title: [The prostate: how to treat this symbol of male vulnerability? An Association Française d'Urologie (AFU)-IPSOS qualitative survey].
abstract: BACKGROUND
  Information on prostate diseases, including prostate cancer, has been promoted by the Association Française d'Urologie (AFU) for several years, but is developing slowly in France. In 2005, a first communication was targeted to the male public and identified the reasons for the fatalistic attitude of men, and paradoxically, why the prostate incarnates the vulnerability of their sexual capital. As part of a second phase, this article presents the results of a complementary study conducted among general practitioners to identify their expectations and the most appropriate levers to promote screening.
  
  
  METHODS
  The Ipsos survey company developed a Krisis qualitative protocol in October 2005 (after the first French prostate day on 15 September 2005). Three groups of general practitioners were defined: doctors who are very active in terms of screening, doctors who are uncomfortable with this problem and doctors who systematically refer their patients to urologists.
  
  
  RESULTS
  The management of prostate diseases often highlights the ageing process for the patient. The ability to discuss these problems during the consultation depended on the doctor's degree of comfort with this subject, which is related to his/her training and relationships with urologists. To initiate the question of screening, general practitioners involved in this process asked simple questions about everyday practices without being afraid of making jokes or basing their approach on mediatization of the disease. Digital rectal examination is one of the important clinical elements but is not always easy to perform. PSA was found to be an examination that is not always appropriate, characterized by a lack of information on the conditions for ordering this test, its usefulness and its relevance for screening. Ultrasound could be a way of alerting the patient without dramatizing the situation, letting the urologist perform digital rectal examination. Female general practitioners preferred PSA and ultrasound. The doctors surveyed relied on mediatization of prostate diseases, a high level of interactivity with urologists and documents and brochures to be placed in waiting rooms to relay screening messages.
  
  
  CONCLUSIONS
  General practitioners need their authorities, specialists and public health institutions to develop and mediatize andrology in the same way as gynaecology. Urologists play a major supportive role by means of conferences, postgraduate training or AFU invitations.
authors.affiliation: ybkrisis@ipsos.com
authors.forename: Bardon
authors.initials: B
authors.lastname: Yves
authors.forename: Alexandre
authors.initials: A
authors.lastname: de la Taille
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Chartier-Kastler
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Moreau
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Davin
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Mignard
authors.forename: Christian
authors.initials: C
authors.lastname: Coulange
authors.forename: Jean-Paul
authors.initials: JP
authors.lastname: Allegre
authors.forename: Michel
authors.initials: M
authors.lastname: Averous
authors.forename: Henry
authors.initials: H
authors.lastname: Botto
authors.forename: Patrick
authors.initials: P
authors.lastname: Coloby
authors.forename: Pierre
authors.initials: P
authors.lastname: Conort
authors.forename: Vincent
authors.initials: V
authors.lastname: Delmas
authors.forename: François
authors.initials: F
authors.lastname: Desgrandchamps
authors.forename: Richard-Olivier
authors.initials: RO
authors.lastname: Fourcade
authors.forename: Jérôme
authors.initials: J
authors.lastname: Grall
authors.forename: Philippe
authors.initials: P
authors.lastname: Grise
authors.forename: Georges
authors.initials: G
authors.lastname: Kouri
authors.forename: Hervé
authors.initials: H
authors.lastname: Le Doze
authors.forename: Thierry
authors.initials: T
authors.lastname: Piechaud
authors.forename: Denis
authors.initials: D
authors.lastname: Prunet
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Rambeaud
authors.forename: Xavier
authors.initials: X
authors.lastname: Rebillard
authors.forename: Michel
authors.initials: M
authors.lastname: Soulie
authors.forename: Benoît
authors.initials: B
authors.lastname: Vignes
authors.forename: Arnauld
authors.initials: A
authors.lastname: Villers
mesh_terms: D000375:Aging / Q000502:physiology; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D003142:Communication; D051517:Digital Rectal Examination; D005194:Family Practice / Q000193:education; D005260:Female; D005602:France; D006266:Health Education; D006293:Health Promotion; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008403:Mass Screening; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D017430:Prostate-Specific Antigen / Q000032:analysis; D011469:Prostatic Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011634:Public Health; D012017:Referral and Consultation; D014463:Ultrasonography; D014572:Urology
chemical_list: D017430:Prostate-Specific Antigen