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UrologyAR/VR Consent Module

Flexible Cystoscopy

Patient anxiety prior to flexible cystoscopy is well documented. The Surgassists module gives patients a first person experience of what to expect, significantly reducing anxiety and improving willingness to attend follow up surveillance, particularly important in bladder cancer monitoring pathways.

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Flexible Cystoscopy
The Problem

Systemic Gaps in the Informed Consent Pathway

Procedural Understanding

Patients awaiting flexible cystoscopy often have limited understanding of the endoscopic pathway. The intimate nature of the procedure means written leaflets frequently fail to prepare patients adequately, leading to avoidable distress and cancelled appointments.

Anxiety

Anxiety before flexible cystoscopy is particularly high, driven by fear of pain and the intimate nature of the examination. Patients who are poorly prepared are more likely to experience heightened pain perception and less likely to attend follow up surveillance.

Attendance and Compliance

Non attendance at flexible cystoscopy, particularly in bladder cancer surveillance pathways, represents a significant clinical risk. Improved patient preparation directly supports attendance and compliance.

Montgomery Compliance

Clinicians must ensure patients understand the material risks under Montgomery standards. Time pressure in busy urology clinics makes genuine comprehension verification difficult when relying solely on verbal explanation.

Surgassists Approach

Replacing static information with immersive understanding

Surgassists delivers a first person immersive walkthrough of the flexible cystoscopy procedure, giving patients direct experience of the environment, instrumentation, and step by step process before they arrive at clinic.

AR mode
From Your Phone

Augmented Reality Overlay

AR projects life size anatomical structures into the consultation room via tablet or AR glasses, allowing the clinician and patient to explore anatomy together. No headset required.

VR mode
From Your Headset

Virtual Reality Mode

Using a standalone VR headset, patients are transported into a calm, 3D clinical environment with life size anatomical structures and narrated guidance through every stage of the procedure.

Patient Experience

What Patients Experience

A guided journey through four immersive scenes preparing patients for every stage of the procedure.

Enter the Procedure Room
Scene 1

Enter the Procedure Room

Patients see the cystoscopy suite and equipment before arrival.

Instrument Familiarisation
Scene 2

Instrument Familiarisation

The flexible cystoscope is shown in life size scale with narrated explanation.

Procedure Walkthrough
Scene 3

Procedure Walkthrough

Patients follow the step by step cystoscopy process from a first person perspective.

Risks and What to Expect
Scene 4

Risks and What to Expect

Potential complications, post procedure sensations, and when to seek advice.

Module Features

Designed for the Real Clinical World

7 Languages

Spanish, Italian, Polish, Punjabi, English, Romanian, and Arabic.

2 to 5 Minute Sessions

Designed to fit within a standard outpatient appointment or viewed at home.

Evidence Based

Developed in collaboration with NHS Hospitals and peer reviewed research.

Life Size Anatomy

Anatomically accurate, immersive structures that improve spatial comprehension.

Montgomery Compliant

Supports the legal standard for informed consent set out in Montgomery v Lanarkshire.

Improved Outcomes

Better informed patients make better decisions and have improved procedural tolerance.

Research

Research Publications

01
Enhanced consent and patient counselling using virtual reality for patients undergoing Outpatient Urological Interventions
Pischetola A, Reynolds PCJ, Bamerni D, Davis T, Tear L, Pietropaolo A, Frascheri FM, Cornwall A, Somani BK
02
Role of virtual reality in enhanced consent for endourological procedures: Clinician and patient perspective
Somani B, Reynolds P

See the Flexible Cystoscopy Module

Request a clinical demonstration to see how Surgassists reduces anxiety for flexible cystoscopy.

Request Clinical Demo