The impact of pre-procedural waiting period and anxiety level on pain perception in patients undergoing transrectal ultrasound-guided prostate biopsy
PDF
Cite
Share
Request
Genitourinary Imaging - Original Article
P: 195-199
March 2012

The impact of pre-procedural waiting period and anxiety level on pain perception in patients undergoing transrectal ultrasound-guided prostate biopsy

Diagn Interv Radiol 2012;18(2):195-199
1. Departments of Radiology, Adnan Menderes University School of Medicine, Aydın, Turkey
2. Department of Radiology, Adnan Menderes University School of Medicine, Aydın, Turkey
3. Departments of Psychiatry, Adnan Menderes University School of Medicine, Aydın, Turkey
4. From the Departments of Radiology, Adnan Menderes University School of Medicine, Aydın, Turkey
No information available.
No information available
Received Date: 23.05.2011
Accepted Date: 04.07.2011
PDF
Cite
Share
Request

ABSTRACT

PURPOSE

To investigate the effect of pre-procedural waiting period and anxiety level on pain perception during transrectal ultrasound- guided prostate biopsy.

MATERIALS AND METHODS

Sixty patients who had undergone transrectal ultrasoundguided prostate biopsy were enrolled in this prospective study. The subjects were asked to fill out the State-Trait Anxiety Inventory Scale-1 to measure the level of state anxiety at three times: 1) at the time of the procedure request, 2) before the procedure, and 3) before getting the result. Just after biopsy, the patients were asked to fill out a visual analog scale to evaluate pain perception resulting from the biopsy.

RESULTS

The mean pre-procedural level of state anxiety score was well correlated with the visual analog scale score (r=0.498; P < 0.001). The mean level of state anxiety scores before biopsy (39.7±9.4) and before getting the result (39.9±8.4) were significantly higher than the mean level of state anxiety score when the procedure was requested (31.4±7.9) (P < 0.001 for both). The patient group was divided into two subgroups according to the waiting time between the request and the procedure itself; the cut-off value between the short and long groups was 10 days. The difference between the mean visual analog scale scores from transrectal ultrasound-guided prostate biopsy patients with the short (n=23, 1.49±0.95) and long (n=37, 2.35±1.12) waiting periods was statistically significant (P = 0.003).

CONCLUSION

In conclusion, performing the transrectal ultrasound-guided prostate biopsy procedure as soon as possible and using more effective anesthetic methods, especially for patients with high level of state anxiety scores, may have a positive impact on patient tolerance.