Structured Periprocedural Nursing Interventions in Men Undergoing Transrectal Prostate Biopsy

August 7, 2026 updated by: Maja Arđelan, University of Mostar

Impact of Structured Periprocedural Nursing Interventions on Resilience and Anxiety in Men Undergoing Transrectal Prostate Biopsy: A Prospective Longitudinal Interventions Study With Histopathological Stratification

This prospective longitudinal interventional study aims to evaluate the effect of structured peri-procedural nursing interventions on resilience and anxiety in men undergoing transrectal prostate biopsy. Participants will receive a standardized nursing intervention before and after the biopsy procedure. Resilience, anxiety, pain, lower urinary tract symptoms, and perceived nursing support will be assessed at predefined time points. Histopathological findings (benign or malignant) will be used for subgroup analyses. The study is conducted at the University Clinical Hospital Mostar, Bosnia and Herzegovina.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

This is a prospective, single-center, longitudinal interventional study conducted at the Department of Urology, University Clinical Hospital Mostar, Bosnia and Herzegovina.

The objective is to determine whether structured peri-procedural nursing interventions improve resilience and reduce anxiety in men undergoing transrectal prostate biopsy.

Participants will be assessed at three time points:

  • baseline before the biopsy,
  • 0-24 Houra after the procedure
  • 2-3 weeks after the biopsy after receiving histopathological results. The study outcomes include resilience, anxiety, pain, lower urinary tract symptoms, and patients perception of nursing support.

Histopathological disgnosis (benign or malignant) will be used for subgroup analyses.

Approximately 120-140 participants are expected to be enrolled, with an anticipated final sample of approximately 100-110 participants after follow-up.

Study Type

Interventional

Enrollment (Estimated)

120

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

  • Bosnia and Herzegovina
    • Federation of Bosnia and Herzegovina
      • Mostar, Federation of Bosnia and Herzegovina, Bosnia and Herzegovina, 88000
        • Recruiting
        • University Clinical Hospital Mostar
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Male participants aged 40 years or older.
  • Scheduled for transrectal ultrasound-guided prostate biopsy because of suspected prostate cancer.
  • Able to understand the study procedures and provide written informed consent.
  • Willing to complete all study assessments during the follow-up period.

Exclusion Criteria:

  • Inabillity to provide informed consent.
  • Severe cognitive impairment or psychiatric disorder preventing questionnaire completion.
  • Previous disgnosis of prostate cancer.
  • Inabillity to complete follow-up assessments.
  • Withdrawal of informed consent at any time.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Structured peri-procedural nursing Intervention
All participants receive the same structured peri-procedural nursing Intervention before and after transrectal prostate biopsy.
Behavioral: Structured peri-procedural nursing Intervention
The structured peri-procedural nursing Intervention includes standardized patient education, procedral preparation, comminication, emotional support, and nursing care provided before, during, and after transrectal prostate biopsy. All participants receive the same Intervention according to the predefined study protocol.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in resilience measured by the Connor-Davidson Resilience Scale (CD-RISC-25)
Time Frame: Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.
To assess in resilience in men undergoing transrectal prostate biopsy after structured peri-procedural nursing Intervention.
Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in anxiety measured by the Hamilton Anxiety Rating Scale (HAM-A)
Time Frame: Baseline (7 days before biopsy), and 2-3 weeks after biopsy following disclosure of histopathological results.
To assess changes in anxiety levels in men undergoing transrectal prostate biopsy following structured peri-procedural nursing Intervention.
Baseline (7 days before biopsy), and 2-3 weeks after biopsy following disclosure of histopathological results.
Change in lower urinary tract symptoms associated with the biopsy procedure and recovery.
Time Frame: Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.
To assess changes in lower urinary tract symptoms associated with the biopsy procedure and recovery.
Baseline (7 days before biopsy), 0-24 hours after biopsy, and 2-3 weeks after biopsy.
Pain intensity measured by the Numeric Rating Scale (NRS)
Time Frame: 0-24 hours after biopsy.
To assess pain intensity experienced after transrectal prostate biopsy.
0-24 hours after biopsy.
Perception of nursing care measured by a structured patient questionnaire
Time Frame: 0-24 hours after biopsy and 2-3 weeks after biopsy.
To assess patients perception of peri-procedural nursing care, comminication, emotional support, and information provided.
0-24 hours after biopsy and 2-3 weeks after biopsy.

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Histopathological disgnosis after prostate biopsy
Time Frame: 2-3 weeks after prostate biopsy, when histopathological results are disclosed.
Histopathological biopsy results will be recorded and participants will be stratified into benign and malignant disgnosis groups for pre-specified subgroup analyses.
2-3 weeks after prostate biopsy, when histopathological results are disclosed.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Mostar

Investigators

  • Principal Investigator: Maja Ardjelan, MSc, University of Mostar
  • Study Chair: Katica Pavlović, MD, PhD, University of Mostar

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 4, 2026

Primary Completion (Estimated)

July 4, 2027

Study Completion (Estimated)

August 4, 2027

Study Registration Dates

First Submitted

August 7, 2026

First Submitted That Met QC Criteria

August 7, 2026

First Posted (Actual)

August 12, 2026

Study Record Updates

Last Update Posted (Actual)

August 12, 2026

Last Update Submitted That Met QC Criteria

August 7, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • No. 229/26

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data collected during this study will not be made publicly available. Only aggregated study results will be published.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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