Randomized placebo controlled trial to assess the role of intracervical lignocaine in outpatient hysteroscopy

Broadbent, J. A. Mark; Hill, N. C. W.; Molnár, B; Rolfe, KJ; Magos, Adam

doi:10.1111/j.1471-0528.1992.tb13886.x

Cited by 90 publications

(52 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is doubtful whether such a small reduction in the pain score is of clinical significance and could justify the routine use of local anesthesia. Besides, some patients find the injection as painful as the hysteroscopy itself [8].…”

Section: Discussionmentioning

confidence: 99%

Patient’s Acceptance of Outpatient Hysteroscopy

Lau

Tsang

et al. 1999

Gynecol Obstet Invest

View full text Add to dashboard Cite

There is a trend towards performing hysteroscopy and endometrial biopsy on an outpatient basis, as this alleviates the need for both an inpatient stay and a general anesthesia. Despite the wide acceptance by medical staff, there are few publications on how patients actually tolerate and accept these procedures. We performed a survey on 185 patients attending the outpatient hysteroscopy clinic at a teaching hospital to assess the degree of pain and their acceptance to those procedures using a visual analogue scale. All procedures were successfully performed under no anesthesia without complications. The mean age of the patients was 48 (range 24–78) and 9.4% were nulliparas. The mean pain experienced was 4.7 (SD 2.7) during hysteroscopy and 5.0 (SD 2.9) during endometrial biopsy. The overall preference scores for the procedure to be done under was 3.1 (SD 3.7). About 7% of patients expressed a preference for an overnight stay in hospital after the procedure, but the preference score was low (2.5, SD 3.6). The procedure was well accepted (8.3, SD 2.4) and highly recommended by the patients (8.4, SD 2.9). Outpatient hysteroscopy is well accepted and tolerated by patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Patient’s Acceptance of Outpatient Hysteroscopy

Lau

Tsang

et al. 1999

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…In a double blind placebo controlled study by Lau and colleagues, para-cervical block not only did not result in a decline in pain, but also could be associated with the development of complications such as bradycardia and hypotension (16). Broadbent and colleagues showed no pain reduction during hysteroscopy by intra-cervical lidocaine administration (17). Similarly, Johanson and colleagues could not detect an analgesic effect of para-cervical lidocaine during hysteroscopy (18).…”

Section: Discussionmentioning

confidence: 99%

Analgesic Efficiency of Tramadol Administered Prior to Hysteroscopy Procedure

Kadiroğullari

Seçkin

Yücel

et al. 2016

Gynecol Obstet Reprod Med

View full text Add to dashboard Cite

OBJECTIVE:In this study, our objective was to assess the pain scores using the Visual Analogue Scale (VAS) in patients who were given tramadol prior to office hysteroscopy in order to demonstrate its analgesic activity when given before this procedure. STUDY DESIGN:This prospective study conducted in year 2015 included two group of patients undergoing office hysteroscopy that were defined on the basis of the type of analgesia. Patients in the first group (Group 1, n=44) received oral tramadol prior to the procedure, while patients in the other group (Group 2, n=44) received placebo. VAS scores were determined during (0 minutes) and after (15 minutes) the procedure. RESULTS:There were no significant differences between groups in terms of age, parity and body mass index (p>0.05). Comparison of VAS scores at 0 and 15 minutes, lower values were observed in tramadol patients at 0 minutes (p<0.05), while scores at 15 minutes were not significantly different between the groups (p>0.05). CONCLUSIONS:Although oral tramadol given prior to office hysteroscopy was effective and safe in reducing pain during the procedure, it is not useful for the pain that occurs after processing.

show abstract

“…[6] Broadbent et al demonstrated that intracervical injection of lignocaine does not reduce the pain during hysteroscopy. [11] Fritz et al, in 1997, in a randomized double-blind placebo-controlled trial concluded that 500 mg of mefenamic acid 1 hour before hysteroscopy had no signifi cant effect on the discomfort experienced during the procedure but did signifi cantly reduce pain after the procedure. [12] In another placebocontrolled trial, Dogan et al showed that naproxen when combined with lidocaine was effective in relieving pain during endometrial biopsy.…”

Section: Discussionmentioning

confidence: 99%