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Patient perception of videourodynamic testing: a questionnaire based study.
Harriette M Scarpero1, Priya Padmanabhan, Xiaonan Xue
1Department of Urology, New York University School of Medicine, New York, New York 10016, USA.
The Journal of Urology
|January 12, 2005
Summary
Patients undergoing videourodynamics experience minimal anxiety and discomfort, with most finding the test well-tolerated. This procedure should not be avoided due to anticipated fear, as it is generally a positive experience.
Area of Science:
- Urology
- Patient Experience
- Diagnostic Procedures
Background:
- Videourodynamics is a diagnostic tool used in urology.
- Patient apprehension regarding discomfort and embarrassment can influence test completion.
Purpose of the Study:
- To assess patient-reported anxiety, embarrassment, and discomfort before and after videourodynamics.
- To compare anticipated versus actual experiences between genders and age groups.
Main Methods:
- A two-part questionnaire was administered to first-time videourodynamics patients (excluding those with neurological disease or catheter needs).
- Part 1 assessed pre-test expectations of anxiety, pain, embarrassment, and x-ray apprehension.
- Part 2 compared post-test experiences to expectations regarding overall experience, pain, and embarrassment.
Main Results:
- Over 95% anticipated minimal to moderate anxiety, pain, and embarrassment.
- Post-test, over 90% found the experience the same or better than expected.
- While most tolerated the test well, younger patients reported a worse experience than expected, unlike older patients.
Conclusions:
- Videourodynamics is well-tolerated, with low levels of anxiety, discomfort, and embarrassment.
- Anticipated poor tolerance should not deter patients from medically indicated videourodynamic testing.
- 95% of patients would undergo the procedure again if medically necessary.