Does Listening to Music During Office-Based Flexible Cystoscopy Decrease Anxiety in Patients: A Prospective Randomized Trial

Raheem, Omer; Mirheydar, Hossein; Lee, Hak J.; Patel, Nishant; Godebu, Elana; Sakamoto, Kyoko

doi:10.1089/end.2015.0029

Cited by 46 publications

(41 citation statements)

References 30 publications

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“…17 Another strategy is to allow patients to watch their cystoscopies on a monitor in real time, which is routinely offered to patients at our study setting. Studies of distraction techniques during flexible cystoscopy have had mixed results; background music during the procedure may reduce anxiety and pain, 18, 19 while a virtual-reality distraction intervention did not. 20 In addition to these peri-procedural interventions to reduce invasiveness, another focus for improving the patient experience should be on pre- and post-procedural counseling that addresses cancer recurrence, given our finding that concern about recurrence contributes substantially to patients’ anxiety and worry.…”

Section: Discussionmentioning

confidence: 99%

The Burden of Cystoscopic Bladder Cancer Surveillance: Anxiety, Discomfort, and Patient Preferences for Decision Making

Koo

Zubkoff

Sirovich

et al. 2017

Urology

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Objective To examine discomfort, anxiety, and preferences for decision-making in patients undergoing surveillance cystoscopy for non-muscle-invasive bladder cancer (NMIBC). Methods Veterans with a prior diagnosis of NMIBC completed validated survey instruments assessing procedural discomfort, worry, and satisfaction, and were invited to participate in semi-structured focus groups about their experience and desire to be involved in surveillance decision-making. Focus group transcripts were analyzed qualitatively, using (1) systematic iterative coding, (2) triangulation involving multiple perspectives from urologists and an implementation scientist, and (3) searching and accounting for disconfirming evidence. Results Twelve patients participated in three focus groups. Median number of lifetime cystoscopy procedures was 6.5 (interquartile range 4–10). Based on survey responses, two-thirds of participants (64%) experienced some degree of procedural discomfort or worry, and all participants reported improvement in at least two dimensions of overall well-being following cystoscopy. Qualitative analysis of the focus groups indicated that participants experience pre-procedural anxiety and worry about their disease. While many participants did not perceive themselves as having a defined role in decision-making surrounding their surveillance care, their preferences to be involved in decision-making varied widely, ranging from acceptance of the physician’s recommendation, to uncertainty, to dissatisfaction with not being involved more in determining the intensity of surveillance care. Conclusions Many NMIBC patients experience discomfort, anxiety, and worry related to disease progression and not only cystoscopy. While some patients are content to defer surveillance decisions to their physicians, others prefer to be more involved. Future work should focus on defining patient-centered approaches to surveillance decision-making.

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Section: Discussionmentioning

confidence: 99%

The Burden of Cystoscopic Bladder Cancer Surveillance: Anxiety, Discomfort, and Patient Preferences for Decision Making

Koo

Zubkoff

Sirovich

et al. 2017

Urology

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“…Music activates the cingulo‐frontal cortex to decrease pain, mitigate anxiety, and promote attention shifting. The effect of music on pain and anxiety has been confirmed in procedures such as cystoscopy,, transrectal prostate biopsy and shockwave lithotripsy …”

Section: Introductionmentioning

confidence: 95%

Effect of Listening to Music on Patient Anxiety and Pain Perception during Urodynamic Study: Randomized Controlled Trial

Öztürk

Hamidi

Yıkılmaz

et al. 2017

LUTS

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“…There are many studies to alleviate pain through psychological or behavioral interventions. For example, watching the examination process through closed-circuit television [6,7], listening to music [8,9], etc.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of urination in alleviating man’s urethral pain associated with flexible cystoscopy: a single-center randomized trial

et al. 2020

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Background: This study aimed to assess whether urethral pain can be alleviated by urination in male patients undergoing flexible cystoscopy. Methods: Ninety-six male outpatients undergoing flexible cystoscopy were randomly divided into two groups. Patients in the test group urinated during flexible cystoscopy, whilst patients in the control group received no instructions to do so. All patients received 10 mL of 2% lidocaine gel prior to assessment. Using 0 (no-pain) to 10 (unbearable severe pain) pain scores (VAS), we assessed patient discomfort prior to anesthesia gel perfusion (baseline), during gel perfusion, during cystoscope insertion through the urethra, and 15 min post-examination analysis. The entire protocol was completed by a single doctor in our Department of Urology. Results: The groups showed no statistical differences regarding age or examination time. During cystoscope insertion, the test group recorded significantly lower pain scores 2 (IQR 1-3) -compared to the control group 3 (IQR 2-3), (P = 0.001). No significant differences between other evaluation points were observed between groups. Conclusion: Urethral pain can be significantly alleviated by urination in male patients undergoing flexible cystoscopy through the urethra. Trial registration: Registry name: Clinical study of urination action to relieve urethral pain associated with flexible cystoscopy. Registration number: ChiCTR-INR-17013294 Date of Registration: 2017-11-08

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Does Listening to Music During Office-Based Flexible Cystoscopy Decrease Anxiety in Patients: A Prospective Randomized Trial

Cited by 46 publications

References 30 publications

The Burden of Cystoscopic Bladder Cancer Surveillance: Anxiety, Discomfort, and Patient Preferences for Decision Making

The Burden of Cystoscopic Bladder Cancer Surveillance: Anxiety, Discomfort, and Patient Preferences for Decision Making

Effect of Listening to Music on Patient Anxiety and Pain Perception during Urodynamic Study: Randomized Controlled Trial

Efficacy of urination in alleviating man’s urethral pain associated with flexible cystoscopy: a single-center randomized trial

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