A Comparative Study of Patient Experiences of Conventional Fluoroscopic and Four-Hour Ambulatory Urodynamic Studies.
10.3349/ymj.2006.47.4.534
- Author:
Seung June OH
1
;
Ja Hyeon KU
;
Hwancheol SON
;
Jeong Yun JEONG
Author Information
1. Department of Urology, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Comparative Study
- Keywords:
Urodynamics;
ambulatory monitoring;
detrusor instability;
pain;
anxiety
- MeSH:
*Urodynamics;
Urination Disorders/*diagnosis/*urine;
Urinary Incontinence/diagnosis;
Questionnaires;
Pain Measurement;
Pain;
Monitoring, Ambulatory/*methods;
Middle Aged;
Male;
Humans;
Fluoroscopy/*methods;
Female;
Anxiety;
Aged;
Adult
- From:Yonsei Medical Journal
2006;47(4):534-541
- CountryRepublic of Korea
- Language:English
-
Abstract:
We assessed several emotional variables in patients experiencing conventional urodynamic and ambulatory urodynamic monitoring (AUM) to verify the hypothesis that AUM is tolerated as well as conventional urodynamics. A total of 33 women and 7 men from 23 to 72 years of age who were undergoing both procedures were prospectively included in this study. Prior to and immediately after the procedures, each patient completed a self-administered questionnaire. Answers were given on a visual analogue scale. The degree of anxiety was higher for conventional urodynamics than for AUM (p = 0.045), while the degree of boredom experienced during AUM was higher than that during conventional urodynamics (p= 0.013). There was no significant difference in the degree of shame or bother experienced by the patients during the two procedures. In general, patients tolerated both examinations extremely well. The examiner-rated degree of intolerance during conventional urodynamics was influenced by the subjective pain score (p=0.001), while all other emotional variables except bother were not significantly related with the degree of intolerance during AUM (p=0.007). A total of 74.4% and 84.6% responded that they were willing to repeat conventional urodynamics and AUM, respectively, which were not significantly different. Although AUM produced a significantly higher level of boredom than conventional urodynamics, our data demonstrates that patients are as tolerant of AUM as they are of conventional urodynamic procedures.
