The Influence of Music on perceiVed paIn and leVels of Anxiety whiLe unDergoing transperIneal Prostate Biopsy: the VIVALDI Trial

NCT ID: NCT07234097

Last Updated: 2025-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2026-04-30

Brief Summary

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Prostate biopsy is the key examination for the histological diagnosis of prostate cancer. This procedure can be performed via the transrectal (TR) or transperineal (TP) approach. Current Guidelines recommend the transperineal route because it is associated with fewer infectious complications compared to the transrectal approach. However, when the same type of anesthesia is used, the transperineal approach is more painful.

Several strategies have been developed to improve pain management during TR biopsy. Some studies have shown that allowing patients to listen to music during the procedure can reduce perceived pain and stress. However, this effect has never been investigated in TP biopsies, which are now the gold standard and generally more painful than TR biopsies.

Primary Objective:

To evaluate the reduction in pain levels in patients undergoing transperineal prostate biopsy with the aid of music compared to patients undergoing the same procedure without music.

Secondary Objectives:

To evaluate the reduction in stress levels related to the procedure in patients undergoing transperineal prostate biopsy with music compared to those without music.

To evaluate the reduction in the use of painkillers and sedatives during the procedure in patients undergoing transperineal biopsy with music compared to those without.

To assess pain management and procedure tolerability in both groups.

Detailed Description

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Conditions

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Prostate Cancer Pain Management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized trial
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Music

Group submitted to prostate biopsy with music

Group Type EXPERIMENTAL

Music intervention

Intervention Type OTHER

music during the biopsy

No music

Group submitted to prostate biopsy without music

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Music intervention

music during the biopsy

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Suspected prostate cancer eligible for transperineal prostate biopsy
* Patients who have signed informed consent
* Age \> 50 years
* Male

Exclusion Criteria

* patients who have had prostate biopsies in the past
Minimum Eligible Age

50 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

OTHER

Sponsor Role lead

Responsible Party

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Luca Boeri

Dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Luca Boeri, MD

Role: CONTACT

+393663142529

References

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Chang YH, Oh TH, Lee JW, Park SC, Seo IY, Jeong HJ, Kwon WA. Listening to music during transrectal ultrasound-guided prostate biopsy decreases anxiety, pain and dissatisfaction in patients: a pilot randomized controlled trial. Urol Int. 2015;94(3):337-41. doi: 10.1159/000368420. Epub 2014 Dec 18.

Reference Type BACKGROUND
PMID: 25531837 (View on PubMed)

Dell'Atti L. Impact of music on anxiety and pain perception among men undergoing prostate biopsy: Synthesis of qualitative literature. Complement Ther Clin Pract. 2021 May;43:101330. doi: 10.1016/j.ctcp.2021.101330. Epub 2021 Feb 6.

Reference Type BACKGROUND
PMID: 33578321 (View on PubMed)

Kyriakides R, Jones P, Geraghty R, Skolarikos A, Liatsikos E, Traxer O, Pietropaolo A, Somani BK. Effect of Music on Outpatient Urological Procedures: A Systematic Review and Meta-Analysis from the European Association of Urology Section of Uro-Technology. J Urol. 2018 May;199(5):1319-1327. doi: 10.1016/j.juro.2017.11.117. Epub 2017 Dec 7.

Reference Type BACKGROUND
PMID: 29225059 (View on PubMed)

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 Jan 20;42(1):43. doi: 10.1007/s00345-023-04723-2.

Reference Type BACKGROUND
PMID: 38244150 (View on PubMed)

Novella G, Ficarra V, Galfano A, Ballario R, Novara G, Cavalleri S, Artibani W. Pain assessment after original transperineal prostate biopsy using a coaxial needle. Urology. 2003 Oct;62(4):689-92. doi: 10.1016/s0090-4295(03)00483-7.

Reference Type BACKGROUND
PMID: 14550444 (View on PubMed)

Other Identifiers

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VIVALDI

Identifier Type: -

Identifier Source: org_study_id

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