Colposcopy
Conditions
Keywords
colposcopy, pain, coughing, anesthetic spray
Brief summary
Cervical cancer is the third most common genital cancer worldwide. The diagnosis of cervical cancer is performed with the cervical biopsy which is guided by the colposcopy. The colposcopy guided cervical biopsy creates pain and several methods have been reported to overcome the pain related with this procedure. Local anesthetic agent injection into the cervix has been studied and found to be effective and also, forced coughing was compared with local anesthetic injection and it is found to be more effective. In fact local injections can create the pain by itself.However no study compared the effect of forced coughing to local anesthetic spray. The study aims to evaluate the comparison of forced coughing with local anesthetic spray with respect to perceived pain during colposcopy guided biopsy.
Interventions
DRUGlocal lidocaine spray
The lidocaine spray will be introduced to the cervix just before the biopsy procedure
OTHERforced coughing
The patients will be asked to forced coughing during the biopsy procedure
Sponsors
Yuzuncu Yil University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Masking description
The participants will be blinded to the methods used for pain relief.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients with age \>18, * Presence of cervix, * Patients who need a diagnostic work up for abnormal cervical smear results.
Exclusion criteria
* Pregnancy, * Presence of already known invasive cancer, * Allergy to anesthetic agents.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain during procedure evaluated by the 0-10 cm scale of Visual analog scale (VAS) scoring system | 0-1 min | The perceived pain will be measured during the biopsy procedure. It will be evaluated by the 0-10 cm scale of VAS scoring system. The patient will be asked to rate her pain as 0 corresponds ''no pain'' and 10 to the '' worst pain'' |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain at the 30th minutes after the procedure evaluated by the 0-10 cm scale of VAS scoring system | 30. Min | The perceived pain will be measured after the biopsy procedure (at the 30th min). It will be evaluated by the 0-10 cm scale of VAS scoring system. The patient will be asked to rate her pain as 0 corresponds ''no pain'' and 10 to the '' worst pain'' |
Countries
Turkey (Türkiye)
Outcome results
None listed