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NCT Number: NCT07055178

Perioperative Virtual Reality Intervention for Pain and Anxiety During Vasectomies

The goal of this clinical trial is to learn if a virtual reality (VR) program (TRIPP) can reduce pain, anxiety, and distress in adult men (aged 18+) undergoing a vasectomy under local anesthesia. The main questions it aims to answer are:

* Does using VR during a vasectomy lower patients' pain during the procedure compared to standard care? * Does VR reduce anxiety and distress compared to standard care? * Are patients more satisfied with their experience when using VR compared to standard care?

Researchers will compare two groups:

* VR group: Patients will use a VR headset with a guided meditation program (TRIPP) during their vasectomy. * Control group: Patients will receive standard care (no VR).

Participants will:

* Be randomly assigned to either the VR group or control group. * Complete brief questionnaires before, during, and after the procedure (about 15-20 minutes each time). * (VR group only) Use a VR headset during the procedure and provide optional feedback about the experience.

Why is this important? Vasectomies are typically done with local anesthesia (pain relief), but many patients still feel anxiety or discomfort. VR may help distract and relax patients, improving their experience. This study will help health professionals understand if VR could be a useful option for future patients.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Not applicable

Primary location

Manitoba Men's Health Clinic

Winnipeg, Manitoba, R3P 2S8, Canada

Location status: Recruiting

Location contact

Ahmed M Zalam, B.Sc.

CONTACT

[email protected]

204-880-6564

Ahmed M Zalam, B.Sc.

PRINCIPAL_INVESTIGATOR

Premal Patel, MD, FRCSC

CONTACT

[email protected]

204-221-4476

Premal Patel, MD, FRCSC

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 18 years of age or older.
  • Can speak and read English.
  • Have elected for a vasectomy.
  • Are scheduled to undergo their vasectomy under local anesthesia at the Men's Health Clinic

Exclusion criteria

  • Those who are not competent to provide informed consent (e.g., due to cognitive impairment).
  • Those who are unable to participate in a VR intervention (e.g., due to visual or auditory impairment).

Treatment and study plan

Virtual reality (VR) guided meditation therapy

Device

Participants will engage in the TRIPP relaxation app on the MetaQuest 3 VR headset.

Treatment as Usual

Other

Participants undergo a standard vasectomy.

Primary outcomes

  1. Numeric Rating Scale (NRS) for Pain Severity

    Time frame: Perioperatively (midway through procedure) and immediately following the procedure.

    During and immediately following the procedure, patients will be momentarily interrupted to give a brief NRS verbal response question measure of their level of acute pain, this is on a scale of 0-10; 10 = most severe pain.

Secondary outcomes

  1. Numeric Rating Scale (NRS) for Discomfort Severity

    Time frame: Perioperatively (midway through procedure) and immediately following the procedure.

    During and immediately following the procedure, patients will be momentarily interrupted to give a brief NRS verbal response question measure of their level of acute discomfort, this is on a scale of 0-10; 10 = most severe pain.

  2. Numeric Rating Scale (NRS) for Anxiety Severity

    Time frame: Perioperatively (midway through procedure) and immediately following the procedure.

    During and immediately following the procedure, patients will be momentarily interrupted to give a brief NRS verbal response question measure of their level of acute anxiety, this is on a scale of 0-10; 10 = most severe pain.

  3. PROMIS Pain Intensity Scale Total Score

    Time frame: Within 10 minutes postoperatively (in the recovery room)

    Immediately following the procedure, patients will be asked to respond to a short verbal Patient-Reported Outcomes Measurement Information System (PROMIS) pain intensity questionnaire with questions surrounding experienced pain (scored 3 - 15 ; 15 = greatest pain severity).

  4. State Trait Anxiety Inventory Total Score

    Time frame: 10 minutes preoperatively (baseline) and within 10 minutes postoperatively (in the recovery room.

    Brief self-report questionnaire with questions surrounding anxiety traits (scale 0-63 ; 63 = most severe anxiety)

  5. National Comprehensive Cancer Network (NCCN) Anxiety Thermometer Score (adapted from Distress Thermometer)

    Time frame: 10 minutes preoperatively (baseline) and within 10 minutes postoperatively (in the recovery room.

    Brief self-report visual analogue scale (VAS) for anxiety. Scored from 0-10 ; 10 = extreme anxiety.

  6. Satisfaction with Surgery

    Time frame: Within 10 minutes postoperatively (in the recovery room).

    Brief self-report item to assess overall satisfaction with their procedure. Scaled from 0-10 ; 10 = greatest satisfaction.

  7. iGroup Presence Questionnaire (IPQ) Score

    Time frame: Within 10 minutes postoperatively (in the recovery room).

    Brief self-report questionnaire with several questions surrounding VR experience (spatial presence, involvement, and experience realism). Each question is scored independently on a 7-point Likert scale (from -3 to +3).

  8. Virtual Reality Impressions Scale

    Time frame: Within 10 minutes postoperatively (in the recovery room).

    Brief self-report questionnaire with several questions surrounding the virtual reality program experience (spatial presence, involvement, and experience realism). Each question is scored independently on a 0 - 10 scale ; 0 = complete disagreement, 10 = complete agreement.

Study contacts

Contact information is provided by the study sponsor or research team.

Ahmed M Zalam, B.Sc.

CONTACT

[email protected]

204-880-6564

Renée El-Gabalawy, MA, PhD, C.Psych.

CONTACT

[email protected]

204-787-4083

Sponsors and collaborators

Lead sponsor

University of Manitoba

Other

Registry information

Official study title

A Perioperative Virtual Reality Intervention for Pain and Anxiety Management During Vasectomies: A Randomized Controlled Trial

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jul 8, 2025
Registry last updated
May 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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