The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

Introduction: We assess the effect of video-based education on patient anxiety during transrectal prostate biopsy.Methods: A total of 246 patients who underwent transrectal prostate biopsy were prospectively enrolled in the study. Group 1 included 123 patients who received both written and video-based education, while Group 2 included 123 patients who received only written instructions regarding prostate biopsies. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T). After completing the STAI-S and STAI-T questionnaires, all patients in Group 1 received written information and video-based education and they again completed STAI-S before the biopsy. On the contrary, after completing the STAI-S and STAI-T questionnaires, the patients in Group 2 received only written information and then they completed the STAI-S before the biopsy. Moreover, a visual analog scale (VAS) was used to assess pain scores during digital rectal examination, probe insertion, periprostatic local anesthesic infiltration, and biopsy.Results: No difference was noted between 2 groups regarding VAS scores. Comparing the 2 groups on baseline anxiety, we found that trait anxiety scores (STAI-T) were similar (p = 0.238). Preinformation STAI-S scores were similar in both groups (p = 0.889) and they both indicated high anxiety levels (score ≥42). While post-information STAI-S scores remained high in Group 2, post-information STAI-S scores significantly decreased in Group 1 (p = 0.01).Conclusions: Undergoing a prostate biopsy is stressful and may cause anxiety for patients. Video-based education about the procedure can diminish patient anxiety.

Download Full-text

Transseptal Suturing Reduce Patient Anxiety after Septoplasty Compared to Nasal Packing

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2017.40 ◽

2016 ◽

Vol 59 (4) ◽

pp. 133-136 ◽

Cited By ~ 1

Author(s):

Kamran Sari ◽

Ali Irfan Gul ◽

Yunus Kantekin ◽

Ozgul Karaaslan ◽

Zeliha Kapusuz Gencer

Keyword(s):

Trait Anxiety ◽

Clinical Assessment ◽

Operating Time ◽

The State ◽

Nasal Packing ◽

State Trait Anxiety Inventory ◽

Patient Anxiety ◽

The Difference ◽

Group 2 ◽

Group 1

Background: We measured postoperative anxiety in patients who underwent transseptal suturing or nasal packing after septoplasty. Materials and Methods: Transseptal suturing was performed on Group 1 patients and nasal splints with airway were placed after septoplasty in Group 2 patients. Postoperative 48-h anxiety levels of both groups were measured using the State-Trait Anxiety Inventory (STAI) clinical assessment scale, prior to removal of nasal packing in Group 2. Results: Transseptal suturing was performed after septoplasty in 28 patients and nasal packing in 34 patients. The State-Trait Anxiety Inventory clinical assessment state (STAI-S) and trait (STAI-T) instruments were used to measure postoperative anxiety. The STAI-S scores were found 35.00 in the transseptal suturing group and 43.8 in the nasal packing group; the difference was found significant (p < 0.05). The STAI-T scores were found 42.6 in the transseptal suturing group and 45.7 in the nasal packing group; the difference was not found significant (p > 0.05). The rate of minor hemorrhage was found 10.7% in Group 1 patients. Conclusions: Transseptal suturing is simple and reliable when performed after septoplasty. The technique is painless and comfortable, and reduces patient anxiety (compared to that associated with nasal packing) with only a minor increase in operating time and hemorrhage.

Download Full-text

May ultrasound probe size influence pain perception of needle piercing during transrectal prostate biopsy? A prospective evaluation

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2016.3.223 ◽

2016 ◽

Vol 88 (3) ◽

pp. 223 ◽

Cited By ~ 1

Author(s):

Andrea Fabiani ◽

Lucilla Servi ◽

Alessandra Filosa ◽

Fabrizio Fioretti ◽

Valentina Maurelli ◽

...

Keyword(s):

