Reliability, feasibility, and safety of minihysteroscopy with a vaginoscopic approach: experience with 6,000 cases

Cicinelli, Ettore; Parisi, Carlo; Galantino, Pietro; Pinto, Vincenzo; Barba, Bruno; Schönauer, S

doi:10.1016/s0015-0282(03)00546-6

Cited by 92 publications

(60 citation statements)

References 8 publications

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“…In recent years, the use of small caliber hysteroscopes, non-touch technique (vaginoscopic approach), and saline rather than CO 2 as a distension media has significantly reduced the pain perceived by patients during the procedure [11][12][13]. Furthermore, several treatments were used to minimize the pain associated with office hysteroscopy.…”

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confidence: 99%

Misoprostol Prior to Diagnostic Office Hysteroscopy in the Subgroup of Patients with No Risk Factors for Cervical Stenosis: A Randomized Double Blind Placebo-Controlled Trial

Fouda

Elsetohy

Elshaer

et al. 2017

Gynecol Obstet Invest

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Aims: To assess the effectiveness of vaginal misoprostol in minimizing the pain perceived by patients with no risk factors for cervical stenosis (i.e., parous women of reproductive age who have no history of cesarean section or cervical surgery) during diagnostic office hysteroscopy. Methods: A total of 100 patients with no risk factors for cervical stenosis were randomized to the misoprostol group (n = 50) or the placebo group (n = 50). In the misoprostol group, 2 misoprostol tablets (400 µg) were administered vaginally 12 h before office hysteroscopy. In the placebo group, 2 placebo tablets were administered. The patients rated the intensity of pain perceived during the procedure and at 30 min after the procedure with the use of a 100 mm visual analog scale (VAS). The hysteroscopists also scored the difficulty of hysteroscope insertion into the uterine cavity with the use of a 100 mm VAS. Results: There were no significant differences between both groups in the VAS pain scores during or at 30 min after the procedure (28.3 ± 13.58 vs. 30.42 ± 15.13 and 11.1 ± 10.23 vs. 13.32 ± 11.12, respectively). The difficulty of hysteroscope insertion into the uterine cavity was comparable between both groups. Conclusion: Misoprostol administration prior to diagnostic office hysteroscopy appears to have no beneficial role in the subgroup of patients with no risk factors for cervical stenosis.

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confidence: 99%

Misoprostol Prior to Diagnostic Office Hysteroscopy in the Subgroup of Patients with No Risk Factors for Cervical Stenosis: A Randomized Double Blind Placebo-Controlled Trial

Fouda

Elsetohy

Elshaer

et al. 2017

Gynecol Obstet Invest

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“…Hysteroscopy also may be performed by a vaginoscopic approach according to a well-codified procedure, minimizing the pain connected to hysteroscopic manipulation [15][16][17]. However, poor knowledge of hysteroscopic components and their correct handling are sources of complications and failures of the technique [18,19].…”

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confidence: 99%

Hysteroscopic placement of tubal sterilization implants: virtual reality simulator training

et al. 2012

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“…Recent technical advances, such as the introduction of small-diameter rigid and flexible hysteroscopes, have made it possible to perform hysteroscopy in the outpatient setting (10)(11)(12)(13). Moreover the introduction of an atraumatic insertion technique (''no touch'' technique or vaginoscopic approach) has further minimized the patient's pain and discomfort (11,(14)(15)(16)(17)(18)(19).…”

mentioning

confidence: 99%

“…Moreover the introduction of an atraumatic insertion technique (''no touch'' technique or vaginoscopic approach) has further minimized the patient's pain and discomfort (11,(14)(15)(16)(17)(18)(19).…”

mentioning

confidence: 99%

Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies

Sardo

Taylor

Tsirkas

et al. 2008

Fertility and Sterility

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Reliability, feasibility, and safety of minihysteroscopy with a vaginoscopic approach: experience with 6,000 cases

Cited by 92 publications

References 8 publications

Misoprostol Prior to Diagnostic Office Hysteroscopy in the Subgroup of Patients with No Risk Factors for Cervical Stenosis: A Randomized Double Blind Placebo-Controlled Trial

Misoprostol Prior to Diagnostic Office Hysteroscopy in the Subgroup of Patients with No Risk Factors for Cervical Stenosis: A Randomized Double Blind Placebo-Controlled Trial

Hysteroscopic placement of tubal sterilization implants: virtual reality simulator training

Hysteroscopy: a technique for all? Analysis of 5,000 outpatient hysteroscopies

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