Urological disorders profoundly affect men's psychological health, significantly influencing patient outcomes and quality of life. Conditions such as prostate cancer, bladder cancer, erectile dysfunction, and benign prostatic hyperplasia frequently induce anxiety, depression, social isolation, and identity-related distress. Despite the high prevalence and severe psychological impact, current urological practices often underemphasise mental health support. This abstract highlights the urgency of systematically integrating comprehensive mental health support within standard urological care, aiming to bridge existing gaps and enhance overall patient wellbeing.

A systematic review of global epidemiological data, recent psychological outcome studies, patient-reported outcomes, and existing integrated care models was conducted. Psychological measures utilised included validated instruments such as the Patient Health Questionnaire (PHQ-9), General Anxiety Disorder (GAD-7) scales, and quality of life assessments. Analysis specifically focused on interventions involving onsite psychological services, psycho-oncology programmes, multidisciplinary care teams comprising urologists, psychiatrists, psychologists, and social workers, as well as telehealth-based psychological support.

Men diagnosed with urological conditions demonstrated significantly elevated levels of depression (up to 43% in erectile dysfunction cases) and anxiety, compounded by societal stigma, embarrassment, and traditional masculine norms discouraging help-seeking behaviours. Integrated care models employing onsite psycho-oncology services reported substantial improvements in patients' psychological wellbeing, symptom management, treatment adherence, and overall satisfaction. Multidisciplinary collaborations allowed for a more cohesive and comprehensive patient management strategy, ensuring timely psychological interventions alongside urological treatments. Additionally, telehealth initiatives proved highly effective in extending mental health support to patients who would otherwise face barriers due to geographic isolation or limited local resources, thereby reducing mental distress and improving adherence to treatment regimens.

There is a compelling and immediate need to incorporate structured mental health services within routine urological practice. Implementing early screening protocols for anxiety and depression, enhancing professional training in psychological aspects of urological care, fostering multidisciplinary collaboration, and actively promoting stigma-reduction initiatives are crucial components of a comprehensive and patient-centred holistic care model. The adoption of integrated mental health strategies promises significant improvements in both psychological and physical health outcomes, ultimately reinforcing the principle that optimal urological health must encompass holistic care that addresses both physical symptoms and psychological distress.