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Journals / Online Türk Sağlık Bilimleri Dergisi / 2026 / Cilt: 11 Sayı: 1

Enhancing Patient Comfort in Prostate Biopsy Through Video Education and Virtual Reality

Video Eğitimi ve Sanal Gerçeklik ile Prostat Biyopsisinde Hasta Konforunun Artırılması

Murat Beyatlı(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0003-0945-0051
İsa Dağlı(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA DR. ABDURRAHMAN YURTASLAN ONKOLOJİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0003-2786-0716
Tuncel Uzel(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA DR. ABDURRAHMAN YURTASLAN ONKOLOJİ SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-9679-548X
Hasan Samet Güngör(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0002-7632-1199
Abdurrahman İnkaya(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0002-2536-691X
Resul Sobay(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0002-6219-9655
Mehmet Umut Evci(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0002-1119-7158
Ahmet Tahra(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0002-5158-5630
Eyüp Veli Küçük(UNIVERSITY OF HEALTH SCIENCES, İSTANBUL ÜMRANİYE HEALTH RESEARCH CENTER)0000-0003-1744-8242
Pages
52–57
Publication Date
2026-03-15
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall complication rates were low and similar between groups (4.6%, p = 0.343).

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to evaluate the effects of video-based preprocedural patient education and intraoperative virtual reality (VR) support on pain intensity (VAS) and willingness to undergo repeat biopsy (WtR) in patients undergoing transrectal ultrasound (TRUS)-guided prostate biopsy.
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Key Findings & Data:Materials and Methods: The data of 240 patients who underwent their first TRUS-guided prostate biopsy for suspected prostate cancer between January 2023 and August 2025 were retrospectively analyzed.
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Conclusion & Impact:Overall complication rates were low and similar between groups (4.6%, p = 0.343).
🔬Design:Araştırma Makalesi
📍Scope:2023 Verileri
⚙️Variables:Prostat biyopsisi · sanal gerçeklik · Üroloji

Abstract

Objective: This study aimed to evaluate the effects of video-based preprocedural patient education and intraoperative virtual reality (VR) support on pain intensity (VAS) and willingness to undergo repeat biopsy (WtR) in patients undergoing transrectal ultrasound (TRUS)-guided prostate biopsy. Materials and Methods: The data of 240 patients who underwent their first TRUS-guided prostate biopsy for suspected prostate cancer between January 2023 and August 2025 were retrospectively analyzed. Patients were divided into one of four groups based on whether they received preprocedural video education and whether they wore VR headsets during the procedure. The primary endpoint was the pain level during biopsy (VAS), and the secondary endpoint was willingness to undergo a repeat biopsy under the same conditions (WtR). Results: Pain intensity (VAS) and willingness-to-repeat (WtR) scores differed significantly among the four groups (both p < 0.001), with the Video + VR group showing the lowest mean VAS score (2.63 ± 1.31) and the highest mean WtR score (8.25 ± 0.98), while the control group had the highest VAS (4.03 ± 1.62) and the lowest WtR (6.92 ± 1.03). Overall complication rates were low and similar between groups (4.6%, p = 0.343). Conclusion: Video-based preprocedural education combined with real-time VR support during TRUS-guided biopsy significantly reduces pain and increases patients’ willingness to undergo a repeat procedure. This non-invasive, low-cost, and easily applicable alternative represents an effective strategy to improve patient experience.

Özet

Amaç: Bu çalışma, transrektal ultrason (TRUS) eşliğinde prostat biyopsisi uygulanan hastalarda işlem öncesi video tabanlı hasta eğitimi ve işlem sırasında sunulan sanal gerçeklik (VR) desteğinin ağrı şiddeti (VAS) ve aynı koşullar altında tekrar biyopsi olma isteği (WtR) üzerindeki etkilerini değerlendirmeyi amaçladı. Materyal ve Metot: Ocak 2023 – Ağustos 2025 tarihleri arasında prostat kanseri şüphesiyle ilk kez TRUS eşliğinde prostat biyopsisi yapılan 240 hastanın verileri retrospektif olarak incelendi. Hastalar, işlem öncesi video eğitimi alıp almamalarına ve işlem sırasında VR gözlüğü kullanıp kullanmamalarına göre dört gruba ayrıldı. Birincil sonlanım noktası biyopsi sırasındaki ağrı düzeyi (VAS), ikincil sonlanım noktası ise aynı koşullarda tekrar biyopsi olma isteğiydi (WtR). Bulgular: Dört grup arasında VAS ve WtR skorları anlamlı farklılık gösterdi (her ikisi için p < 0,001). Video + VR grubunda ortalama VAS skoru en düşük (2,63 ± 1.31) ve ortalama WtR skoru en yüksek (8,25 ± 0.98) bulundu. Kontrol grubunda ise VAS en yüksek (4,03 ± 1.62) ve WtR en düşük (6,92 ± 1.03) değerlerdeydi. Komplikasyon oranı genel olarak düşük izlendi (%4,6) ve gruplar arasında anlamlı farklılık saptanmadı (p = 0,343). Sonuç: TRUS eşliğinde prostat biyopsisi öncesi video tabanlı eğitimin, işlem sırasında VR desteğiyle birlikte uygulanması ağrıyı anlamlı şekilde azaltmaktadır ve hastaların aynı koşullarda yeniden biyopsi olma isteğini artırmaktadır. Bu invaziv olmayan, düşük maliyetli ve kolay uygulanabilir yaklaşım, hasta deneyimini iyileştirmek için etkili bir strateji sunmaktadır.