Local Anesthesia ◽

Prostate Biopsy ◽

Pain Perception ◽

Prostate Volume ◽

Randomized Study ◽

Digital Rectal Examination ◽

Probe Size ◽

Significant Difference ◽

Group 2 ◽

Group 1

Introduction and Objective: Transrectal ultrasound guided prostate biopsy (TRUS-Bx) is the definitive step in the diagnosis of prostate cancer (CaP). Patients (pts) generally experience significant pain during the procedure at the point that biopsy should be accompanied by some form of anesthesia. Several different factors influence pain perception (PP) during TRUS-Bx. In our study we want to assess that the use of an ergonomic smaller sized probe reduces PP during the procedure independently from the administration of local anesthesia or pain relieving drugs. Materials and Methods: This was a prospective, randomized study in which 114 pts who underwent TRUS-Bx due to abnormal PSA and/or to digital rectal examination (DRE) suspicious findings were considered eligible. Pts were split in two TRUS-Bx groups into which we used two different sized ultrasound probes. In group 1, 61 pts underwent TRUS-Bx with ALOKA end fire probe (size 74 mm). In group 2, 53 pts underwent TRUS-Bx with B-K Type 8818 probe (size 58 mm). Both groups were treated with no local anesthesia or pain relieving drugs. Pain was evaluated three times using a 10-point visual analogue scale (VAS), during the DRE (VAS 1), during the insertion of the probe (VAS 2) and during the needle piercing (VAS 3). Results: Mean age of pts was 68.03 (SD 8.51); mean tPSA and mean prostate volume was 7.75 (SD 4.83) and 45.17cc (SD 17.7), respectively. The two groups were homogeneous respect to tPSA (p = 0.675) and to prostate volume (p = 0.296); age was significantly different (p = 0.04) between Group 1 (65.93) and Group 2 (70.43), whereas no statistically significant correlation between VAS 3 and age was observed (p = 0.179). Analyzing pain perception, we found no statistically significant difference between the two groups in DRE (VAS 1; p = 0.839); on the contrary, patients in Group 1 experienced on average more pain than other in Group 2 both during the insertion of the probe (VAS 2 3.49 vs 1.09; p < 0.001) and during the needle piercing VAS 3 (2.8 vs 2.00; p < 0.05). The discomfort during probe insertion and manipulation was perceived as very high (VAS 2 > 5) in 42.6% of patients in Group 1 and in 9.4% in Group 2. Globally, the procedure was well tolerated (mean VAS score < 3) in 77% of patients in Group 1 and in 90% in Group 2. The proportion of patients who experienced more than moderate pain (VAS > 5) during needle piercing ranged 24.6 % in Group 1 to 18.9 % in Group 2. Conclusions: Patients who underwent a TRUS-Bx with the 58-mm circumference probe were found to experience lower degree of pain not only during the insertion of the probe through the anal sphincter, but also in the moment of needle piercing.

Download Full-text

Complications and Prostate Cancer Diagnosis Rate of TRUS Prostate Biopsies Using 16 and 18G Needles by Clavien Scoring

Urologia Journal ◽

10.5301/uj.5000238 ◽

2017 ◽

Vol 84 (4) ◽

pp. 236-239 ◽

Cited By ~ 1

Author(s):

Serkan Ozcan ◽

Mehmet Akif Diri ◽

Murat Bagcioglu ◽

Tolga Karakan ◽

Arif Aydın

Keyword(s):

Prostate Cancer ◽

Cancer Detection ◽

Prostate Biopsy ◽

Detection Rate ◽

Daily Basis ◽

Cancer Detection Rate ◽

Detection Rates ◽

Prostate Biopsies ◽

Group 2 ◽

Group 1

Aim We aimed to compare the 18 and 16-Gauge (G) needles used in transrectal ultrasonography (TRUS)-guided needle biopsy for cancer detection rates and complications using the Clavien Scoring System. Materials and Methods The 80 patients who were included in the study were randomized and divided into two groups. Group 1 (n = 36) had a TRUS-guided prostate biopsy with an 18G needle and Group 2 had a 16G needle (n = 44). The hematuria, bleeding assessment, and infection events were evaluated on a daily basis. These complications were graded according to the Clavien Scoring. Results In Group 1, only five (13%) patients were diagnosed with prostate cancer, and three patients were reported to have atypical small acinar proliferation (ASAP). In Group 2, 16 (36%) patients were diagnosed with prostate cancer and one patient was reported to have ASAP. The difference in the prostate cancer detection rate between the groups was statistically significant. According to the Clavien grading system, the complications were at the Grade 1 level in 25 people in Group 1 in 29 people in Group 2. Grade 2 level complications were not observed in either group. While one person was Grade 3 in Group 1, two people in Group 2 had this rate. There were no significant differences between the groups. Conclusions We found that cancer detection rate increased by increasing the thickness of the needle used in TRUS-guided prostate biopsy without any increase in the complications.

