Reducing Cystoscopy Discomfort: Music and Visualisation Show Promise in Pilot Study

What is it about?

The study, conducted at the University of North Carolina and the University of Texas Southwestern, involved 190 adults undergoing flexible office cystoscopy between January and September 2023. It aimed to assess the feasibility and effectiveness of interventions like intraurethral lidocaine, music on headphones, and real-time cystoscopy visualisation to reduce pain and anxiety during the procedure. Despite a significant number of patients declining the music intervention, visualisation was associated with lower pain and anxiety scores compared to music. The interventions were simple and accessible, particularly benefiting cystoscopy-naïve patients, and were seen as a viable means to improve patient experiences and adherence to follow-up cystoscopies. Data analysis involved multivariable regression models accounting for various patient demographics and preferences, while feasibility was assessed through patient acceptance of interventions.

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Why is it important?

This research is important because it addresses the significant issue of discomfort and anxiety during office cystoscopy, a common urological procedure. By exploring simple, non-invasive interventions like music and visualisation, the study aims to improve patient experience and adherence to follow-up procedures, which is crucial for timely bladder cancer diagnosis and treatment. The findings provide valuable insights into patient-centered care strategies that can be easily implemented in clinical practice to enhance patient comfort and satisfaction, ultimately improving health outcomes. Key Takeaways: 1. Intervention Acceptance: The study found that a notable percentage of patients declined the assigned interventions, with music being declined more often than visualisation, especially among patients with prior cystoscopy experience. 2. Pain and Anxiety Reduction: Visualisation was associated with lower reported pain and anxiety levels compared to music, indicating its effectiveness as a distraction technique during cystoscopy procedures. 3. Patient Experience: Allowing patients to choose between music and visualisation can enhance the overall cystoscopy experience, particularly for those new to the procedure, highlighting the importance of personalizing care to meet patient preferences and needs.