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

Saracoglu, Tulay; Ünsal, Alparslan; Taşkın, Füsun; Sevinçok, Levent; Karaman, Can Zafer

doi:10.4261/1305-3825.dir.4643-11.1

Cited by 24 publications

(22 citation statements)

References 21 publications

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“…The non‐music group waited longer for surgery, which may have caused higher levels of stress; however, pre‐operative cortisol levels in the two groups were comparable. A recent study has demonstrated that post‐operative pain may be associated with the length of waiting . Per protocol, we excluded patients who were admitted after surgery because we wanted to test soft music therapy in day surgery patients and admission could have a great impact on results, distorting the day surgery focus.…”

Section: Discussionmentioning

confidence: 99%

Perioperative music may reduce pain and fatigue in patients undergoing laparoscopic cholecystectomy

Graversen

Sommer

2013

Acta Anaesthesiol Scand

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Background: Acute post-operative pain is a predictor in the development of chronic pain after laparoscopic cholecystectomy. Music has been shown to reduce surgical stress. In a randomized, clinical trial, we wanted to test the hypothesis that perioperative and post-operative soft music reduces pain, nausea, fatigue and surgical stress in patients undergoing laparoscopic cholecystectomy as day surgery. Method:The study was performed in otherwise healthy Danish patients eligible for day surgery. Ninety-three patients were included and randomized to either soft music or no music perioperatively and post-operatively. Using visual analog score pain, nausea and fatigue at baseline, 1 h, 3 h, 1 day and 7 days after surgery were recorded. C-reactive protein and cortisol were sampled before and after surgery. Results: Music did not lower pain 3 h after surgery, which was the main outcome. The music group had less pain day 7 (P = 0.014). Nausea was low in both groups and was not affected by music. The music group experienced less fatigue at day 1 (P = 0.042) and day 7 (P = 0.015). Cortisol levels decreased during surgery in the music group (428.5-348.0 nmol/l), while it increased in the non-music group (443.5-512.0 nmol/l); still, the difference between the two groups were only significant using general linear models as post-hoc analysis. Soft music did not affect C-reactive protein levels. Conclusion: Soft music did not reduce pain 3 h after laparoscopic cholecystectomy. Soft music may reduce later postoperative pain and fatigue by decreasing the surgical stress response.

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Section: Discussionmentioning

confidence: 99%

Perioperative music may reduce pain and fatigue in patients undergoing laparoscopic cholecystectomy

Graversen

Sommer

2013

Acta Anaesthesiol Scand

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“…They found that anxiety peaked at the second time point, immediately before the men learned their results. Another study found that men's anxiety levels (as measured by the State‐Trait Anxiety Inventory) before biopsy and then again right before they learned their results were similar with both being significantly higher than when they had decided to have a biopsy (Saraçoğlu, Ünsal, Taşkın, Sevinçok, & Zafer Karaman, ). Two other studies have assessed whether clinical anxiety (using the Hospital Anxiety and Depression Scale) was present in men having biopsies (Awsare et al ., ; Macefield et al ., ).…”

Section: Introductionmentioning

confidence: 99%

Anxiety symptoms prior to a prostate cancer diagnosis: Associations with knowledge and openness to treatment

Dillard

Scherer

Ubel

et al. 2016

British J Health Psychol

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Waiting for a cancer diagnosis is an important time period in which anxiety may increase and relate to information processing and openness to treatments. Statement of contribution What is already known on this subject? Men undergoing prostate cancer screening have been found to experience high and low levels of anxiety. Research has shown that negative emotions like anxiety are common following a cancer diagnosis, but little research has examined emotions right before diagnosis. Anxiety has been associated with information processing and motivation to engage in preventive behaviours. What does this study add? Applies and tests a theoretical idea related to how anxiety may change as one approaches personally relevant threatening health feedback. Shows relationships between changes in anxiety and knowledge in the context of waiting for actual health feedback. Associates increased anxiety in the prostate cancer context with knowledge and openness to different treatments.

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“…In those patients who are anxious experience higher pain scores for example young people. [4] Similarly, patients having past unpleasant experiences have higher pain scores.…”

Section: Introductionmentioning

confidence: 99%

Is periprostatic nerve block a gold standard in case of transrectal ultrasound-guided prostate biopsy?

et al. 2013

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Introduction:Controversy exists over the pain during prostate biopsy. Periprostatic nerve block (PNB) is a gold standard anesthetic technique during transrectal ultrasound (TRUS)-guided prostate biopsy. Recent studies showed that PNB alone is insufficient as analgesic. We compared the efficacy of tramadol and intraprostatic nerve block (INB) in addition to PNB.Materials and Methods:We conducted a prospective double blinded placebo controlled study at our institute in 150 consecutive patients. Patients were randomized into three groups. Group A received PNB with INB with 1% lignocaine. Group B received oral tramadol with PNB. Group C patients were administered PNB only with 1% lignocaine. Patients were asked to grade the pain level using 11 point linear visual analog scale (VAS) at the time of ultrasound probe insertion, at time of anesthesia, during biopsy, and 30 min after biopsy.Results:The study groups were comparable in demographic profile, prostate-specific antigen (PSA) levels, and prostate size. Group A recorded the minimum mean pain score of 2.66 during prostate biopsy which was significantly lower than group 3 (P < 0.001). Group B recorded significantly lower pain score at time of probe insertion and at anesthetic needle insertion than other two groups.Conclusions:PNB provides better pain control in TRUS-guided prostate biopsy but still there is need of additional analgesic in the form of tramadol or INB. Tramadol has advantage of oral intake and analgesic effect at time of probe insertion and at nerve block. Both tramadol and INB may be used in combination along with PNB.

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

Cited by 24 publications

References 21 publications

Perioperative music may reduce pain and fatigue in patients undergoing laparoscopic cholecystectomy

Perioperative music may reduce pain and fatigue in patients undergoing laparoscopic cholecystectomy

Anxiety symptoms prior to a prostate cancer diagnosis: Associations with knowledge and openness to treatment

Is periprostatic nerve block a gold standard in case of transrectal ultrasound-guided prostate biopsy?

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