Get access

Comprehensive evaluation of embarrassment and pain associated with invasive urodynamics

Authors

  • René Yiou,

    Corresponding author
    1. Urology Department and CRCDC, Assistance Publique des Hôpitaux de Paris, Henri Mondor Teaching Hospital, Créteil, France
    • Correspondence to: René Yiou, M.D., Ph.D., Urology Department and CRCDC, Henri Mondor Teaching Hospital, 51 av du Maréchal de Lattre de Tassigny, 94010 Créteil, France. E-mail: rene.yiou@hmn.aphp.fr

    Search for more papers by this author
  • Etienne Audureau,

    1. Department of Public Health, Assistance Publique des Hôpitaux de Paris, Henri Mondor Teaching Hospital, Créteil, France
    Search for more papers by this author
  • Catherine-Marie Loche,

    1. Service de Médecine Physique et de Réadaptation, Assistance Publique des Hôpitaux de Paris, Hospital Albert Chenevier, Créteil, France
    Search for more papers by this author
  • Marie Dussaud,

    1. Urology Department and CRCDC, Assistance Publique des Hôpitaux de Paris, Henri Mondor Teaching Hospital, Créteil, France
    Search for more papers by this author
  • Odile Lingombet,

    1. Urology Department and CRCDC, Assistance Publique des Hôpitaux de Paris, Henri Mondor Teaching Hospital, Créteil, France
    Search for more papers by this author
  • Michele Binhas

    1. Anesthesiology Department, Assistance Publique des Hôpitaux de Paris, Henri Mondor Teaching Hospital, Créteil, France
    Search for more papers by this author

  • Robert Pickard led the peer-review process as the Associate Editor responsible for the paper.
  • Conflict of interest: none.

Abstract

Aims

To evaluate pain and embarrassment associated with invasive urodynamics and to determine underlying factors.

Methods

One hundred seventy one consecutive patients referred to our department for invasive urodynamics were evaluated using visual numeric rating scales for sensations of apprehension, pain, and embarrassment during several steps of the procedure (scores ranging from 0 [no symptom] to 10 [worst imaginable symptom]). We also investigated the influence of sex, age, information provided before urodynamics, and medical indication on these sensations. The Spearman correlation, non-parametric test, and logistic regression analysis were performed to determine explicative factors for the most painful sensations.

Results

The mean age was 61.0 (standard deviation ± 15 years). The mean (95% confidence interval [CI]) apprehension level was 2.9/10 (2.4; 3.4). The mean (95% CI) pain levels at installation on urodynamic table, transurethral catheter insertion (cystometry), and catheter repositioning (urethral pressure profilometry) were 0.3/10 (0.1; 0.5), 1.9/10 (1.6; 2.3), and 1.3/10 (1.0; 1.7), respectively. At catheter insertion, 25% of patients reported a pain level ≥4/10. The mean embarrassment level due to urination in front of the doctor was 1.9/10 (1.4; 2.3). Painful sensations reported during the different steps were strongly correlated with each other and with levels of apprehension and embarrassment. Age <54 years (lower quartile) and apprehension level were the only factors associated with painful sensation.

Conclusions

Our study confirms that invasive urodynamics is a well-tolerated procedure. However, some patients experience high levels of pain and embarrassment throughout the procedure. Younger age and apprehension were the most influential factors. Neurourol. Urodynam. 34:156–160, 2015. © 2013 Wiley Periodicals, Inc.

Ancillary