Virtual reality to reduce pain and anxiety during outpatient urology procedures
Official title: VIrtual Reality Induced Pain and anxiEty Relief in Outpatient UROlogical Procedures: a Post-marketing Clinical Investigation of REALICA
Run by Istituto Oncologico Veneto IRCCS · NCT07338292 · Data updated 2026-11-12
This trial will try a virtual reality headset (REALICA®) to reduce pain and anxiety for adults having outpatient urology procedures such as circumcision, prostate biopsy, or flexible cystoscopy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 56 (estimated) |
| Sponsor | Istituto Oncologico Veneto IRCCS Academic / other |
| Locations | 1 site (Padova) |
| Status | Recruiting |
| Started | December 17, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2026 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07338292 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (age ≥18) who are undergoing one of the listed outpatient urological procedures for the first time, can understand instructions, and can give informed consent are eligible.
✕Probably not a fit
Patients with contraindications to virtual reality (e.g., uncontrolled photosensitive epilepsy, significant neurological/ophthalmologic/ENT disorders), severe psychiatric or major cardiovascular disease, recent relevant urologic manipulations, or absolute contraindications to the planned procedure are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Outpatient urological procedures can cause significant preoperative anxiety and anticipatory pain, which may lead to physiological stress and poorer patient experience. This trial uses REALICA®, a CE-marked virtual reality hypnosis system, delivered during routine ambulatory urological procedures to provide immersive relaxation and guided hypnotic scripts. Participants receiving the device will be compared with routine clinical practice to determine whether VRH lowers procedural pain and anxiety and limits need for pharmacological sedation. The study also monitors patient satisfaction and peri-procedural stress indicators to gauge clinical and operational benefits.
Why it matters
Potential benefit: If successful, the intervention could reduce patient-reported pain and anxiety during procedures, lower sedative use, and improve overall patient experience and throughput in outpatient urology.
How similar studies have gone: Previous studies of virtual reality and virtual reality hypnosis have shown reductions in procedural pain and anxiety in various settings and preliminary evidence in prostate biopsy is promising, but systematic trials in urology remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male/female with age ≥ 18 years * Patient who are undergoing one of the interventions mentioned in the study for the first time; * Eligibility for minimally invasive ambulatory urological procedures, possibly requiring vascular access (circumcision, prostate biopsy, flexible cystoscopy); * Ability to understand instructions and complete study questionnaires; * Signed informed consent. Exclusion Criteria: * Absolute contraindications to the planned urological procedure (e.g., active urinary tract infection, anatomical urethral abnormalities); * Recent urological manipulations (e.g., urethral dilation, bladder biopsy, insertion or removal of a double-J stent); * Medical contraindications to the use of virtual reality, including uncontrolled photosensitive epilepsy and relevant neurological, ophthalmologic, or otolaryngologic disorders; * Presence of severe psychiatric disorders or major cardiovascular diseases that may interfere with study participation; * Previous adverse reactions to virtual reality exposure; * Use of analgesic medications within 24 hours prior to the procedure; * Use of drugs that may alter consciousness or impair the ability to complete psychological assessments; * Severe communication disabilities or significant hearing impairment that would prevent completion of questionnaires.
Where it's running
-
Istituto Oncologico Veneto IRCCS
Padova, Italy Recruiting
Study contacts
- Study coordinator: Antonio Amodeo, MD
- Email: antonio.amodeo@iov.veneto.it
- Phone: 0423-421321
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Single-session intervention to change ambiguity aversion
This trial tests whether one brief intervention can change how adults with intolerance of uncertainty and anxiety make ambiguous decisions and how their brains respond.
-
See if preoperative anxiety affects recovery after major digestive cancer surgery
This study tests whether anxiety before surgery is linked to more complications after major digestive cancer operations in French-speaking adults.
-
Mindful Smartphone Use: A Mindfulness-Based Program for Teens with Sleep and Mood Challenges
This study tests Mindwire, a mindfulness-based program, to see if it helps teens with problematic phone use who also have depression or anxiety.
-
Tele-based wellbeing centres for women's mental health in Bangladesh
A randomized trial tests whether tele-counselling for depression and anxiety in Bangladeshi women is as effective as in-person counselling.
-
Buzzy Bee for Pain and Anxiety Control During Pediatric Dental Local Anesthesia
This study tests whether the Buzzy Bee device, with cold and vibration, reduces pain and anxiety during a dental injection in kids aged 5-7 compared with standard distraction.
-
Reflexology and hand massage after cesarean section
This study tests whether reflexology hand massage or stroking hand massage can reduce anxiety and increase satisfaction, and how they affect heart/blood pressure after cesarean delivery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.