Pain In Outpatient Hysteroscopy Research Articles

Effect of Warm Fluid Distension Media in relieving Pain in outpatient Hysteroscopy: Randomized Controlled Trial

Effect of Warm Fluid Distension Media in relieving Pain in outpatient Hysteroscopy: Randomized Controlled Trial

Virtual reality for acute pain in outpatient hysteroscopy: a randomised controlled trial.

To evaluate the effectiveness of virtual reality as a distraction technique in the management of acute pain and anxiety during outpatient hysteroscopy. Parallel group, prospective randomised controlled trial. UK University Hospital. Forty consenting, eligible women were randomised to virtual reality intervention (immersive video content as a distraction method) or standard care during outpatient hysteroscopy from August to October 2018. Pain and anxiety outcomes were measured as a numeric rating score (scale 0-10). Compared with standard care, women with virtual reality intervention experienced less average pain (score 6.0 versus 3.7, mean difference 2.3, 95% CI 0.61-3.99, P=0.009) and anxiety (score 5.45 versus 3.3, mean difference 2.15, 95% CI 0.38-3.92, P=0.02). Virtual reality was effective in reducing pain and anxiety during outpatient hysteroscopy in a mixed-methods randomised control trial. Its wide potential role in ambulatory gynaecological procedures needs further evaluation. Virtual reality can be used as a part of a multimodal strategy to reduce acute pain and anxiety in patients undergoing outpatient hysteroscopy.

Is pain better tolerated with mini-hysteroscopy than with conventional device? A systematic review and meta-analysis

Hysteroscopy is an indispensable approach in gynecology. Miniaturization may reduce pain allowing office procedures without anesthesia. Our main objective is to determine if modifications in scope diameters have made office hysteroscopy less painful. Studies were sought with key words "hysteroscopy" and "pain" from available online sources. Time frame was from 2000 onward. Thirty-three articles were retrieved for detailed analysis. Prospective randomized trials, studying pain as main outcome in office hysteroscopy expressed in means, confidence intervals and SD, comparing office mini-hysteroscopy to conventional hysteroscopy. Studies or arms within a study where conscientious sedation, anesthesia or non-steroidal drugs were used were excluded. We analyzed data from eight studies (seven RCT) comparing mini-hysteroscopy with conventional scopes, involving a total of twenty-three hundred and twenty-two participants, of which nineteen hundred and eighty-six completed the intervention. A meta-analysis revealed a significant reduction pain score (MD: -3.64; 95% CI -5.16 to -2.12; test for overall effect p<0.00001) and available data support miniaturization decreases pain in outpatient hysteroscopy. Pain in office hysteroscopy is lower with mini-hysteroscopes.