Bladder Distension for Pain Relief in Patients With Excessive Anteflexion of Uterus Undergoing Office Hysteroscopy

Cairo University (CU)

Status: Enrolling

Conditions: Hysteroscopy

Treatments: Procedure: Bladder distension group; Procedure: Empty bladder group

Study type: Interventional

Funder types: Other

Identifiers

NCT06642311

Anteflexion /hysteroscoy

Details and patient eligibility

About

This study is conducted to assess whether the passive uterine straightening of the uterus by means of bladder filling is associated with less pain experienced by patients with excessive anteflexion of the uterus during office hysteroscopy.

Enrollment: 48 estimated patients

Sex: Female

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with excessive anteflexion of the uterus

Exclusion criteria

• Cervical pathology
• Previous cervical surgery
• Severe vaginal bleeding

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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48 participants in 2 patient groups

Empty bladder group

Active Comparator group

Description:

Patients in the empty bladder group will be instructed to empty the bladder immediately before the procedure. A colleague will perform transabdominal ultrasound to confirm that the bladder is empty. All the procedures will be performed using the vaginoscopic technique. A rigid 2.9-mm hysteroscope with a 30° lens and a 5-mm outer sheath (Karl Storz GmbH, Tuttlingen, Germany) will be used in all procedures

Treatment:

Procedure: Empty bladder group

Bladder distension group

Active Comparator group

Description:

Patients in the bladder distension group will be instructed to drink one liter of water and to avoid urination during a period of 2 h before the scheduled procedure. A colleague will perform transabdominal ultrasound to confirm that the bladder is distended . All the procedures will be performed using the vaginoscopic technique. A rigid 2.9-mm hysteroscope with a 30° lens and a 5-mm outer sheath (Karl Storz GmbH, Tuttlingen, Germany) will be used in all procedures.

Treatment:

Procedure: Bladder distension group