Download Full-text

Safety and Efficacy of High-Powered Holmium Laser Enucleation of the Prostate within 1–3 Weeks Following Prostate Biopsy

Urologia Internationalis ◽

10.1159/000514422 ◽

2021 ◽

pp. 1-6

Author(s):

Ali Yıldız ◽

Serkan Akdemir ◽

Hakan Anıl ◽

Murat Arslan

Keyword(s):

Prostate Biopsy ◽

Specific Antigen ◽

Digital Rectal Examination ◽

Holmium Laser ◽

Control Group ◽

Complication Rates ◽

Laser Enucleation ◽

Group 2 ◽

Holmium Laser Enucleation ◽

Group 1

Purpose: We aim to document the feasibility, perioperative safety, and the 12-month efficacy of holmium laser enucleation of the prostate (HoLEP) within 1–3 weeks following transrectal ultrasound (TRUS)-guided prostate biopsy. Methods: Data of the patients who underwent HoLEP following TRUS-guided prostate biopsy between March 2017 and July 2020 were analyzed retrospectively. Patients were divided into 2 groups: group 1 had undergone HoLEP in the early period after TRUS-guided prostate biopsy, while group 2 patients were biopsy-naive (“control group”). All patients were assessed preoperatively by a physical examination with the digital rectal examination; time from biopsy to HoLEP; measurement of Qmax, postvoiding residual volume, and prostate volume by transabdominal ultrasonography; serum prostate-specific antigen level, the International Prostate Symptom Score (IPSS); the International Index of Erectile Function-5 questionnaire; and urine analysis. The patients were reevaluated at 3- and 12-month follow-up. Perioperative and postoperative complications were documented according to the modified Clavien-Dindo System. Results: Group 1 comprised 66 patients with a mean age of 67.3 ± 6.7 (range, 53–86) years, and group 2 comprised 114 patients with a mean age of 69.4 ± 9.4 (range, 36–95) years. The operation, enucleation, and morcellation efficiencies were not statistically significant between the groups. Preoperative Qmax and IPSS values were significantly improved after HoLEP surgery in the 3rd and 12th months in all patients. Our complication rates were similar in both groups. Conclusion: High-powered HoLEP using 140 W energy within 1–3 weeks following TRUS-guided prostate biopsy is a feasible procedure with high enucleation efficiency, low perioperative morbidity, and excellent functional outcomes. A recent TRUS-guided prostate biopsy is not a contraindication to HoLEP.

Download Full-text

Comparison of postoperative analgesic efficacy of preemptive USG-guided TAP block, USG-guided local infiltration and intravenous dexketoprofen in inguinal hernia repair

10.21203/rs.2.21358/v1 ◽

2020 ◽

Author(s):

Fikret Salık ◽

Mustafa Bıçak ◽

Hakan Akelma

Keyword(s):

Inguinal Hernia ◽

Postoperative Analgesia ◽

Transversus Abdominis ◽

Tap Block ◽

Number Of Patients ◽

Vas Scores ◽

Group 3 ◽

Group 2 ◽

Local Anesthetic Infiltration ◽

Group 1

Abstract Background Although regional techniques have been suggested more in order to provide postoperative analgesia in inguinal hernia repairs, the ideal method is still controversial. The aim of this study was to evaluate the effect of preemptive transversus abdominis plane (TAP) block, local anesthetic infiltration (LAI) and intravenous dexketoprofen (IVD) on postoperative pain in inguinal hernia repairs. Methods This prospective study included 120 patients with American Society of Anesthesiologists status 1-3 between 18-75 years of age who undergoing elective inguinal hernia surgery under spinal anesthesia. The patients were allocated into three groups: USG-guided TAP block (Group 1, n = 40), USG-guided LAI (Group 2, n = 40) and IVD (Group 3, n = 40) before surgical incision. The mean of tramadol consumption, number of patients in requiring rescue analgesics, duration of postoperative analgesia and complications were recorded for 24 hours postoperatively. VAS scores were evaluated at the 30 minute, 1, 2, 4, 8, 12, 16 and 24th hours. Results There was no significant difference between the postoperative mean tramadol consumption [Group 1: 22.5 mg; Group 2: 20 mg; Group 3: 27.5 (p 0.833)]. The number of patients requiring rescue analgesics was statistically similar (p 0.787). VAS scores at 30. min, 1, 2, 4, 8 and 12 hours were statistically lower in Group 1 than in the other groups (p 0.003, 007, 0013, 0049, 0015, 0021). VAS scores at 30. min and 2. h were lower in Group 1 than Group 2 (p 0.049, 0.037). İn addition, VAS scores at 30 min, 1, 2, 8 and 12 hours were lower in Group 1 than in Group 3 (p 0.003, 0.006, 0.021, 0.017, 0.016). VAS scores at all hours were statistically similar between Group 2 and Group 3. Conclusion This study demonsrated that preemptive transversus abdominis plane block, local anesthetic infiltration or iv dexketoprofen for postoperative analgesia in inguinal hernia repairs had similar effects on postoperative tramadol consumption and number of requiring rescue analgesic patients. However, TAP block provides lower VAS values and excellent analgesia in more patients in the first 24 hours postoperatively.

