapy on quality of life. J. Clin. Nurs., 2009; 18: 2783-2800.
8. Anastasiadis A.G., Davis A.R., Sawczuk I.S. Quality of life aspects in kidney cancer patients: data from a national registry. Support Care Cancer, 2003; 11: 700-706.
9. Gliniewicz B. Ocena jakości życia po prostatektomii radykalnej. Urol. Pol., 2006; 59(Suplement 1): 16.
10. Kurowska K., Żmuda W. Wsparcie a poczucie koherencji (SOC) jako wyznaczniki w powrocie do zdrowia u mężczyzn z rozpoznanym rakiem prostaty . Problemy pielęgniarstwa, 2011; 19(1): 81-85.
11. Mess E., Zatoka R., Jonak K., Lisowska A., Dybko J. Jakość życia chorych z nowotworem pęcherza moczowego. Onkol. Pol., 2006; 9(4): 162-165.
12. Caumo W., Schmidt A.P., Schneider C.N., Bergmann J., Iwamoto C.W., Bandeira D., Ferreira M.B. Risk factors for preoperative anxiety in adults. Acta Anaesthesiol. Scand., 2001; 45: 298-307.
13. Admiraal P., Modzelewska B., Wołowicka L. Badania dynamiki lęku okołooperacyjnego. Przegl. Psychol., 1985; 28: 1103-1111.
14. Kindler C.H., Harms C., Amsler F., Ihde-Scholl T., Scheidegger D. The Visual Analogue Scale allows effective measurement of preoperative anxiety and detection of patients’ anesthetic concerns. Anesth. Analg., 2000; 90: 706-712.
15. Basińska K., Michowska M., Borys B., Bukowska A., Dutka P., Wujtewicz M. The effect of anaesthetic information on the level of preoperative anxiety. Anaesthesiol. Intensive Ther., 2006; 38: 184-187.
16. Kaska Ł., Śledziński Z., Kobiela J., Makarewicz W., Stefaniak T. Artykuł poglądowy. Porównanie jakości życia po operacjach laparoskopowych i klasycznych. Wideochirurgia i inne techniki małoinwazyjne, 2006; 2: 77-86.
17. Słojewski M. Laparoskopia w urologii-stan aktualny. Przegl. Urolog., 2008; 9(3): 49.
18. Mędraś M., Babolek L. Andropauza. Warszawa; PZWL: 2002, 2004.
19. Semczuk M., Kurpisz M. Klimakterium. W: Semczuk M., Kupisz M. red., Andrologia. Warszawa; PZWL: 1998, s. 308-316.
20. Anglade R.A., Munnariz R.M., Goldstein I. Zaburzenia płciowe u mężczyzn. W: Siroky M.B., Oates R.D., Babaan, R.K. red., Podręcznik urologii–diagnostyka i leczenie. Lublin; Czelej: 2006, s. 153-155.
21. Rosen R., Altwein J., Boyle P. Kirby R.S., Lukacs B., Meuleman E., O'Leary M.P., Puppo P., Chris R., Giuliano F. Lower urinary tract symptoms and male sexual dysfunction: the multinational survey of the aging male (MSAM-7). Eur. Urol., 2003; 44(6): 637-649.
22. Hellstrom W.J. Benign prostatic hyperplasia, sexual function, and overall evaluation of the male patient. J. Am. Osteopath. Assoc., 2004; 104(2 Suppl.2): S5-10.
23. van Moorselaar J. LUTS and Sexual Dysfunction: Implication for Management of BPH. Eur. Urol., 2003; (Suppl.2): 13-20.
24. Rosen R.C., Giuliano F., Carson C.C. Sexual dysfunction and lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). Eur. Urol., 2005; 47(6): 824-837.
25. Hartung R., Emberton M., van Moorselaar R.J.R., Harving N., Matzkin A., Alcaraz A., Elhilali M. Alf-One Study Group. Sexual dysfunction in 3230 men with LUTS suggestive of BPH in Europe, Russia, the Middle East, Latin America and Asia. AUA 2003; (Abstract 1380).
26. Robertson C., Link C.L., Onel E., Mazzetta C., Keech M, Hobbs R., Fourcade R., Kiemeney L., Lee C., Boyle P., McKinlay J.B. The impact of lower urinary tract symptoms and comorbidities on quality of life: the BACH and UREPIK studies. BJU Int., 2007; 9(2): 347-354.
27. De la Rosette J., Alivizatos G., Madersbacher S., Rioja Sanz C., Nordling J., Emberton M., Gravas S., Michel M.C., Oelke M. Guidelines of Benign Prostatic Hyperplasia. EU; EUA Guidelines: 2006.
28. Miner M., Rosenberg M.T., Perelman M.A. Treatment of lower urinary tract symptoms in benign prostatic hyperplasia and its impact on sexual function. Clin. Ther., 2006; 28(1): 13-25.
29. Broderick G.A., Foreman M.M. Iatrogenic erectile dysfunction: pharmacological and surgical therapies that alter male sexual behaviour and erectile performance. W: Carson C., Kirby R., Goldstein I. red., Textbook of Erectile Dysfunction. Ed. Oxford; ISIS Medical Media: 1999, s. 149-168.
30. Larson T.R. Current treatment options for benign prostatic hyperplasia and their impact on sexual function. Urology, 2003; 61: 692-698.
31. Tkocz M., Prajsner A. Zaburzenia wzwodu u pacjentów poddanych radioterapii z powodu raka ograniczonego do stercza. Onkol. Pol., 2004; 7(2): 87-94.
32. Lew-Starowicz Z. Zaburzenia seksualne u kobiet z problemami urologicznymi. Nowa Med., 2000; 5: 35-37.
33. Munjack D., Oziel L. Sexual medicine and counseling in office practice. A Comprehensive Treatment Guide. Boston; Little, Brown and Co.: 1980.
34. Slatford K., Currie C. Prevalence of psychosexual problems in patients attending a genitourinary clinic. Br. J. Vener. Dis., 1984; 60(6): 398-401.
35. Bullough V. Human Sexuality. New York and London; Garland Publ.: 1994.
36. Veerecken R. Psychological and sexual aspects in different types of bladder dysfunction. Psychother. Psychosom., 1989; 51(3): 128-134.
37. Sherwin B. Sex hormones and psychological functioning in postmenopausal women. Experim. Gerontol., 1994; 29(3/4): 423-430.
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