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Volume: 55 Issue: 1 Year: 2024

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Efficacy of Local Anesthesia for Office Hysteroscopy [Zeynep Kamil Med J]
Zeynep Kamil Med J. 2014; 45(3): 136-141

Efficacy of Local Anesthesia for Office Hysteroscopy

Resul Karakuş1, Ahmad Namazov2, Selcuk Ayas1, Mesut Polat2, Sevcan Arzu Arınkan1, Ali Dogukan Angın1, Sultan Seren Karakuş1
1Zeynep Kamil Women and Child Diseases Training and Research Hospital
2Ben Gurion University, Barzilai Hospital, Obstetrics and Gynecology Department, Ashkelon, Israel

INTRODUCTION: Hysteroscopy is a safe and simple procedure which is performed for evaluation and also for treatment of abnormal uterine bleeding, infertility and recurrent pregnancy loss. In this study we aimed to evaluate the efficacy of the local anesthesia techniques for office hysteroscopy.
METHODS: This randomised, double-blinded and placebo-controlled trial was performed including the 100 patients who had hysterocopy
procedure with the indications of habituel abortus, infertility and anormal uterine bleeding. The study was conducted at Zeynep Kamil Women and Children Diseases Training and Research Hospital, department of endoscopy in Istanbul, between January 2011 and December 2012.
RESULTS: VAS score at the insertion of vaginal speculum was significantly lower at the patients who had intrauterine lidocaine administration (p<0.05), there was no statistically significant difference between the other groups (p>0,05). When we compare
the VAS scores at the hysteroscope insertion and during the procedure, between the groups, patients who had anesthesia rated lower scores. Also, the patients who had intrauterine lidocaine had lower VAS scores when compared to other groups. Although VAS score at the 30 minutes after the procedure was lower at the groups who had intrauterine lidocaine administration, this difference was not statistically significant.
DISCUSSION AND CONCLUSION: Intrauterine topical local anesthesia seems to be effective in decreasing the pain in women undergoing hysteroscopy.

Keywords: Office hysteroscopy, Local anesthesia, Pain

Resul Karakuş, Ahmad Namazov, Selcuk Ayas, Mesut Polat, Sevcan Arzu Arınkan, Ali Dogukan Angın, Sultan Seren Karakuş. Efficacy of Local Anesthesia for Office Hysteroscopy. Zeynep Kamil Med J. 2014; 45(3): 136-141

Corresponding Author: Resul Karakuş, Türkiye
Manuscript Language: English
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