Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA)
<b>Background:</b> Benign prostatic hyperplasia (BPH) is the leading cause of lower urinary tract symptoms (LUTSs) in men, with a histological prevalence that increases significantly with age. While extensive research on BPH has been conducted in high-income countries (HICs), limited inf...
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MDPI AG
2024-10-01
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| Series: | Société Internationale d’Urologie Journal |
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| author | Ayun Cassell Babacar Sine Mohamed Jalloh Stavros Gravas |
| author_facet | Ayun Cassell Babacar Sine Mohamed Jalloh Stavros Gravas |
| author_sort | Ayun Cassell |
| collection | DOAJ |
| description | <b>Background:</b> Benign prostatic hyperplasia (BPH) is the leading cause of lower urinary tract symptoms (LUTSs) in men, with a histological prevalence that increases significantly with age. While extensive research on BPH has been conducted in high-income countries (HICs), limited information exists regarding its burden in low- and middle-income countries (LMICs), especially in Sub-Saharan Africa (SSA). Understanding the prevalence, impact on quality of life, and management practices in these regions is crucial for developing effective healthcare policies and improving patient outcomes. <b>Objectives:</b> This scoping review aims to collate the existing literature on the burden of BPH in LMICs, focusing on prevalence rates, quality-of-life impact, and management practices. The goal is to provide a comprehensive overview that informs healthcare strategies in resource-constrained settings. <b>Methods:</b> A scoping review methodology was employed, following the framework proposed by Arksey and O’Malley. The review encompassed five stages: identifying the research question, identifying relevant studies, study selection, charting the data, and collating, summarizing, and reporting the results. A comprehensive search of electronic databases, including Google Scholar, PubMed, Scopus, and Embase, was conducted using specific search terms related to BPH and LMICs. The inclusion criteria were studies conducted in LMICs (limited to SSA); reporting on the prevalence, impact, or management of BPH; and published in English. <b>Results:</b> The review included studies that reported the wide-ranging prevalence rates of BPH in LMICs, highlighting significant regional variations. The impact of BPH on quality of life was profound, with many men experiencing significant bother and reduced daily functioning due to LUTSs. The management practices in these regions often differed from those in HICs, with limited access to pharmacological treatments and surgical interventions. The economic burden of BPH in LMICs was also notable, with many patients facing financial barriers to accessing effective care. <b>Conclusions:</b> BPH poses a significant health and economic burden in LMICs, particularly in SSA. The prevalence of the condition is high, and its impact on quality of life is substantial. There is an urgent need for improved diagnostic and management strategies tailored to the resources available in these settings. Policymakers should consider integrating BPH management into broader healthcare initiatives to enhance patient outcomes and reduce the overall burden of the disease. |
| format | Article |
| id | doaj-art-c3863f5adebc4e5ba32c2ed248ef7c74 |
| institution | DOAJ |
| issn | 2563-6499 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | MDPI AG |
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| series | Société Internationale d’Urologie Journal |
| spelling | doaj-art-c3863f5adebc4e5ba32c2ed248ef7c742025-08-20T03:23:12ZengMDPI AGSociété Internationale d’Urologie Journal2563-64992024-10-015532032910.3390/siuj5050051Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA)Ayun Cassell0Babacar Sine1Mohamed Jalloh2Stavros Gravas3Division of Urology, Department of Surgery, John F Kennedy Medical Center, Monrovia 100010, LiberiaService d’Urologie Centre de Santé de Ngor, Dakar P.O. Box 3001, SenegalService d’Urologie Centre de Santé de Ngor, Dakar P.O. Box 3001, SenegalMedical School, University of Cyprus, 99138 Nicosia, Cyprus<b>Background:</b> Benign prostatic hyperplasia (BPH) is the leading cause of lower urinary tract symptoms (LUTSs) in men, with a histological prevalence that increases significantly with age. While extensive research on BPH has been conducted in high-income countries (HICs), limited information exists regarding its burden in low- and middle-income countries (LMICs), especially in Sub-Saharan Africa (SSA). Understanding the prevalence, impact on quality of life, and management practices in these regions is crucial for developing effective healthcare policies and improving patient outcomes. <b>Objectives:</b> This scoping review aims to collate the existing literature on the burden of BPH in LMICs, focusing on prevalence rates, quality-of-life impact, and management practices. The goal is to provide a comprehensive overview that informs healthcare strategies in resource-constrained settings. <b>Methods:</b> A scoping review methodology was employed, following the framework proposed by Arksey and O’Malley. The review encompassed five stages: identifying the research question, identifying relevant studies, study selection, charting the data, and collating, summarizing, and reporting the results. A comprehensive search of electronic databases, including Google Scholar, PubMed, Scopus, and Embase, was conducted using specific search terms related to BPH and LMICs. The inclusion criteria were studies conducted in LMICs (limited to SSA); reporting on the prevalence, impact, or management of BPH; and published in English. <b>Results:</b> The review included studies that reported the wide-ranging prevalence rates of BPH in LMICs, highlighting significant regional variations. The impact of BPH on quality of life was profound, with many men experiencing significant bother and reduced daily functioning due to LUTSs. The management practices in these regions often differed from those in HICs, with limited access to pharmacological treatments and surgical interventions. The economic burden of BPH in LMICs was also notable, with many patients facing financial barriers to accessing effective care. <b>Conclusions:</b> BPH poses a significant health and economic burden in LMICs, particularly in SSA. The prevalence of the condition is high, and its impact on quality of life is substantial. There is an urgent need for improved diagnostic and management strategies tailored to the resources available in these settings. Policymakers should consider integrating BPH management into broader healthcare initiatives to enhance patient outcomes and reduce the overall burden of the disease.https://www.mdpi.com/2563-6499/5/5/51benign prostatic hyperplasiaburdenlow- and middle-income countriesSub-Saharan Africa |
| spellingShingle | Ayun Cassell Babacar Sine Mohamed Jalloh Stavros Gravas Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA) Société Internationale d’Urologie Journal benign prostatic hyperplasia burden low- and middle-income countries Sub-Saharan Africa |
| title | Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA) |
| title_full | Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA) |
| title_fullStr | Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA) |
| title_full_unstemmed | Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA) |
| title_short | Burden of Benign Prostatic Hyperplasia (BPH) in Low- and Middle-Income Countries in Sub-Saharan Africa (SSA) |
| title_sort | burden of benign prostatic hyperplasia bph in low and middle income countries in sub saharan africa ssa |
| topic | benign prostatic hyperplasia burden low- and middle-income countries Sub-Saharan Africa |
| url | https://www.mdpi.com/2563-6499/5/5/51 |
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