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Patient experience with a urodynamic study: a prospective study in 208 patients
Ja Hyeon Ku1, Soo Woong Kim, Hyeon Hoe Kim
1Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
The Journal of Urology
|May 6, 2004
Summary
Urodynamic studies are well tolerated by patients, though men report more pain and women more shame. Tailored emotional support may improve patient cooperation during these procedures.
Area of Science:
- Urology
- Psychology
Background:
- Urodynamic studies are common diagnostic procedures.
- Assessing patient emotional responses is crucial for procedural success.
Purpose of the Study:
- To evaluate emotional variables like anxiety, pain, and shame in patients undergoing urodynamic studies.
- To identify factors influencing patient tolerance and cooperation during the procedure.
Main Methods:
- A cohort of 208 patients (71 male, 137 female) aged 20-81 years completed validated questionnaires pre- and post-procedure.
- Visual analog scales were used to quantify emotional responses.
- Post-procedure urine cultures and antibiotic prophylaxis were administered.
Main Results:
- While initial anxiety was not demographic-dependent, males reported significantly higher pain levels than females (p=0.012).
- Females reported significantly higher levels of shame compared to males (p<0.001).
- Patient cooperation was generally high, with 'bother' being the primary factor associated with tolerance (r=0.275, p<0.001).
Conclusions:
- Urodynamic studies are generally well-tolerated across genders and age groups.
- Gender-specific emotional support may enhance patient cooperation and overall experience.
- Addressing patient 'bother' is key to improving tolerance during urodynamic investigations.