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Titolo:
Feasibility and pain control in outpatient hysteroscopy in postmenopausal women: a randomized trial
Autore:
Giorda, G; Scarabelli, C; Franceschi, S; Campagnutta, E;
Indirizzi:
Ist Nazl Tumori, Ctr Riferimento Oncol, Dept Gynecol Oncol, I-33081 Aviano, Italy Ist Nazl Tumori Aviano Italy I-33081 ynecol Oncol, I-33081 Aviano, Italy Ist Nazl Tumori, Ctr Riferimento Oncol, Epidemiol Unit, I-33081 Aviano, Italy Ist Nazl Tumori Aviano Italy I-33081 idemiol Unit, I-33081 Aviano, Italy
Titolo Testata:
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
fascicolo: 7, volume: 79, anno: 2000,
pagine: 593 - 597
SICI:
0001-6349(200007)79:7<593:FAPCIO>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIAGNOSTIC HYSTEROSCOPY; TOPICAL ANESTHESIA; ENDOMETRIAL BIOPSY;
Keywords:
narrow/large sheath hysteroscopes; outpatient hysteroscopy; pain control; para-cervical block; postmenopausal women;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Giorda, G Ctr Riferimento Oncol, Dept Gynecol, Oncol & Epidemiol Unit, ViaPedemontana Occidentale, I-33081 Aviano, Italy Ctr Riferimento Oncol Via Pedemontana Occidentale Aviano Italy I-33081
Citazione:
G. Giorda et al., "Feasibility and pain control in outpatient hysteroscopy in postmenopausal women: a randomized trial", ACT OBST SC, 79(7), 2000, pp. 593-597

Abstract

Background. Three methods of diagnostic hysteroscopy have been tested for both women's compliance and feasibility of procedures in postmenopause. Methods. Three hundred and sixty-two postmenopausal women were enrolled ina three-arm study: 5 mm diagnostic sheath (Group 1, 119 women), 5 mm sheath with paracervical block (Group 2, 121 women), and 3.5 mm sheath (Group 3,121 women). CO2 was the distention medium. Both feasibility of hysteroscopy (procedures failed due to stenosis or incomplete distention of cavity) and discomfort of women have been recorded. Pain perception has been measuredon a visual numerical rating scale. Statistical analysis was performed by t-test for unpaired samples and chi-square test. Results. Paracervical block was pet se painful in 18.2% and bleeding from injection site occurred in 38.8%. Hysteroscopy failure due to stenosis occurred in 9%, 10% and 0.4% of the three groups respectively (p<0.01). Intolerable pain was reported by 17% of women in Group 1, 6% in Group 2 (p<0.05) and in none of Group 3 (p<0.01). Pain score improved from Group 1 to Group 3(p<0.01). Hysteroscopy was incomplete because of gas leakage in 1.7% of both Group 1 and 2 and in 13.2% of Group 3 (p<0.01). Conclusions. Pain perception in postmenopausal women was reduced when paracervical block was used, but discomfort was even less with the narrow sheath hysteroscope. The narrow sheath will expose to a high percentage of inconclusive procedures but it can be overcome by changing to the large sheath hysteroscope without affecting patient pain perception.

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Documento generato il 05/04/20 alle ore 13:41:03