Benign Prostate Hyperplasia (BPH) represents a significant burden on healthcare systems worldwide, particularly in aging populations. Here’s a quick breakdown of why:
Prevalence and Demographics
- Common in older men: BPH affects up to 50% of men by age 60 and up to 90% by age 85.
- As life expectancy increases, the number of men requiring care for BPH also rises.
Economic Burden
- Direct costs: Includes doctor visits, diagnostics (like Prostate Specific Antigen (PSA tests, ultrasounds), medications (e.g. alpha-blockers, 5-alpha-reductase inhibitors), and surgeries (e.g. Transurethral resection of the prostate).
- Indirect costs: Missed workdays, caregiver time, and complications like urinary retention or recurrent urinary tract infections.
- In the U.S. alone, BPH-related healthcare costs run into billions of dollars annually.
Healthcare Resource Use
- BPH leads to frequent outpatient visits and sometimes hospital admissions.
- It can lead to complications requiring emergency care (e.g. acute urinary retention).
- Surgical interventions, though effective, place a burden on urology departments and surgical suites.
Global Impact
- In developing countries, lack of access to early treatment may increase complications and hospitalizations.
- Resource-limited settings may have fewer urologists and limited surgical options, compounding the problem.
Trends
- The burden is expected to grow as global populations age.
- There’s also increased awareness and diagnosis, which is a good thing but does increase demand for services.
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