Vaginoscopy Against Standard Treatment: a randomised controlled trial

BJOG : an International Journal of Obstetrics and Gynaecology
P P SmithT J Clark

Abstract

To evaluate whether vaginoscopy or standard hysteroscopy was more successful in the outpatient setting. Randomised controlled multicentre trial. Outpatient hysteroscopy clinics at two UK hospitals. 1597 women aged 16 or older undergoing an outpatient hysteroscopy. Women were allocated to vaginoscopy or standard hysteroscopy using third party randomisation stratified by menopausal status with no blinding of participants or clinicians. The primary outcome was 'success', a composite endpoint defined as: a complete procedure, no complications, a level of pain acceptable to the patient, and no sign of genitourinary tract infection 2 weeks after the procedure. Vaginoscopy was significantly more successful than standard hysteroscopy [647/726 (89%) versus 621/734 (85%), respectively; relative risk (RR) 1.05, 95% CI 1.01-1.10; P = 0.01]. The median time taken to complete vaginoscopy was 2 minutes compared with 3 minutes for standard hysteroscopy (P < 0.001). The mean pain score was 42.7 for vaginoscopy, which was significantly less than standard hysteroscopy 46.4 (P = 0.02). Operative complications occurred in five women receiving vaginoscopy and 19 women receiving standard hysteroscopy (RR 0.26, 95% CI 0.10-0.69). Vaginoscopy is quicke...Continue Reading

References

Aug 1, 1997·The Journal of the American Association of Gynecologic Laparoscopists·M PaschopoulosD Lolis
Apr 9, 2002·Fertility and Sterility·Aubert AgostiniBernard Blanc
Jun 17, 2005·BJOG : an International Journal of Obstetrics and Gynaecology·M SharmaA Magos
May 8, 2007·Fertility and Sterility·Attilio Di Spiezio SardoAdam Magos
Jan 15, 2009·Revista brasileira de ginecologia e obstetrícia : revista da Federação Brasileira das Sociedades de Ginecologia e Obstetrícia·Zares Maria Melo Cavalcanti de AlmeidaHélio de Lima Ferreira Fernandes Costa
Mar 25, 2010·BMJ : British Medical Journal·David MoherDouglas G Altman
Apr 9, 2010·BJOG : an International Journal of Obstetrics and Gynaecology·N A M CooperT J Clark

❮ Previous
Next ❯

Citations

May 13, 2020·Climacteric : the Journal of the International Menopause Society·R FagioliA Di Spiezio Sardo
Nov 22, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·Prathiba M De SilvaT Justin Clark
Jun 23, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Prathiba M De SilvaT Justin Clark
Jul 10, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Prathiba M De SilvaT Justin Clark
Feb 13, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Ayesha MahmudT Justin Clark
Jan 27, 2020·Journal of Minimally Invasive Gynecology·Prathiba M De SilvaT Justin Clark
Mar 27, 2021·Journal of the Chinese Medical Association : JCMA·Chin-Tzu TienDah-Ching Ding
Aug 10, 2021·World Journal of Clinical Cases·Qing LiKe-Qin Hua
Nov 27, 2021·The Cochrane Database of Systematic Reviews·Karim S AbdallahBen Willem J Mol
Oct 15, 2021·Journal of Minimally Invasive Gynecology·Jose CarugnoT Justin Clark

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Medit︠s︡inskai︠a︡ sestra
A I Volobuev
The Journal of the South Carolina Medical Association
W B NORMENT
Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
I Henie Omsjø, J M Maltau
Obstetrics and Gynecology Annual
R F Valle
Proceedings of the Royal Society of Medicine
J Stallworthy
© 2022 Meta ULC. All rights reserved