Integration of Virtual Reality as analgesia for Trans-rectal Ultrasound prostate biopsy (TRUS): a randomized prospective study
Effect of Virtual Reality as analgesia for Trans-rectal Ultrasound prostate biopsy (TRUS) on pain severity: a randomized prospective study
University of Otago
250 participants
Aug 1, 2020
Interventional
Conditions
Summary
Aim: To determine if virtual reality technology will act as an analgesic aid to improve patient satisfaction during TRUS biopsy Hypothesis: If virtual reality technology is used at the time of routine TRUS biopsy procedures, there will be an improved patient levels of pain, anxiety and overall satisfaction. Brief Method: Men will be consented then randomly allocated to Virtual Reality (VR) intervention group or control group. Routine TRUS procedure under local anaesthetic will take place with no procedural change in the way samples are collected in both groups. However, the intervention group will wear a VR headset with distraction environment VR software. They will then watch a VR movie for the duration of the procedure. Prior to the procedure in each group, men will complete a standardized questionnaire about their expectations of the procedure. This will include questions relating to pain, anxiety and overall expectation. After the procedure, patients will complete the same questionnaire investigating their pain, anxiety, VR response (if applicable) and overall satisfaction.
Eligibility
Inclusion Criteria1
- Patient presenting for TRUS biopsy as per New Zealand ministry of health referral guidelines for diagnosing possible prostate cancer i.e raised PSA, abnormal prostate exam
Exclusion Criteria1
- Severe cognitive impairment, severe visual impairment
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Interventions
In an outpatient clinic the patient presenting for a TRUS biopsy will wear a Virtual Reality (VR) headset and watch a movie for the duration of the biopsy preocedure, duration estimated at 10-15minutes. The software for the movie will be a distraction application used on other similar studies. It will not require movement or active particpation in the VR environment, but merely passively watching the VR movie. The procedure will be carried out by a urology consultant or registrar with a urology nurse assisting. The biopsy procedure itself will not alter, it will be a standard ultrasound guided transrectal biopsy of the prostate and use local anesthetic.
Locations(1)
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ACTRN12620000648921