Presented by: Ye-chan JOO MD
Department of Urology, Konyang University College of Medicine

Introduction

Cystoscopy is a commonly performed procedure in urological outpatient departments. However, the pain, discomfort, or anxiety experienced during the procedure can significantly impact patient compliance and adherence to necessary surveillance and management. Therefore, we conducted a study to investigate the potential effect of music in reducing pain and anxiety during outpatient cystoscopy.

Materials

A prospective, single-institute, randomized study was conducted to classify patients into two groups: a music group and a no music group. Both groups completed surveys before and after the cystoscopy procedure, and separate questionnaires related to the study were administered to both patients and physicians. The group that did not listen to music underwent outpatient cystoscopy under local anesthesia as usual, including the use of 2% lidocaine gel and analgesics. In contrast, the music group had the same procedure but with the addition of classical music, specifically "Air on the G String" from Suite No. 3 in D major, BWV 1068.

Results

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Between February and April 2023, 98 patients underwent elective outpatient cystoscopy. Patient-reported outcomes showed no significant difference in discomfort, embarrassment, satisfaction, and pain between the music and no music groups, except for STAI-X-1. However, physicians noted significant differences across all measured aspects between the two groups.

Conclusion

While specific reports of pain improvement in patients undergoing cystoscopy under the influence of music were not found, a potential trend indicating such benefits was observed, aligning with previous research findings.

Funding

The authors have not received any funding.

Lead Authors

Hong-wook Kim, MD
Department of Urology, Konyang University College of Medicine

Co-Authors

Ji-eun Yu, MD
Department of Urology, Konyang University College of Medicine

Jae-hyun Baik, MD
Department of Urology, Konyang University College of Medicine

Young-seop Chang, MD
Department of Urology, Konyang University College of Medicine

Jin-bum Kim, MD
Department of Urology, Konyang University College of Medicine

Hyung-joon Kim, MD
Department of Urology, Konyang University College of Medicine

Dong-hoon Koh, MD
Department of Urology, Konyang University College of Medicine