Proposed Topic (Most preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Kung WC(1), Lui KL(1), Sy YW(1), Chan KH(1), Wong HG(1), Yu MH(1), Ngo CC(1), Wong KW(1), Li CM(1)
Affiliation :
(1) Department of Surgery, Pamela Youde Nethersole Eastern Hospital
Introduction :
Due to rising rates of antibiotic resistant bacteria and infections associated with transrectal prostate biopsy, the transperienal (TP) approach is becoming more common. Given the invasiveness of the procedure, a prostate biopsy by any approach can be a traumatic process for patients. Patients undergoing trans-perineal prostate biopsies report moderate pain and patient anxiety predicts pain. As of today, medical hypnosis via virtual reality device (VRD) has showed to reduce pain and anxiety during medical procedures. We aimed to study the role of Virtual Reality (VR) immersion during trans-perineal (TP) prostate biopsies for reducing perceived anxiety and pain associated with the procedure.
Objectives :
To determine whether using HypnoVR device during prostate biopsy decreases pain, anxiety and dissatisfaction among patients and results in a more comfortable and better tolerated procedure.
Methodology :
Adult male patients scheduled for transperineal targeted or systemic prostate biopsies were prospectively enrolled in this study. From April 2022 to Mar 2023, 64 male patients who underwent prostate biopsy by single surgeon were selected for this study and were nonrandomized into two groups: control group (n=28) and experimental group (n=36). Both groups were performed biopsy under local anaesthetic with 1% lidocaine used to anaesthetize the perineal skin and prostate per standard protocol. Immediately after the procedure, patients self-reported their pain tolerability, treatment related anxiety and satisfaction using visual analogue scale and state-anxiety-inventory (STAI) score.
Result & Outcome :
Demographic characteristics, mean age, procedure duration did not differ statistically between the two groups. The mean pain score of experimental group were statistically significance lower than control group (4.19 vs. 5.25, p<0.05). Experimental group (age < 65) also had a significantly higher mean satisfaction score than control group (9 vs. 7.61, P<0.05). The mean pain, satisfaction and anxiety score also showed clinically significance on patients underwent transperineal targeted prostate biopsies. No adverse events were reported with HypnoVR application.
