A comparison of anticipatory and postprocedure pain perception in patients who undergo urodynamic procedures

Ellerkmann, R. Mark; McBride, Andrew W.; Dunn, James S.; Bent, Alfred E.; Blomquist, Joan L.; Kummer, Lorrel G.; Melick, Clifford F.

doi:10.1016/j.ajog.2003.11.006

Cited by 28 publications

(22 citation statements)

References 14 publications

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Section: Discussionmentioning

confidence: 86%

“…Pre-procedure-anticipated pain recorded on a 10-cm VAS was found to be higher than the actual level of pain experienced during UDS [2,3] . Furthermore, discussing the procedure beforehand with the patient did not influence their anticipated pain score [2] , and in a cohort of men providing a verbal explanation of the procedure actually increased their level of anticipated pain [3] . Analysis of the actual pain experienced during UDS revealed that younger men reported higher levels of pain than older men [3,4] and women over 50 years were more likely to experience pain during the test but less likely to report pain afterwards [5] .…”

Section: Discussionmentioning

confidence: 86%

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Increased Patient Information Does Not Reduce Patient Anxiety regarding Urodynamic Studies

Bright

Parsons²,

Swithinbank³

2011

Urol Int

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Objective: To establish if patient anxiety pre-urodynamic investigation can be reduced by providing more information within the patient information sheet (PIS). Patients and Methods: Two prospective cohorts of consecutive patients (round 1, n = 98 and round 2, n = 94) were asked to complete a visual analogue scale (VAS) quantifying their anxiety prior to urodynamics (UDS) and again after UDS quantifying their anxiety of potentially repeating UDS. Patients in round 1 received the standard hospital PIS. Concurrently with round 1, a parallel group of patients (n = 95) completed a questionnaire regarding their experience of UDS and their post-UDS complications. This information was incorporated into a revised PIS used in round 2. Results: In both rounds, the VAS reduced post-UDS (Wilcoxon matched-pairs test p < 0.001). In females, pre-UDS VAS was significantly higher in round 2 than round 1 (Mann-Whitney U test p = 0.037). In males, pre-UDS VAS was lower in round 2 than round 1, but this difference was not statistically significant (Mann-Whitney U test p = 0.112). Post-UDS VAS was remarkably similar between round 1 and 2. Conclusions: Patients are less anxious about having repeat UDS regardless of the depth of information provided. However, more detailed information before UDS failed to significantly reduce patient anxiety.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 86%

Increased Patient Information Does Not Reduce Patient Anxiety regarding Urodynamic Studies

Bright

Parsons²,

Swithinbank³

2011

Urol Int

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“…Greenstein et al 26 concluded that pain from urodynamics was more resented in men than in women, especially when they had experienced similar procedures before, and female patients who underwent urodynamic testing anticipated higher degrees of discomfort than they experienced during the procedure. 27 Therefore, further research should evaluate the impact of different leaflet contents about urodynamics. The mode of information delivery might also make a difference in satisfaction and other ways of delivering information should be investigated such as video or a 5-10 min presentation by the nurse.…”

Section: Discussionmentioning

confidence: 99%

The impact of detailed explanatory leaflets on patient satisfaction with urodynamic consultation: A double‐blind randomized controlled trial

Hougardy

Vandeweerd

Reda

et al. 2008

Neurourology and Urodynamics

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Aims:To develop and validate a scale that is applicable in Belgium to investigate the aspects of female patients' satisfaction with urodynamic consultation, and to use it to measure the impact of a detailed explanatory leaflet on their satisfaction. Materials and Methods: Question items were obtained from a group consensus (Delphi process). Each item was scored on a five-point Likert scale. The satisfaction scale was administered to two groups of patients attending the clinics for urodynamics. One hundred twenty-nine patients were included in the study and randomized in two groups. One group (n = 60) received a detailed explanatory leaflet about urodynamic consultation and the other did not (n = 69). Responses were subjected to a reliability and principal component analysis (PCA) to achieve data reduction and analysis, and to assess the reliability of the new scale. Relevant items were retained to compare both interventions using regression analysis. Results: A 15-item scale was derived from the Delphi process. Exploratory factor analysis suggested a single factor solution with 11 meaningful items. No significant difference was noted in global scores of satisfaction between the two groups (P = 0.051). Conclusions: A short-form patient satisfaction scale with acceptable validity and reliability was developed and used to measure patient satisfaction with urodynamic consultation in this population of Belgian women. This study did not provide support for the effectiveness of explanatory leaflets in improving satisfaction.

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“…In one study of 100 women undergoing urodynamic testing, anticipated preprocedural pain as evaluated by a visual analogue scale was significantly higher than experienced postprocedural pain [32]. Additionally, a qualitative study regarding patient satisfaction related to urodynamics identified themes of anxiety and embarrassment [33].…”

Section: Complicationsmentioning

confidence: 98%

Urodynamic Testing

Kow¹,

Paraíso²

2014

Office-Based Gynecologic Surgical Procedures

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A comparison of anticipatory and postprocedure pain perception in patients who undergo urodynamic procedures

Cited by 28 publications

References 14 publications

Increased Patient Information Does Not Reduce Patient Anxiety regarding Urodynamic Studies

Increased Patient Information Does Not Reduce Patient Anxiety regarding Urodynamic Studies

The impact of detailed explanatory leaflets on patient satisfaction with urodynamic consultation: A double‐blind randomized controlled trial

Urodynamic Testing

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