title: Do men regret prostate biopsy: Results from the PiCTure study.
abstract: BACKGROUND
  Understanding men's experience of prostate biopsy is important as the procedure is common, invasive and carries potential risks. The psychological aspects of prostate biopsy have been somewhat neglected. The aim of this study was to explore the level of regret experienced by men after prostate biopsy and identify any associated factors.
  
  
  METHODS
  Men attending four clinics in Republic of Ireland and two in Northern Ireland were given a questionnaire to explore their experience of prostate biopsy. Regret was measured on a Likert scale asking men how much they agreed with the statement "It [the biopsy] is something I regret."
  
  
  RESULTS
  Three hundred thirty-five men responded to the survey. The mean age was 63 years (SD ±7 years). Three quarters of respondents (76%) were married or co-habiting, and (75%) finished education at primary or secondary school level. For just over two thirds of men (70%) their recent biopsy represented their first ever prostate biopsy. Approximately one third of men reported a diagnosis of cancer, one third a negative biopsy result, and the remaining third did not know their result. Two thirds of men reported intermediate or high health anxiety. 5.1% of men agreed or strongly agreed that they regretted the biopsy.
  
  
  CONCLUSIONS
  Level of regret was low overall. Health anxiety was the only significant predictor of regret, with men with higher anxiety reporting higher levels of regret than men with low anxiety (OR = 3.04, 95% CI 1.58, 5.84). Men with high health anxiety may especially benefit from careful counselling before and after prostate biopsy.
authors.affiliation: Public Health Agency, Belfast, Northern Ireland. catherine.coyle@hscni.net.
authors.forename: Catherine
authors.initials: C
authors.lastname: Coyle
authors.affiliation: Northern Ireland Cancer Registry, Queen's University, Belfast, Northern Ireland.
authors.forename: Eileen
authors.initials: E
authors.lastname: Morgan
authors.affiliation: National Cancer Registry Ireland, Cork, Ireland.|Department of Epidemiology and Public Health, University College Cork, Cork, Ireland.
authors.forename: Frances J
authors.initials: FJ
authors.lastname: Drummond
authors.affiliation: National Cancer Registry Ireland, Cork, Ireland.|Institute of Health & Society, Newcastle University, Newcastle, UK.
authors.forename: Linda
authors.initials: L
authors.lastname: Sharp
authors.affiliation: Northern Ireland Cancer Registry, Queen's University, Belfast, Northern Ireland.
authors.forename: Anna
authors.initials: A
authors.lastname: Gavin
mesh_terms: D000368:Aged; D001706:Biopsy / Q000523:psychology; D004644:Emotions; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*; D057566:Self Report
keywords: Biopsy; Prostate; Regret