A randomised comparison of vaginoscopic office hysteroscopy and saline infusion sonography: a patient compliance study

BJOG : an International Journal of Obstetrics and Gynaecology
H van DongenF W Jansen

Abstract

The purpose of this study was to compare patient discomfort during saline infusion sonography (SIS) and office hysteroscopy performed according to a vaginoscopic approach. Randomised controlled trial. University hospital. Women with an indication for further investigation of the uterine cavity. A total of 100 women randomly allocated to either SIS or vaginoscopic office hysteroscopy in an outpatient clinic. Scores on a visual analogue scale (VAS) for pain and a present pain intensity (PPI) scale, conclusiveness and success rate. The patients' pain scores on both the VAS and the PPI were lower for SIS when compared with office hysteroscopy (P < 0.05). However, in cases of severe pain (VAS > 7 or PPI > 2), there was no statistically significant difference between both groups. The success rate, defined as adequate inspection of the cervical canal and uterine cavity, was 94% for SIS compared with 92% for office hysteroscopy (P = 0.633). SIS, multiparity, shorter procedure time and position of the uterus in anteversion decreased pain scores among women studied. Both SIS and office hysteroscopy are successful procedures and well tolerated by women. SIS induces significantly less discomfort than office hysteroscopy and should therefor...Continue Reading

References

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Citations

Apr 3, 2010·Archives of Gynecology and Obstetrics·Charalampos Siristatidis, Charalampos Chrelias
Mar 7, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Lotte L NieuwenhuisJudith A F Huirne
Jan 16, 2014·Journal of Minimally Invasive Gynecology·Márlon de Freitas FonsecaClaudio P Crispi
Jul 9, 2010·Current Opinion in Obstetrics & Gynecology·Tariqu Salman, Colin Davis
Mar 22, 2008·AJR. American Journal of Roentgenology·Sujata V GhateErik K Paulson
Feb 22, 2008·AJR. American Journal of Roentgenology·Beryl R BenacerrafBryann Bromley
Dec 24, 2015·Women's Health·Malou C HermanMarlies Y Bongers
May 22, 2016·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Stephanie LeungAlly Murji
Dec 3, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ivan MazzonSandro Gerli
Sep 23, 2014·Fertility and Sterility·Ivan MazzonSandro Gerli
Sep 7, 2016·International Journal of Reproductive Medicine·Veluppillai Vathanan, Nii Adjeidu Armar
Feb 23, 2019·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Juan J Amer-CuencaJuan F Lisón
Jan 29, 2019·Journal of Gynecology Obstetrics and Human Reproduction·Jean-Marc LevaillantNathalie Massin

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