Chaperones in urology clinic: an updated survey of patient perspectives and preferences in the outpatient setting in the United Kingdom.

Abstract

Introduction: Intimate physical examination is integral to patient care within the urological outpatient setting. With time, these practices become a matter of routine for the surgeon; however, this is often not the case for their patients, risking feelings of embarrassment and/or discomfort. Chaperones promote patient privacy and dignity. Previous research has focused on the clinician's perspective. This cross-sectional survey study aims to explore current patient understanding and preference regarding chaperone use in urology outpatient clinics within the United Kingdom.

Methods: Consecutive adult patients attending urology outpatient clinics at Bolton NHS Foundation Trust between 10/05/2024 and 17/07/2024 were invited to participate. Following a pilot process, the final survey utilized open and closed questions to explore the pertinent themes including demographics, previous experience, understanding and preference regarding chaperone use. The output underwent statistical analysis.

Results: A total of 386 participants were included. Whilst 74.1% of patients were familiar with the term 'chaperone', just 67.4% were aware of their role and 52.1% understood when one may be offered. Patients identified genital examination (65.5%), digital rectal examination (61.4%) and urethral catheterization (47.9%) as the most sensitive aspects of care; despite this, only 34.5%, 31.1% and 23.6% reported a preference for a chaperone during these examinations respectively. Patient attitudes towards chaperones were influenced by patient age and gender, as well as clinician gender.

Conclusion: Sensitive and deliberate discussion of the role of chaperones, as well as exploration of patient preference, is central to improving patient experience when attending urological clinic appointments and promoting patient-centred care.