Atraumatic cervical passage at outpatient hysteroscopy

Fertility and Sterility
F WieserF Nagele

Abstract

To evaluate the efficacy of topical anesthesia routinely administered to reduce discomfort and the need for additional local anesthesia during outpatient hysteroscopy. Comparative observational study. Outpatient hysteroscopy clinic in a University hospital. Three hundred patients undergoing outpatient hysteroscopy. Application of lidocaine spray both to the surface of the cervix and into the cervical canal before performing hysteroscopy. The discomfort during passage of the hysteroscope through the cervical canal, the need for additional local anesthesia, and the failure rate of outpatient hysteroscopy. One hundred fifty consecutive patients receiving lidocaine spray before the hysteroscopy were compared to a control group of another 150 consecutive patients who underwent the examination without pretreatment. Women treated with spray experienced significantly less pain at insertion of the hysteroscope. Furthermore, the spray significantly reduced both the need for additional anesthesia and the rate of failed hysteroscopies due to intolerable pain. Topical anesthesia with lidocaine spray is a simple method to alleviate patients' discomfort during cervical passage. It is effective in reducing the need for local anesthesia and sho...Continue Reading

References

Jul 1, 1996·Obstetrics and Gynecology·F NageleA Magos

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Citations

Mar 30, 2010·Archives of Gynecology and Obstetrics·Charalambos SiristatidisDimitrios Kassanos
Sep 5, 2001·Acta Obstetricia Et Gynecologica Scandinavica·F WieserF Nagele
Nov 5, 1999·The Journal of the American Association of Gynecologic Laparoscopists·M G Munro
Mar 24, 2006·Best Practice & Research. Clinical Obstetrics & Gynaecology·Carlos Roger Molinas, Rudi Campo
Aug 23, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·Lawahd Hassan, Michael J Gannon
Aug 30, 2005·Best Practice & Research. Clinical Obstetrics & Gynaecology·George A Vilos, Basim Abu-Rafea
Nov 24, 2004·The Journal of the American Association of Gynecologic Laparoscopists·Emma Readman, Peter J Maher
Jun 17, 2000·Obstetrics and Gynecology Clinics of North America·S P Serden
Aug 30, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Shree BharathiN S Kubera
Jun 17, 1999·Clinical Obstetrics and Gynecology·R F Valle

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