• Huseyin Tarhan, Ozgur Cakmak, Elif Unal, Ilker Akarken, Sitki Un, Rahmi Gokhan Ekin, Ersin Konyalioglu, Cemal Selcuk Isoglu, and Ferruh Zorlu.
• Tepecik Training and Research Hospital, Urology Department, Izmir-Turkey;
• Cuaj Can Urol Assoc. 2014 Nov 1; 8 (11-12): E894-900.

IntroductionWe assess the effect of video-based education on patient anxiety during transrectal prostate biopsy.MethodsA total of 246 patients who underwent transrectal prostate biopsy were prospectively enrolled in the study. Group 1 included 123 patients who received both written and video-based education, while Group 2 included 123 patients who received only written instructions regarding prostate biopsies. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T) After completing the STAI-S and STAI-T questionnaires, all patients in Group 1 received written information and video-based education and they again completed STAI-S before the biopsy. On the contrary, after completing the STAI-S and STAI-T questionnaires, the patients in Group 2 received only written information and then they completed the STAI-S before the biopsy. Moreover, a visual analog scale (VAS) was used to assess pain scores during digital rectal examination, probe insertion, periprostatic local anesthesic infiltration, and biopsy.ResultsNo difference was noted between 2 groups regarding VAS scores. Comparing the 2 groups on baseline anxiety, we found that trait anxiety scores (STAI-T) were similar (p = 0.238). Pre-information STAI-S scores were similar in both groups (p = 0.889) and they both indicated high anxiety levels (score ≥42). While post-information STAI-S scores remained high in Group 2, post-information STAI-S scores significantly decreased in Group 1 (p = 0.01).ConclusionsUndergoing a prostate biopsy is stressful and may cause anxiety for patients. Video-based education about the procedure can diminish patient anxiety.

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