Download Full-text

QUADRATUS LUMBORUM BLOCK IN PATIENTS OF LAPAROSCOPIC CHOLECYSTECTOMY FOR POSTOPERATIVE ANALGESIA

10.36106/gjra/7515425 ◽

2021 ◽

pp. 187-189

Author(s):

Garima Anant ◽

Aman Kaur ◽

Prakriti Prakriti

Keyword(s):

Laparoscopic Cholecystectomy ◽

Study Data ◽

Detailed History ◽

Quadratus Lumborum Block ◽

Post Operative Pain ◽

Quadratus Lumborum ◽

Fentanyl Consumption ◽

Vas Scores ◽

Group 2 ◽

Group 1

Background: Quadratus lumborum block is done ultrasonographically in thoracolumbar fascial plane at the level of quadratus lumborum muscle to decrease post-operative pain in patients who underwent laparoscopic cholecystectomy . Methods: A prospective, randomized and comparative study was conducted in Pt. B.D. Sharma PGIMS, Rohtak. After informed and written consent, patients were recruited in the study and assigned into 2 groups. A detailed history was taken and examination was carried out. Group 1 patients received Inj.. diclofenac IM (intramuscular) 75 mg and in group 2 Bilateral QL (quadratus lumborum) block was given using 15 ml of 0.25 percent levobupivacaine. The results were measured by VAS score and 24hrs fentanyl consumption. At the end of the study, data was compiled and analyzed using SPSS version 17. Results: In the present study, there was no statistical signicant difference between the two groups. We found that the patients who received quadratus lumborum block had lesser fentanyl consumption and the VAS scores were also better.

Download Full-text

Is there a role for music in reducing anxiety in plastic surgery minor operations?

Annals of The Royal College of Surgeons of England ◽

10.1308/003588412x13171221501861 ◽

2012 ◽

Vol 94 (3) ◽

pp. 152-154 ◽

Cited By ~ 11

Author(s):

H Sadideen ◽

A Parikh ◽

T Dobbs ◽

A Pay ◽

PS Critchley

Keyword(s):

Local Anaesthetic ◽

Clinical Care ◽

Statistical Significance ◽

Patient Anxiety ◽

Vas Score ◽

The Mean ◽

Anxiety Levels ◽

Group 2 ◽

Surgical Setting ◽

Group 1

Introduction It is well documented that music plays a role in reducing anxiety levels. Its role in reducing intra-operative anxiety levels in surgical patients while awake is less well known. We report the effects of music on intra-operative patient anxiety in both the elective and trauma plastic surgical setting. Methods Two groups of patients undergoing local anaesthetic surgical procedures were identified: those where music was played in the operating theatre (Group 1) and those where it was not (Group 2). Ninety-six patients were included. Subjectively anxiety was evaluated by the patient with a visual analogue scale (VAS) and objectively by the respiratory rate (RR), both pre and post-operatively. The unpaired t-test was used to evaluate the statistical significance of differences between the groups. Results The mean pre-operative VAS score was similar in both groups (5.7 in Group 1 and 5.8 in Group 2). The mean preoperative RR was 15 breaths per minute in both groups. Post-operatively, the VAS score and RR were both lower in Group 1 (VAS: 3.5 vs 4.9; p<0.01 and RR: 11 vs 13 breaths per minute; p<0.05). Conclusions In the era of the patient centred approach to clinical care, it is crucial to minimise patient anxiety. Music appears to reduce intra-operative anxiety in awake patients in both the elective and trauma plastic surgical setting. Easy listening music and chart classics appear to be suitable genres according to patients. We believe there is a role for a large, multicentre, randomised control study to examine the benefits of music in all local anaesthetic procedures across different specialties.

Download Full-text

Association between HIV status and Positive Prostate Biopsy in a Study of U.S. Veterans

The Scientific World JOURNAL ◽

10.1100/tsw.2009.20 ◽

2009 ◽

Vol 9 ◽

pp. 102-108 ◽

Cited By ~ 6

Author(s):

Wayland Hsiao ◽

Katrina Anastasia ◽

John Hall ◽

Michael Goodman ◽

David Rimland ◽

...

