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Improving the Patient Experience in Pediatric Cystometrography: A Prospective Observational Study
Assia Comella1, Amy Bodley2, Hayley Nugara2
1Department of Paediatric Urology, Monash Children's Hospital, Melbourne, Victoria, Australia.
Neurourology and Urodynamics
|May 29, 2026
Summary
Pediatric cystometrography causes anxiety and distress, impacting test results. Preparing children and managing discomfort are key to improving their urodynamics experience and outcomes.
Area of Science:
- Pediatric Urology
- Urodynamics
- Child Psychology
Background:
- Cystometrography is vital for diagnosing pediatric bladder conditions, but its invasive nature can cause anxiety and affect results.
- Child behavior and procedural artifacts significantly influence cystometrography outcomes, necessitating strategies to improve patient experience.
Purpose of the Study:
- To assess anxiety and distress levels in children undergoing cystometrography.
- To evaluate the impact of child behavior on test outcomes.
- To understand the overall experience of children and their families during urodynamic studies.
Main Methods:
- A prospective observational study at Monash Children's Hospital (January 2023-January 2025).
- Utilized the Visual Analog Scale for Anxiety (VAS-A) pre-procedure and the Brief Behavioral Distress Scale (BBDS) during the procedure.
- Collected patient feedback via the Urodynamics Experience Questionnaire.
Main Results:
- Twenty pediatric patients were enrolled; 85% reported distress and 80% discomfort.
- Four patients (20%) exhibited behaviors that significantly compromised test results.
- Children using clean intermittent catheters (CICs) or undergoing catheterization under general anesthesia showed fewer disruptive behaviors.
Conclusions:
- Inadequate preparation contributes to pre-procedure anxiety in pediatric urodynamics.
- Children using CICs or having catheters placed under general anesthesia demonstrate better behavior during cystometrography.
- Multimodal preparation tailored to the child's age and stage is crucial for enhancing the pediatric urodynamics experience and improving test quality.
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