Music May Lower Pain and Anxiety During Prostate Biopsy

Music-induced attention shift beneficial during transrectal ultrasound-guided prostate biopsy

MONDAY, Jan. 2 (HealthDay News) -- For patients undergoing transrectal ultrasound (TRUS)-guided prostate biopsy, a music-induced attention shift may reduce procedural anxiety and pain perception, according to a study published in the January issue of Urology.

Matvey Tsivian, M.D., from the Duke University Medical Center in Durham, N.C., and colleagues investigated the effect of noise-cancelling headphones, with or without music, on pain and anxiety in 88 patients undergoing routine, office-based, TRUS-guided prostate biopsy. Participants with elevated prostate-specific antigen and/or abnormal digital rectal examination who were scheduled for prostate biopsy were randomized into three groups: control, noise-cancelling headphones, or music-headphones. Participants completed questionnaires on pain and anxiety, and were assessed for physiological parameters before and after the biopsy. The results were compared across groups.

The investigators found that for all the study groups, the pain scores increased from baseline, with the music group showing the lowest mean score. Post-procedure anxiety scores did not significantly differ between the groups. In all groups, post-biopsy systolic blood pressure was not significantly different compared to baseline values; however, there was a non-statistically significant increase in distolic blood pressure in the control and headphones groups (P = 0.062 and 0.088, respectively), which was not seen in the music group (P = 0.552).

"Music-induced attention shift during prostate biopsy may have a beneficial impact on procedural anxiety and pain perception, but no apparent effect was noted for use of headphones alone," the authors write.

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