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Animated video reduces pain and improves satisfaction during transperineal prostate biopsy in RCTAnimated video information reduced pain and improved satisfaction during prostate biopsy

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Key Takeaway
Consider animated video education to potentially reduce pain and improve satisfaction during transperineal prostate biopsy.

A randomized controlled trial evaluated whether adding an animated video to standard written/verbal information improved the experience of transperineal prostate biopsy. The study included 103 men scheduled for the procedure under local anesthesia. Participants were randomized to receive either standard information alone or standard information plus a video explaining the procedure.

The video group reported significantly lower pain during local anesthetic administration (p=0.016) and lower overall procedural pain (p=0.028). Postprocedure satisfaction and tolerability were both significantly higher in the video group (p=0.01 for both). State anxiety scores decreased in both groups, with a greater reduction in the video group that approached but did not reach statistical significance (p=0.07). Pain during probe placement and biopsy needle insertion was lower in the video group but was not statistically significant.

Safety and adverse events were not reported. The study did not report effect sizes, absolute numbers, or follow-up duration. Funding sources and conflicts of interest were also not reported. While the RCT design supports causal inference, the borderline significance for anxiety reduction and lack of significance for some pain components suggest the benefits may be selective. For clinicians, this preliminary evidence indicates that a simple, low-cost video intervention could be considered to potentially improve patient-reported outcomes during this common urologic procedure.

Researchers studied whether an animated video could help men feel better during a prostate biopsy. They enrolled 103 men who were scheduled for this procedure under local anesthesia. Half received the standard written and verbal information, while the other half also watched a short animated video explaining what would happen.

The study found that men who watched the video reported significantly less pain when they received the local anesthetic and during the overall procedure. They also reported higher satisfaction with the experience and said the procedure was more tolerable. Anxiety levels went down in both groups, but the decrease was slightly greater for the video group, though this finding was not as strong statistically.

It's important to note that this was a single study with 103 participants. While the video seemed helpful for some aspects of pain and satisfaction, it did not show a clear, significant effect on pain during the actual probe placement or needle insertion. The finding on anxiety reduction was also borderline. More research is needed to understand how well this approach works for different people and in different settings. For now, it suggests that clear, visual information might be a simple way to improve the experience of this common medical procedure.

What this means for you:
A study suggests an animated video may help reduce pain and improve satisfaction during prostate biopsy, but more research is needed.

Study Details

Study typeRct
EvidenceLevel 2
PublishedApr 2026
View Original Abstract ↓
BACKGROUND: Transperineal (TP) prostate biopsy is increasingly preferred due to lower infection rates but is associated with procedural pain and patient anxiety. Lack of knowledge about the procedure contributes significantly to distress and reduces satisfaction. This study investigated whether video-animated patient information improves anxiety, pain perception, satisfaction, and tolerability during TP prostate biopsy under local anesthesia. METHODS: In this prospective, randomized controlled study, 103 men scheduled for TP biopsy were assigned to a video group (n = 48), receiving standard written/verbal information plus animated video, or a nonvideo group (n = 55), receiving standard information alone. Anxiety was assessed by using the State-Trait Anxiety Inventory (STAI), pain via a Visual Analog Scale (VAS), and satisfaction/tolerability with a 4-point Likert scale. Pre- and postinformation STAI-S scores, procedural VAS scores, and postprocedure satisfaction and tolerability were compared. RESULTS: Baseline demographics and STAI scores were similar. Pain during local anesthesia and overall procedural pain were significantly lower in the video group (p = 0.016 and p = 0.028). Postprocedure satisfaction and tolerability were higher in the video group (p = 0.01 for both). STAI-S scores decreased in both groups, with a greater reduction in the video group (p = 0.07). Pain during probe placement and biopsy needle insertion was lower in the video group but not statistically significant. CONCLUSION: Animated video-based information effectively reduces anxiety, lowers perceived pain during local anesthesia, and improves satisfaction and tolerability during TP prostate biopsy. Implementing simple, low-cost video education may enhance patient experience, support repeat procedures, and promote patient-centered care.
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