Metronome Rhythm Based Auditory Stimulation Modulates Pain and Anxiety During Transperineal Prostate Biopsy: A Prospective Clinical Study
Urology, cilt.212, ss.60-65, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 212
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.urology.2026.03.011
- Dergi Adı: Urology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, Gender Studies Database, MEDLINE, Academic Search Ultimate (EBSCO)
- Sayfa Sayıları: ss.60-65
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
OBJECTIVE: To evaluate whether exposure to different metronome rhythms is associated with variations in patient-reported pain intensity and anxiety levels during transperineal prostate biopsy performed under local anesthesia. METHODS: This single-center, prospective, non-randomized study included 200 patients undergoing TPBx. Patients were assigned according to routine clinical workflow to a control group or metronome rhythm groups at 60, 80, 100, or 120 bpm. Pain was assessed using the Visual Analog Scale, and anxiety was evaluated using the State-Trait Anxiety Inventory. The primary outcome was overall procedural pain. RESULTS: Final analysis included 196 patients. Overall pain scores and pain during local anesthetic administration differed significantly among groups (P <.001). The lowest pain scores were observed in the 100 bpm group. Post-procedural anxiety scores were significantly lower in the 60-100 bpm groups compared with the control and 120 bpm groups. Baseline characteristics were comparable. CONCLUSION: Metronome rhythm-based auditory stimulation was associated with differences in pain and anxiety during TPBx and may represent a simple adjunct to improve patient experience.