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Cite This Article

Beyatlı, M., Dağlı, İ., Uzel, T., Güngör, H. S., İnkaya, A., Sobay, R., Evci, M. U., Tahra, A., Küçük, E. V. (2026). Enhancing Patient Comfort in Prostate Biopsy Through Video Education and Virtual Reality. Online Türk Sağlık Bilimleri Dergisi, Cilt: 11 Sayı: 1, 52–57. https://doi.org/10.26453/otjhs.1823482

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References (30)

  1. Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin. 2023;73(1):17-48. doi:10.3322/caac.21763
  2. European Association of Urology. Prostate cancer: diagnostic evaluation. https://uroweb.org/guidelines/prostate-cancer/chapter/diagnostic-evaluation. Accessed October 27, 2025.
  3. Loeb S, Vellekoop A, Ahmed HU, et al. Systematic review of complications of prostate biopsy. Eur Urol. 2013;64(6):876-892. doi:10.1016/j.eururo.2013.05.049
  4. Inal G, Adsan O, Ugurlu O, Kaygısız O, Kosan M, Cetinkaya M. Comparison of four different anesthesia methods for relief of all pain during transrectal ultrasound-guided prostate biopsy. Int Urol Nephrol. 2008;40(2):335-339. doi:10.1007/s11255-007-9237-3
  5. De Sio M, D’armiento M, Di Lorenzo G, et al. The need to reduce patient discomfort during transrectal ultrasonography‐guided prostate biopsy: what do we know? BJU Int. 2005;96(7):977-983. doi:10.1111/j.1464-410X.2005.05736.x
  6. Irani J, Fournier F, Bon D, Gremmo E, Dore B, Aubert J. Patient tolerance of transrectal ultrasound‐guided biopsy of the prostate. Br J Urol. 1997;79(4):608-610. doi:10.1046/j.1464-410X.1997.00120.x
  7. Galetti TP, Dal Moro F, Milani C, Pinto F, Pagano F. Patient’s preparation in order to reduce pain, anxiety and complications of TRUS prostatic biopsies. Eur Urol Suppl. 2002;1(6):3-7. doi:10.1016/S1569-9056(02)00051-9
  8. Deivasigamani S, Adams ES, Kotamarti S, et al. Comparison of procedural anxiety and pain associated with conventional transrectal ultrasound prostate biopsy to magnetic resonance imaging-ultrasound fusion-guided biopsy: a prospective cohort trial. Prostate Cancer Prostatic Dis. 2024;27(2):294-299. doi:10.1038/s41391-023-00760-5
  9. Rodriguez A, Kyriakou G, Leray E, Lobel B, Guillé F. Prospective study comparing two methods of anaesthesia for prostate biopsies: apex periprostatic nerve block versus intrarectal lidocaine gel: review of the literature. Eur Urol. 2003;44(2):195-200. doi:10.1016/S0302-2838(03)00188-X
  10. Maccagnano C, Scattoni V, Roscigno M, et al. Anaesthesia in transrectal prostate biopsy: which is the most effective technique? Urol Int. 2011;87(1):1-13. doi:10.1159/000327827
  11. Vanoli S, Grobet-Jeandin E, Windisch O, Valerio M, Benamran D. Evolution of anxiety management in prostate biopsy under local anesthesia: a narrative review. World J Urol. 2024;42(1):43. doi:10.1007/s00345-023-04723-2
  12. Tarhan H, Cakmak O, Unal E, et al. The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy. Can Urol Assoc J. 2014;8(11-12):E894-E900. doi:10.5489/cuaj.2208
  13. Teh JJ, Pascoe DJ, Hafeji S, et al. Efficacy of virtual reality for pain relief in medical procedures: a systematic review and meta-analysis. BMC Med. 2024;22(1):64. doi:10.1186/s12916-024-03266-6
  14. Genç H, Korkmaz M, Akkurt A. The effect of virtual reality glasses and stress balls on pain and vital findings during transrectal prostate biopsy: a randomized controlled trial. J Perianesth Nurs. 2022;37(3):344-350. doi:10.1016/j.jopan.2021.09.006
  15. Toraman RL, Eskici Ilgin V. Effect of virtual reality glasses application on pain, anxiety, and patient satisfaction during a transrectal prostate biopsy: a randomized controlled trial. Biol Res Nurs. 2024;26(4):485-497. doi:10.1177/10998004241236154
