Pain score after complete cervical dilation before proceeding to operative hysteroscopy Hysteroscopic tissue removal system, hegar dilator, hysteroscopic morcellator, cervical dilation, pain score, office operative hysteroscopy
Conditions
Interventions
Using Hysteroscopic morcellator device to dilate the cervix before proceeding with operative hysteroscopy,Using Hegar dilator to dilate the cervix before proceeding with operative hysteroscopy
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Hysteroscopic morcellator,Hegar dilator
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
Female
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Women undergoing office hysteroscopy at the gynecology outpatient department of Ramathibodi Hospital with indications requiring hysteroscopic surgery, including: endometrial polyps, submucosal fibroids not more than 3 cm in size, intrauterine adhesions, uterine septum, intrauterine foreign bodies, endometrial abnormalities requiring endometrial biopsy for diagnosis 2. Women who can tolerate pelvic examination 3. nulliparous women or women with previous cesarean delivery only 4. women not desiring future fertility 5. Willingness to participate in the study and provide informed consent
Exclusion criteria
Exclusion criteria: 1. Women who request for hysteroscopic surgery under general anesthesia 2. Women who have contraindications for hysteroscopy, including pregnancy, pelvic or genital tract infections at the time of the procedure, or suspected invasive cervical or endometrial cancer 3. Assessment by the hysteroscopic surgeon indicating unsuitability for outpatient hysteroscopy, such as patients with high anxiety levels or conditions inappropriate for outpatient procedures 4. Women who presence of cervical stenosis, defined as diameter less than 2.5 mm 5. Prior administration of misoprostol before the procedure 6. Postmenopausal status, defined as the absence of menstrual bleeding for more than one year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain score Immediate after completion of cervical dilation Visual Analog Scale | — |
Secondary
| Measure | Time frame |
|---|---|
| Satisfaction After office hysteroscopy Questionaire,Cervical dilation time total time from start to complete cervical dilation procedure minutes,Success rate of hysteroscopic instrument insertion through the cervix after passing hysteroscopic instrument through cervix percentage,Complications related to cervical dilation prior to hysteroscopy detection of complication includingexcessive bleeding, vasovagal reaction, uterine perforation, and creation of a false passage during cervical dilation percentage | — |
Countries
Thailand
Contacts
Public ContactNantiya Chuang
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed