Pain relief for women with cervical intraepithelial neoplasia undergoing colposcopy treatment

Gajjar, Ketan; Martin-Hirsch, P; Bryant, Andrew

doi:10.1002/14651858.cd006120.pub3

Cited by 5 publications

(4 citation statements)

References 26 publications

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“…Colposcopy and related procedures have been recognized to be potentially painful [ 13 ]. Women experiencing pain during colposcopy are anxious, and interventions aimed at reducing the level of pain and anxiety before and during colposcopy are useful [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of pain and proper sample status according to usage of tenaculum and analgesia: a randomized clinical trial

et al. 2020

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Objective Colposcopic biopsy is a discomfortable procedure. Additionally, it creates negative influence on sexuality. This study aimed to investigate the relationships among tenaculum, pain perception, and biopsy size during colposcopy. Methods In total, 228 patients who underwent colposcopy-directed biopsy were included, and randomized into 4 groups based on whether analgesic and tenaculum were used and replaced (tenaculum with n=58/without analgesic n=56, no tenaculum replacement with n=57/without analgesic n=57). Lidocaine hydrochloride (40 mg) plus adrenaline (0.025 mg) was administered in the analgesic groups. The pain was assessed using a linear visual analog scale. The biopsy specimen size was measured in millimeters. Results The mean age of the patients was 42.85±8.88 years. The most frequent colposcopy indications were atypical squamous cells of undetermined significance and human papilloma virus-positive results on cervical cytology (30.2%; n=69). Low-and high-grade intraepithelial lesions were noted in 14.91% (n=34) and 10.96% (n=25) women through colposcopy-directed biopsy results, respectively. Tenaculum replacement increased pain perception in the without analgesic group; however, no statistically significant differences were noted between of the groups with and without tenaculum replacement with analgesic. The size and number of biopsy specimens were not associated with tenaculum replacement and analgesic use. Conclusion Administration of analgesics decreased discomfort and pain in patients. Tenaculum replacement aided colposcopists in manipulating the cervix. Additionally, administration of analgesics relieved pain in the tenaculum replacement group.

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Section: Discussionmentioning

confidence: 99%

Comparison of pain and proper sample status according to usage of tenaculum and analgesia: a randomized clinical trial

et al. 2020

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“…The analgesics led to a reduction in pain score by 40-50 per cent in the study of Acmaz et al 7 , but lidocaine puffs provided the best pain relief than the other analgesics or placebo. It is observed that during colposcopy treatment cocaine spray before treatment resulted in better pain relief 14 .…”

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confidence: 99%

“…In the recent Cochrane reviews 6 14 the existing literature regarding pain control for intrauterine interventions as hysteroscopy, first trimester abortion, intrauterine device (IUD) insertion and hysterosalpingography (HSG) has been evaluated, and both the reviews have concluded that optimal methods for pain control are unclear as results of different researches in this field are not consistent. This could be due to heterogeneity in methods and reporting.…”

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confidence: 99%