Pain in Different Office Hysteroscopy Diameter

Assiut University

Status: Unknown

Conditions: Pain Associated Office Hysteroscopy

Treatments: Procedure: office hysteroscopy 4; Procedure: office hysteroscopy 3.7

Study type: Observational

Funder types: Other

Identifiers

NCT02939196

OH

Details and patient eligibility

About

The purpose of the investigators'study was To compare 2 different diameter rigid hysteroscopy in vaginoscopic approach regarding pain during and after the procedure.

And to evaluate patient acceptability and tolerability in order to determine the best way to perform hysteroscopy in an outpatient setting.

Full description

Office hysteroscopy is used as diagnostic tool to investigate abnormal uterine bleeding and other diseases involving the uterine cavity one of The main limitation to its widespread use is feared from pain and low patient tolerability Narrower diameter hysteroscopy and endometrial biopsy devices are being developed to improve the acceptability of office hysteroscopy. Miniature optical systems allow performance of most diagnostic and operative hysteroscopy (after proper patient selection) in an outpatient or office setting .Flexible hysteroscopy seem to be less painful at the beginning and during the procedure ,but the optical qualities are poor Hysteroscopy is safe, feasible and accurate procedure for diagnosing intrauterine pathology.

Provision of outpatient based diagnostic and operative services are gaining prominence as a standard of cure but the experience of pain can be off-putting for patients having outpatient diagnostic hysteroscopy.

saline solution is an excellent alternative to carbon dioxide in women undergoing outpatient hysteroscopy, and there are fewer complications

Enrollment: 140 estimated patients

Sex: Female

Ages: 20 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Woman with nulliparous cervix

Exclusion criteria

• Pregnancy.
• female genital cancer
• Active pelvic infection
• Multipara
• patient not receiving misoprostol

Trial design

140 participants in 2 patient groups

Group(A)

Description:

2.7 mm rigid hysteroscopy.

Treatment:

Procedure: office hysteroscopy 3.7

Group(B)

Description:

2.9 mm rigid hysteroscopy.

Treatment:

Procedure: office hysteroscopy 4