Document Detail


Topical analgesia for endometrial biopsy: a randomized controlled trial.
MedLine Citation:
PMID:  15994627     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To estimate whether benzocaine spray applied to the cervix and the endocervical canal before performing office endometrial biopsy improves patient comfort during the procedure. METHODS: Eighty-eight women were randomly assigned to receive either 20% benzocaine spray or placebo to the outside of the cervix and into the endocervical canal before an endometrial biopsy was performed. The main outcome measure was pain during the endometrial biopsy, assessed by a visual analog scale. Statistical analysis was performed using Wilcoxon rank-sum test and Student t test. RESULTS: There were no statistically significant differences between the study group and the control group in mean age, race, parity, body mass index, menopausal status, tenaculum use, or history of chronic pelvic pain. No statistically significant differences were found in median pain scores between the 2 treatment groups. CONCLUSION: Topical benzocaine spray does not appear to offer effective pain control in patients undergoing an endometrial biopsy. LEVEL OF EVIDENCE: I.
Authors:
Jon I Einarsson; Gwendolyn Henao; Amy E Young
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  106     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-07-04     Completed Date:  2005-08-11     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  128-30     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Landspitali-University Hospital, Reykjavik, Iceland. jonivar@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Topical
Adult
Aged
Anesthetics, Local / administration & dosage*
Benzocaine / therapeutic use*
Biopsy, Needle / methods*
Double-Blind Method
Endometrium / pathology*
Female
Humans
Middle Aged
Pain / prevention & control
Pain Measurement
Patient Satisfaction
Probability
Reference Values
Risk Assessment
Statistics, Nonparametric
Treatment Outcome
Uterine Diseases / pathology*
Chemical
Reg. No./Substance:
0/Anesthetics, Local; 94-09-7/Benzocaine

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


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