High Patient Satisfaction with Office Hysteroscopy Using Tailored Analgesia Protocols

Abstract

Objective: This study was conducted to evaluate patient satisfaction and analgesia preferences in patients undergoing office hysteroscopy. Materials and Methods: The study was a retrospective chart review of 209 cases of patients who underwent hysteroscopy in an office hysteroscopy suite in a tertiary level center—The Ottawa Hospital from November 2008 to January 2013. Data were collected and analyzed for procedures performed, indications for hysteroscopy, analgesia used, and number of failed procedures. Patient satisfaction questionnaires were reviewed evaluating patients' experience with office hysteroscopy and intra- and postoperative pain control. Results: Operative and diagnostic hysteroscopy was performed in 40% and 57% of cases, respectively. Most common indications for hysteroscopy were: abnormal uterine bleeding (21%); postmenopausal bleeding (17%); contraception (10%); and fertility assessment (10%). There were 8 cases of failed office hysteroscopy. Nonsteroidal anti-inflammatory drug pretreatment was administered to >70% of the patients. Less then 5% of patients required intravenous sedation, and 10.5% needed a paracervical block to complete office hysteroscopy. One hundred and sixty-seven patients completed the patient-satisfaction survey. Overall, >85% of patients reported receiving excellent-to–very good care in all aspects of their periprocedural experience. All responders agreed that they would recommend this procedure to a friend. Conclusions: Office hysteroscopy can be performed in a safe and effective manner. Patients are typically highly satisfied with their procedural experience and analgesia control. (J GYNECOL SURG 30:100)