Keyword(s):

Prostate Cancer ◽

Hiv Infection ◽

Prostate Biopsy ◽

Medical Center ◽

Digital Rectal Examination ◽

Hiv Positive ◽

Gleason Grade ◽

Hiv Status ◽

Prostate Biopsies ◽

Positive Biopsy

HIV infection is associated with increased incidence of malignancies, such as lymphomas and testicular cancers. We reviewed the relationship between HIV infection and prostate cancer in a contemporary series of prostate biopsy patients. The study is a retrospective analysis of consecutive prostate biopsies performed at a VA Medical Center. The indications for performing a prostate biopsy included an abnormal digital rectal examination and/or an elevated PSA. Patients were categorized according to their HIV status, biopsy results, and various demographic and clinical characteristics. Univariate and multivariate analyses compared distributions of HIV status, and various clinical and demographic characteristics. The adjusted measures of association between HIV status and positive biopsy were expressed as odds ratios (ORs) and corresponding 95% confidence intervals (CI). The likelihood of positive biopsy was significantly higher among 18 HIV-positive patients compared to patients with negative HIV tests (adjusted OR = 3.9; 95% CI: 1.3–11.5). In analyses restricted to prostate cancer patients, HIV-positive patients were not different from the remaining group with respect to their prostate cancer stage, PSA level, PSA velocity, PSA density, or Gleason grade. There is an association between HIV infection and prostate biopsy positive for carcinoma in a population referred for urologic workup. Further confirmation of this association by prospective studies may impact the current screening practices in HIV patients.

Download Full-text

Evaluation Of Postpartum Depression Scores Of Elective And Emergency Cesarean Section Patients

10.21203/rs.2.14535/v1 ◽

2019 ◽

Author(s):

Berrin Göktuğ Kadıoğlu ◽

Zeynep KAMALAK ◽

Gokhan OZPOLAT ◽

Edip BICEN

Keyword(s):

Postpartum Depression ◽

Cesarean Section ◽

Trait Anxiety ◽

State Anxiety ◽

Depression Scale ◽

Preoperative Period ◽

Emergency Cesarean ◽

Anxiety Levels ◽

Group 2 ◽

Group 1

Abstract Purpose This study aims to provide early diagnosis of postpartum depression by investigating the relationship between the emergency situation and pre-operative anxiety of women, who had elective and emergency cesarean. Methods The study was conducted on 103 people in total, 51 of which were elective and 52 of which were emergency cesarean section cases. Right before the surgery the patients filled State Trait Anxiety Inventory (STAI) and a form surveying the anesthesia concerns. Their anxiety levels were determined. Edinburg postpartum depression scale was applied two weeks after delivery. The impact of these results and the anxiety levels in preoperative period on postoperative depression were analyzed. Hemoglobin and biochemical values in preoperative period were analyzed in terms of their correlation with anxiety state. Results State anxiety level of 60.2% of group 1 and 74.6% of group 2 were higher than average in STAI-1; whereas in STAI-2 state anxiety levels were 4.1% of group 1 and 90.3% of group 2 were higher than average. Edinburg depression scale detected minor depression in 4% of the elective and 13.45 of the emergency cesarean patients. There was no linear relationship between blood parameters and anxiety levels. Conclusion Both groups had high state and trait anxiety but postpartum depression rate in emergency patients was higher. Thus, it is significant to provide necessary psychological support to the patients with high pre-operative anxiety and provide early treatment to the ones with higher tendency of depression in postpartum period.

Download Full-text

Sexual dysfunction in epilepsy: identifying the psychological variables

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2000000200002 ◽

2000 ◽

Vol 58 (2A) ◽

pp. 214-220 ◽

Cited By ~ 16

Author(s):

ELISABETE ABIB P. DE SOUZA ◽

DAYSE M. B. KEIRALLA ◽

DIOSELY C. SILVEIRA ◽

CARLOS A. M. GUERREIRO

Keyword(s):

Sexual Behavior ◽

Sexual Dysfunction ◽

Trait Anxiety ◽

Psychological Factors ◽

Anxiety And Depression ◽

Healthy Individuals ◽

State Trait Anxiety Inventory ◽

Psychological Variables ◽

Group 2 ◽

Group 1

In order to evaluate the psychological variables that affect sexual dysfunction (SD) in epilepsy, where compared 60 epileptics (Group 1) with 60 healthy individuals (Group 2), through the State-Trait Anxiety Inventory (Spielberger et al., 1970), Beck Depression Inventory (Beck, 1974) and Sexual Behavior Interview (Souza, 1995). Sexual dysfunction (SD), anxiety and depression were found more frequently in Group 1 than in Group 2 and were not related to sex. Variables such as the onset duration and frequency of seizures as well as the use to medication were not associated with SD. Temporal lobe epilepsy was related to SD (p = 0.035) but not to anxiety or depression. Anxiety and depression were related to SD in both groups. Perception in controlling the seizures was closely related to anxiety (p = 0) and depression (p = 0.009). We conclude that psychological factors play an important role in the alteration of sexual behavior in epileptics and that suitable attention must be given to the control of these variables.

Download Full-text