Uterine Diseases
Conditions
Keywords
vaginoscopic office hysteroscopy, lithotomy position, trendelenburg lithotomy position, visual pain score, procedural time, Likert scale
Brief summary
The present study revealed that the TL position is supposed to be more efficient not only for lowering pain score but also reducing the procedural time. Also, performing hysteroscopy in this position may be easier for doctors than in the lithotomy position.
Detailed description
VOH is a widely used diagnostic method and seems to be getting more into outpatient clinics. Despite its huge contribution to clinical practice, pain during the procedure is an important limiting factor. We aimed to investigate the effect of the trendelenburg lithotomy position to the pain and procedural time.However, there is a scarcity of research on this subject. Therefore, the rationale of the study was to enlighten the gap in the literature regarding the pain score and procedural time during VOH for diagnostic purposes in TL position. In order to gain scientific evidence, a randomized controlled trial was conducted to compare pain score and duration of procedure between the standard lithotomy position and TL position. Also, the convenience for the physician performing the procedure was assessed. To the best of our knowledge, this is the first study in the literature investigating the effect of the position of the patient during the procedure on both time, pain, and the convenience for the physician simultaneously.
Interventions
PROCEDUREvaginoscopic office hysteroscopy
comparison of procedural time and pain scores of patients in different gynecologycal positions
Sponsors
Gaziosmanpasa Research and Education Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* uterine disorders * abnormal uterine bleeding * infertility
Exclusion criteria
* pregnancy * cervical disorders * pelvic infections
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| procedural times | 12 months | minutes |
| Visual Analog Score for pain | 12 months | The Visual Pain Scale (VPS) was used to evaluate pain levels with 0 represented pain-free, while 10 described the most severe pain (Ekin et al. 2009; Price et al. 1983). Patients were asked to mark the pain expressing point on the VPS immediately after VOH. The severity of pain is determined by the value of the point (cm) marked by the participant |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| attitudinal Likert type survey | 12 months | with a 5-point attitudinal Likert type survey; a psychometric scale commonly used to score responses in a questionnaire. The ease or difficulty of the procedure was categorized as 1-very easy, 2-easy, 3-ineffective, 4-difficult, 5-very difficult, and the physician performing the procedure marked the appropriate section for each VOH procedure in the scale. |
Countries
Turkey (Türkiye)
Outcome results
None listed