Dr. L. ‘t Hoen and Dr. S. Schilling discuss non-pharmaceutical preventative measures for preventing anxiety in children undergoing urological procedures

In Episode 2, “Non-pharmaceutical preventative measures" of the series "How to prevent anxiety in children undergoing urological procedures", Dr. Lisette ‘t Hoen (NL) and Dr. Sofie Schilling (NL) discuss how thoughtful, non-medication-based approaches can significantly ease procedural anxiety in children. Drawing from their experience at the Erasmus MC -  Sophia Children’s Hospital, they share the importance of assessing each child’s age, emotional needs and prior medical experiences to tailor supportive care.

Published Sun, 21 Sep 2025
PodcastPaediatric UrologyYAU Working Group Paediatric UrologyEAU Education Office ESU

The conversation highlights the critical role of communication - not only with children but also with their families - as a foundation for trust and reassurance. The speakers explain how giving children a sense of control, even in small choices, helps reduce anxiety and increase cooperation. They present a range of effective tools, including bubble play, search-and-find books, stress toys and virtual reality headsets, each adapted to the child’s developmental stage.

Particular attention is given to cognitive distraction techniques that actively engage a child’s attention, leaving less mental space for fear. The episode also addresses what can be done during emergencies or at night when child life specialists are unavailable - emphasising that even small, simple gestures by clinical staff can have a big impact.

Finally, the discussion turns to newborns, often overlooked in anxiety prevention. The speakers explain how skin-to-skin contact, pacifiers, breastfeeding, and glucose water can all contribute to a calmer, less stressful experience, even in the earliest stages of life.

This episode offers highly practical insights for anyone involved in paediatric urological care - underscoring that anxiety prevention can often be achieved with empathy, creativity and the right non-pharmaceutical tools.

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