[Analysis of factors affecting the compliance with medical therapy for benign prostatic hyperplasia]

To investigate factors affecting the compliance of patients with the combination therapy for benign prostatic hyperplasia.

Four hundred BPH outpatients treated with combination therapy were surveyed.

The absolute majority of patients (76.16%) expected a quick positive result. 10.47% viewed their disease as too advanced, did not believe in the effectiveness of medical therapy and believed the surgery to be the only treatment option. 24.42% of patients changed the medication dosage on their own, and 11% were ready to discontinue the treatment without consulting their doctors. 76.16% of patients considered the recommended treatment to be effective, 77.33% fully trusted the doctor. In the opinion of 8.7% of patients, the doctor did not sufficiently inform them about the prescribed drug. 22.67% of patients had doubts about a physicians competence, and 5.23% believed the doctor complicated their medical treatment and changed prescriptions too often.

The patients had a high level of trust in doctors and showed psychological adherence to therapy. However, about a quarter of patients changed the treatment regimen on their own. Many patients had exaggerated expectations of the treatment. 8% of patients reported insufficient awareness regarding the nature and appropriateness of drug therapy, and one in five patients had difficulties in perceiving, remembering and following the treatment regimen.

streamlining therapeutic regimens, prescribing non-titratable or combined drugs will help improve patients therapy compliance.

Urologiia (Moscow, Russia : 1999). 2017 Jun [Epub]

V A Malkhasyan, P I Rasner, A R Gevorkyan, I V Semenyakin, A V Tedeev, D Yu Pushkar

Department of Urology, A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russia.