Identifying Predictors of Unacceptable Pain at Office Hysteroscopy

Fonseca, Márlon de Freitas; Sessa, Felipe Ventura; Resende, José Anacleto Dutra; Guerra, Camilla Gabriely Souza; Andrade, C.M.; Crispi, Claudio Peixoto

doi:10.1016/j.jmig.2013.12.118

Cited by 52 publications

(23 citation statements)

References 19 publications

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“…Many studies have focused on different variables that influence pain (4,8,12,15,19,(26)(27)(28), particularly on distension media. In a recent meta-analysis Craciunas et al (21) reported that most of the included studies were of low methodologic quality owing to unsuitableness of the randomization technique, allocation concealment, blinding, and power calculation.…”

Section: Discussionmentioning

confidence: 99%

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Pain in diagnostic hysteroscopy: a multivariate analysis after a randomized, controlled trial

Mazzon

Favilli

Grasso

et al. 2014

Fertility and Sterility

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Section: Discussionmentioning

confidence: 99%

“…We considered patients in a ''zone of analgesic success'' if the VAS score was %3 (22)(23)(24). Some studies have described a VAS score <7 as a satisfactory result (26).…”

Section: Discussionmentioning

confidence: 99%

Pain in diagnostic hysteroscopy: a multivariate analysis after a randomized, controlled trial

Mazzon

Favilli

Grasso

et al. 2014

Fertility and Sterility

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“…Third, we did not evaluate the pelvic pain score prior to the operation. According to a previous study, chronic pelvic pain is a predictive factor for pain during hysteroscopy [ 31 ] and thus might affect postoperative pain after hysteroscopy, as dysmenorrhea, [ 32 ] menopause, and nulliparity [ 33 ] are risk factors for pain during and after hysteroscopy. Fourth, our institution's surgeons have always performed hysteroscopies under general anesthesia; thus, we did not include traditional transcervical/intrauterine instillation in the lidocaine group, which might have helped to clarify the effect of the administration method of lidocaine.…”

Section: Discussionmentioning

confidence: 99%

The effect of preoperative intravenous lidocaine on postoperative pain following hysteroscopy

Lee

et al. 2020

Medicine

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Background: The use of hysteroscopy for the diagnosis and treatment of uterine and endometrial abnormalities is often associated with postoperative pain. This randomized controlled trial aimed to assess the efficacy of preoperative intravenous (IV) lidocaine in reducing pain after hysteroscopy. Methods: In total, 138 patients undergoing elective hysteroscopy at the CHA Bundang Medical Center, Seongnam, Korea were randomly assigned to a control group (n = 69) or a lidocaine group (n = 69), which received normal saline or IV lidocaine at 1.5 mg/kg, respectively. The primary outcome was the incidence of postoperative pain. Results: The incidence of pain was significantly lower in the IV lidocaine group than in the control group at the post-anesthesia care unit (27.3% vs 68.2%, P < .001). The visual analog scale (0–10) score (median [interquartile range]) was lower in the IV lidocaine group than in the control group (0 [0–2]) vs 2 [0–4]), P < .001). The use of rescue analgesics and postoperative nausea and vomiting were similar between the 2 groups. This study demonstrated that administering 1.5 mg/kg of preoperative IV lidocaine can be a simple method to reduce incidence of pain after hysteroscopy. Conclusion: Preoperative bolus administration of 1.5 mg/kg of IV lidocaine may be used to decrease incidence of pain after hysteroscopy under general anesthesia.

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“…Experienced physician, using small-diameter hysteroscope, reaching the cavity quickly and comfortably with minimal trauma can reduce pain [16,17,18,19,20]. A majority of studies related to pain control in office hysteroscopy have been based on the application of the conventional technique together with procedures such as endometrial biopsy.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Intrauterine Lidocaine and Rectal Indomethacin on Pain during Office Vaginoscopic Hysteroscopy: Randomized Double-Blind Controlled Study

Şentürk¹,

Güraslan²,

Babaoğlu³

et al. 2015

Gynecol Obstet Invest

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Backgrounds/Aims: The aim of this study was to investigate the effect of rectal and intrauterine anesthesia during vaginoscopic hysteroscopy. Methods: This was a randomized, double-blind, placebo-controlled study. Patients were randomized to rectal indomethacin, intrauterine lidocaine and placebo groups. Patients with conditions that could cause or contribute to pelvic pain were excluded. Pain was evaluated with Visual Analog Scale, when the cervical canal was passed, while within the cavity and at 10 min after procedure. The Analog Pain Scale scores of the 3 groups were compared with the Kruskal-Wallis 1-way analysis of variance test. A value of p < 0.05 was accepted as statistically significant. Results: The study included a total of 206 patients. No difference was seen between the groups in respect of indication, age, gravid and duration of procedure. While the anesthesia was determined as superior to the placebo in reducing pain at all 3 stages (p < 0.05), intrauterine lidocaine was determined to be more effective than rectal indomethacin in reducing pain within the cavity and 10 min after the procedure (p < 0.05). Conclusion: Rectal or intrauterine anesthesia applied with the vaginoscopic technique is useful in hysteroscopy. However, intrauterine anesthesia is more effective in reducing pain.

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Identifying Predictors of Unacceptable Pain at Office Hysteroscopy

Cited by 52 publications

References 19 publications

Pain in diagnostic hysteroscopy: a multivariate analysis after a randomized, controlled trial

Pain in diagnostic hysteroscopy: a multivariate analysis after a randomized, controlled trial

The effect of preoperative intravenous lidocaine on postoperative pain following hysteroscopy

The Effect of Intrauterine Lidocaine and Rectal Indomethacin on Pain during Office Vaginoscopic Hysteroscopy: Randomized Double-Blind Controlled Study

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