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The Effect of Trendelenburg Lithotomy Position on Pain and Procedural Time During Vaginoscopic Office Hysteroscopy

G

Gaziosmanpasa Research and Education Hospital

Status

Completed

Conditions

Uterine Diseases

Treatments

Procedure: vaginoscopic office hysteroscopy

Study type

Interventional

Funder types

Other

Identifiers

NCT04436354
GaziosmanpasaTREHa

Details and patient eligibility

About

The present study revealed that the TL position is supposed to be more efficient not only for lowering pain score but also reducing the procedural time. Also, performing hysteroscopy in this position may be easier for doctors than in the lithotomy position.

Full description

VOH is a widely used diagnostic method and seems to be getting more into outpatient clinics. Despite its huge contribution to clinical practice, pain during the procedure is an important limiting factor. We aimed to investigate the effect of the trendelenburg lithotomy position to the pain and procedural time.However, there is a scarcity of research on this subject. Therefore, the rationale of the study was to enlighten the gap in the literature regarding the pain score and procedural time during VOH for diagnostic purposes in TL position. In order to gain scientific evidence, a randomized controlled trial was conducted to compare pain score and duration of procedure between the standard lithotomy position and TL position. Also, the convenience for the physician performing the procedure was assessed. To the best of our knowledge, this is the first study in the literature investigating the effect of the position of the patient during the procedure on both time, pain, and the convenience for the physician simultaneously.

Enrollment

157 patients

Sex

Female

Ages

20 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • uterine disorders
  • abnormal uterine bleeding
  • infertility

Exclusion criteria

  • pregnancy
  • cervical disorders
  • pelvic infections

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

157 participants in 2 patient groups

vaginoscopic office hysteroscopy in the trendelenburg position
Experimental group
Treatment:
Procedure: vaginoscopic office hysteroscopy
vaginoscopic office hysteroscopy in lithotomy position
Experimental group
Treatment:
Procedure: vaginoscopic office hysteroscopy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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