title: A comparative study of patient experiences of conventional fluoroscopic and four-hour ambulatory urodynamic studies.
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.
authors.affiliation: Department of Urology, Seoul National University College of Medicine, Korea.
authors.forename: Seung-June
authors.initials: SJ
authors.lastname: Oh
authors.forename: Ja Hyeon
authors.initials: JH
authors.lastname: Ku
authors.forename: Hwancheol
authors.initials: H
authors.lastname: Son
authors.forename: Jeong Yun
authors.initials: JY
authors.lastname: Jeong
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety; D005260:Female; D005471:Fluoroscopy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018670:Monitoring, Ambulatory / Q000379:methods*; D010146:Pain; D010147:Pain Measurement; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000175:diagnosis; D014555:Urination Disorders / Q000175:diagnosis* / Q000652:urine*; D014563:Urodynamics