Pd22-09 the Impact of Virtual Reality(vr) on Patient Experience Undergoing Prostate Biopsy

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology I (PD22)1 May 2024PD22-09 THE IMPACT OF VIRTUAL REALITY(VR) ON PATIENT EXPERIENCE UNDERGOING PROSTATE BIOPSY Paulo R. Marcelo Moscardi, Ruben Blachman Braun, Nicholas Ruiz, and Thomas A. Masterson Paulo R. Marcelo MoscardiPaulo R. Marcelo Moscardi , Ruben Blachman BraunRuben Blachman Braun , Nicholas RuizNicholas Ruiz , and Thomas A. MastersonThomas A. Masterson View All Author Informationhttps://doi.org/10.1097/01.JU.0001009504.18450.e0.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Prostate biopsy stands as prevalent ambulatory urological procedure frequently associated with significant patient anxiety and discomfort. These factors pose potential obstacles, particularly in cases of repeated biopsies. This challenge is exacerbated in patients with increased rates of anxiety and PTSD, such as veterans. To address these concerns, VR emerge as a non-pharmacological approach employed as a peri-operative adjunct to enhance anxiolysis and analgesia. This study aims to analyze the use of VR to alleviate anxiety, reduce pain, and enhance overall experience for patients undergoing prostate biopsy. METHODS: Between Aug-Sep/23, we recruited patients from VA institution undergoing prostate biopsy. Along the procedure, a VR headset was utilized (model Pico Neo3–Waya Health). During the procedure the patient had 4 options to cycle through including Procedural Dome, 360 Panoramic Views, Memory Game, and 360 Scuba Dive. Each patient is given a quick tutorial on how to use the headsets. Prior to and following the procedure, patients completed the Defense and Veteran Pain Rating Scale (DVPRS) and the Stress and Trait Anxiety Inventory Scale 5 (STAIS-5). Moreover, we collected and analyzed clinical data both before and after the procedure, encompassing variables such as heart rate, respiratory rate, SBP/DBP etc. RESULTS: We identified 20 patients that consented for the study. The mean age was 64.4±7.6 years. The average procedure duration was 15.3±4.4 min, not significantly different from the perceived time reported by the patients (14.8±5 mins, p=0.320). There were no notable differences observed in clinical data or the recorded scores (DVPRS and STAIS-5) before and after the procedures as displayed in Table 1. Of particular interest, a significant proportion of patients (90% strongly agreed or agreed) reported experiencing reduced anxiety during the procedure, while 75% reported a decrease in perceived pain (Table 2). CONCLUSIONS: Utilizing VR during invasive urological procedures, such as prostate biopsy, has shown a substantial potential to notably reduce both anxiety and perceived pain. This reduction can significantly enhance the patient experience, potentially streamlining the process for recommending such interventions and leading the way for improved experiences in future procedures. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e464 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Paulo R. Marcelo Moscardi More articles by this author Ruben Blachman Braun More articles by this author Nicholas Ruiz More articles by this author Thomas A. Masterson More articles by this author Expand All Advertisement PDF downloadLoading ...