Warm distension fluid reduces pain severity in office hysteroscopy: a randomized controlled trial

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dc.authoridcakmak, bulent/0000-0002-1298-6140
dc.contributor.authorGulucu, Selim
dc.contributor.authorCakmak, Bulent
dc.date.accessioned2024-11-07T13:31:41Z
dc.date.available2024-11-07T13:31:41Z
dc.date.issued2021
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractBACKGROUND: Abnormal uterine bleeding (AUB) affects approximately 14% to 25% of women of reproductive age. The most common use of office hysteroscopy is to evaluate pathologies related to AUB and reproductive health, but office hysteroscopy can also be used for the diagnosis and treatment of other intrauterine pathologies. OBJECTIVE: Investigate the effects of the temperature of the distension fluid on pain severity in patients undergoing diagnostic office hysteroscopy due to AUB. DESIGN: Randomized controlled clinical trial. SETTING: Tertiary care center in Turkey. PATIENTS AND METHODS: One hundred perimenopausal patients with AUB were randomly allocated according to the temperature of the distension fluid used in office hysteroscopy (37 degrees C or 25 degrees C). Pain intensity was assessed using a visual analog scale (VAS). Six VAS measurements were compared over the course of the hysteroscopy: pre-treatment (VAS-1), at vaginal entry (VAS-2), at the cervical ostium transition (VAS-3), while in the cavity (VAS-4), at the end of the procedure (VAS-5), and 30 minutes after the end of the procedure (VAS-6). MAIN OUTCOME MEASURES: VAS SAMPLE SIZE: Fifty in each group enrolled, one drop out. RESULTS: The VAS-3, VAS-4, and VAS-5 scores were significantly lower for patients in the warm fluid group than in the room temperature group (P<.05), whereas the VAS-1, VAS-2, and VAS-6 scores were similar in both groups. CONCLUSION: The application of warm distension fluid in office hysteroscopy reduces pain severity compared with the application of an unheated fluid. LIMITATIONS: The main limitations of the study were that a subgroup analysis could not be performed due to an insufficient number of cases, and we were unable to evaluate vasovagal symptoms.
dc.identifier.doi10.5144/0256-4947.2021.135
dc.identifier.endpage140
dc.identifier.issn0256-4947
dc.identifier.issn1319-9226
dc.identifier.issue3
dc.identifier.pmid34085547
dc.identifier.scopus2-s2.0-85107450291
dc.identifier.scopusqualityQ3
dc.identifier.startpage135
dc.identifier.urihttps://doi.org/10.5144/0256-4947.2021.135
dc.identifier.urihttps://hdl.handle.net/11480/14958
dc.identifier.volume41
dc.identifier.wosWOS:000659128100002
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherK Faisal Spec Hosp Res Centre
dc.relation.ispartofAnnals of Saudi Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241106
dc.subjectOutpatient Hysteroscopy
dc.subjectDiagnostic Hysteroscopy
dc.subjectNulliparous Women
dc.subjectRoom-Temperature
dc.subjectSaline Solution
dc.subjectMisoprostol
dc.subjectAnesthesia
dc.subjectCare
dc.titleWarm distension fluid reduces pain severity in office hysteroscopy: a randomized controlled trial
dc.typeArticle

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