Although the study was under-powered, the difference found approached clinical significance. However, patients in the modified group showed a greater decrease in embarrassment scores (9.72 mm) than patients in the standard group (1.3 mm p = 0.33). Patients in both groups reported less embarrassment after UDT. The study was complete with 60 participants. The aim of the dim lighting and music was to provide an increased sense of privacy and audio distraction based on participant feedback in previous studies. Eligible participants were randomized to one of two conditions: dim lighting with light instrumental music (modified group, 30 patients), or no music and standard lighting (standard group, 30 patients). MethodsĪ total of 60 participants were recruited to achieve an 80% power to detect a conservative 20-point difference with a significance level of 0.05. We report a prospective randomized controlled trial to evaluate the hypothesis that an improved ambience can decrease UDT-related embarrassment and anxiety. The suggestions include audio distraction and increased privacy, neither of which have been prospectively examined. In previous survey studies, women undergoing urodynamic testing (UDT) have reported bother and embarrassment and have provided suggestions for improving the experience.