Hysteroscopy
Conditions
Keywords
Full bladder, Pain, Excessive anteflexion of the uterus
Brief summary
This study is conducted to assess whether the passive uterine straightening of the uterus by means of bladder filling is associated with less pain experienced by patients with excessive anteflexion of the uterus during office hysteroscopy.
Interventions
Patients in the empty bladder group will be instructed to empty the bladder immediately before the procedure. A colleague will perform transabdominal ultrasound to confirm that the bladder is empty. All the procedures will be performed using the vaginoscopic technique. A rigid 2.9-mm hysteroscope with a 30° lens and a 5-mm outer sheath (Karl Storz GmbH, Tuttlingen, Germany) will be used in all procedures.
Patients in the bladder distension group will be instructed to drink one liter of water and to avoid urination during a period of 2 h before the scheduled procedure. A colleague will perform transabdominal ultrasound to confirm that the bladder is distended . All the procedures will be performed using the vaginoscopic technique. A rigid 2.9-mm hysteroscope with a 30° lens and a 5-mm outer sheath (Karl Storz GmbH, Tuttlingen, Germany) will be used in all procedures.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with excessive anteflexion of the uterus
Exclusion criteria
* Cervical pathology * Previous cervical surgery * Severe vaginal bleeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intensity of pain | : Immediately after the procedure | Measured using 100 mm visual analogue scale ( 0 = no pain and 100 = worst possible pain) |
Countries
Egypt