  16. Ozturk E, Ozden E, Isikdogan M, et al. The effect of listening to music on pain and anxiety scores during office based transperineal prostate biopsy: a prospective study. Urology. 2025;196:254-259. doi:10.1016/j.urology.2024.11.064
  17. Packiam VT, Nottingham CU, Cohen AJ, Eggener SE, Gerber GS. No effect of music on anxiety and pain during transrectal prostate biopsies: a randomized trial. Urology. 2018;117:31-35. doi:10.1016/j.urology.2018.04.014
  18. Chesnut GT, Zareba P, Sjoberg DD, et al. Patient-reported pain, discomfort, and anxiety during magnetic resonance imaging-targeted prostate biopsy. Can Urol Assoc J. 2020;14(5):E202-E208. doi:10.5489/cuaj.6102
  19. Nakai Y, Tanaka N, Matsubara T, et al. Effect of prolonged duration of transrectal ultrasound-guided biopsy of the prostate and pre-procedure anxiety on pain in patients without anesthesia. Res Rep Urol. 2021;13:111-120. doi:10.2147/RRU.S297703
  20. Kaver I, Mabjeesh NJ, Matzkin H. Randomized prospective study of periprostatic local anesthesia during transrectal ultrasound-guided prostate biopsy. Urology. 2002;59(3):405-408.
  21. Pareek G, Armenakas NA, Fracchia JA. Periprostatic nerve blockade for transrectal ultrasound guided biopsy of the prostate: a randomized, double-blind, placebo controlled study. J Urol. 2001;166(3):894-897. doi:10.1016/S0022-5347(05)65859-4
  22. Nazir B. Pain during transrectal ultrasound-guided prostate biopsy and the role of periprostatic nerve block: what radiologists should know. Korean J Radiol. 2014;15(5):543-553. doi:10.3348/kjr.2014.15.5.543
  23. Saraçoğlu T, Ünsal A, Taşkın F, Sevinçok L, Karaman CZ. The impact of pre-procedural waiting period and anxiety level on pain perception in patients undergoing transrectal ultrasound-guided prostate biopsy. Diagn Interv Radiol. 2012;18(2):195-199. doi:10.4261/1305-3825.DIR.4643-11.1
  24. Jang H, Moon HN, Kim JI, Bae SR, Han CH, Park BH. Comparison of intrarectal heated lidocaine gel and periprostatic nerve block for pain control in transrectal ultrasound-guided prostate biopsy: a randomized controlled non-inferiority trial. Prostate Int. 2023;11(1):8-12. doi:10.1016/j.prnil.2022.07.004
  25. Kim JI, Sohn DW, Park BH. Combination of intrarectal heated lidocaine gel and periprostatic nerve block for pain control during transrectal ultrasound-guided prostate biopsy: a prospective randomized trial. Investig Clin Urol. 2025;66(2):130-136. doi:10.4111/icu.20240312
  26. Issa MM, Bux S, Chun T, et al. A randomized prospective trial of intrarectal lidocaine for pain control during transrectal prostate biopsy: the Emory University experience. J Urol. 2000;164(2):397–399. doi:10.1016/S0022-5347(05)67369-7
  27. Chang SS, Alberts G, Wells N, Smith JA, Cookson MS. Intrarectal lidocaine during transrectal prostate biopsy: results of a prospective double-blind randomized trial. J Urol. 2001;166(6):2178–2180. doi:10.1016/S0022-5347(05)65529-2
  28. Cevik I, Ozveri H, Dillioglugil O, Akdaş A. Lack of effect of intrarectal lidocaine for pain control during transrectal prostate biopsy: a randomized prospective study. Eur Urol. 2002;42(3):217-220. doi:10.1016/S0302-2838(02)00275-0
  29. Berquin C, Perletti G, Develtere D, et al. Transperineal vs. transrectal prostate biopsies under local anesthesia: a prospective cohort study on patient tolerability and complication rates. Urol Oncol. 2023;41(9):388.e17-388.e23. doi:10.1016/j.urolonc.2023.05.020
  30. Bryant RJ, Marian IR, Williams R, et al. Local anaesthetic transperineal biopsy versus transrectal prostate biopsy in prostate cancer detection (TRANSLATE): a multicentre, randomised, controlled trial. Lancet Oncol. 2025;26(5):583-595. doi:10.1016/S1470-2045(25)00100-7