OBJECTIVE To assess the impact of listening to preferred music on releasing male patients' pain and anxiety during flexible cystoscopy. PATIENTS AND METHODS A total of 124 male patients were admitted to our hospital for flexile cystoscopy by a single urologist between Jan 2013 and Sep 2013 and randomized to 2 equal groups. Group 2 included 62 patients who could select and listen to their preferred music during flexible cystoscopy. Group 1 included 62 patients who were unable to listen to the music. All patients were adminstrated the same amount of lidocaine(10mL) for 3 min for local anaesthesia before flexible cystoscopy. A VAS (visual analog pain scale) ranging from 0 to 10 was applicated to assess patients' pain feeling after the cystoscopy procedure. Anxiety levels were caculated according to the State Instrument of State-Trait Anxiety Inventory（STAI-S）, and the pulse rate were recorded five minutes before and immediately after the procedure. The duration of the procedure of each group were also analysed. RESULTS Statistically significant differences were detected between group1 and group2 in the mean pain score on VAS（2.53±1.34 VS 1.63±1.09, p= 0.002, Mann- Whitney U test），mean postprocedural State Anxiety Inventory pain score（39.4±6.5 VS 34.5±5.8）and postprocedural pulse rate（79.8±5.5 VS 76.0±7.3）(p < 0.001 for both, T test). Patients who listened to their preferred music experienced less discomfort and lower anxiety at cystoscopy. Patient age, duration of the procedure, preprocedural STAI-S and preprocedural pulse rate of each group were comparable. CONCLUSION Listening to preferred music during flexible cystoscopy is an easy way to improves male patients' comfort and reduce their anxiety. It could be recommended for male patients.
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