Document Detail


Office vaginoscopic hysteroscopy in infertile women: effects of gynecologist experience, instrument size, and distention medium on patient discomfort.
MedLine Citation:
PMID:  20417426     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To assess the roles of instrument diameter (5.0- or 3.5-mm external sheath), uterine distention medium (carbon dioxide [CO(2)] or saline solution), and hysteroscopist experience in diagnostic hysteroscopy. DESIGN: Prospective, randomized, multicenter trial (Canadian Task Force classification I). SETTING: Two university medical centers in Italy. PATIENTS: One hundred eighty-four women attending an infertility clinic. INTERVENTIONS: Patients were randomly assigned to undergo conventional hysteroscopy (group 1, n = 92) or minihysteroscopy (group 2, n = 92) with CO(2) or saline solution as distention medium. The procedures were performed by hysteroscopists with varying degrees of experience. Patient discomfort was analyzed using the visual analog score. Procedure complications and patient satisfaction rate were also recorded. MEASUREMENTS AND MAIN RESULTS: Independent of hysteroscopist experience, less pain, fewer complications, and higher satisfaction rates were observed with minihysteroscopy. In addition, procedures in which saline solution was used resulted in less pain and fewer complications than those in which CO(2) was used, but only when performed by inexperienced hysteroscopists. CONCLUSION: Instrument diameter and hysteroscopist experience, but not the distention medium, seem to be the primary variables that affect the perception of discomfort during office hysteroscopy.
Authors:
Nicola Pluchino; Filippo Ninni; Stefano Angioni; Paolo Artini; Viana Gersia Araujo; Gabriele Massimetti; A R Genazzani; Vito Cela
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Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  17     ISSN:  1553-4650     ISO Abbreviation:  J Minim Invasive Gynecol     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  344-50     Citation Subset:  IM    
Copyright Information:
Copyright 2010 AAGL. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Reproductive Medicine and Child Development, Division of Gynecology and Obstetrics, University of Pisa, Via Roma 35, 56100 Pisa, Italy. nicola.pluchino@med.unipi.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Ambulatory Surgical Procedures / adverse effects,  methods
Carbon Dioxide / diagnostic use
Female
Humans
Hysteroscopes*
Hysteroscopy / adverse effects*,  methods
Infertility, Female / diagnosis*,  surgery
Italy
Pain Measurement
Patient Satisfaction
Pelvic Pain / etiology
Prospective Studies
Sodium Chloride / diagnostic use
Treatment Outcome
Uterus / surgery
Vagina / surgery*
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide; 7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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