Do Patients With Blocked Tubes Experience More Pain During Outpatient Hysteroscopy Than Those With Patent Tubes?! A Prospective Comparative Study | ||||
| Evidence Based Women's Health Journal | ||||
| Article 4, Volume 7, Issue 2, May 2017, Page 76-84 PDF (467.53 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ebwhj.2017.4537 | ||||
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| Abstract | ||||
| Objective: To study the impact of tubal blockage on pain experienced during and immediately after diagnostic outpatient hysteroscopy. Study design: A prospective comparative study (Canadian Task Force Classification II-2). Setting: Outpatient hysteroscopy clinic at a University Hospital. Patients and Methods: We included 140 women in the childbearing period attending outpatient hysteroscopy clinic for infertility or recurrent miscarriage. Patients were divided into two equal groups; Group- A included those with unilateral or bilateral tubal block (n=70) and Group-B included those with patent tubes on both sides (n =70). All patients had diagnostic outpatient hysteroscopy without the use of anaesthesia or analgesia. Outcomes measured included pain experienced during and immediately after the procedure assessed using a 100 mm -Visual Analogue Scale (VAS) and the successful completion of the procedure. Results: Patients with blocked tubes experienced statistically significant more pain than those with patent tubes both during and immediately after the procedure using a uterine filling pressure of 80 -100 mmHg. However, all procedures were successfully completed with no failures or complications. Conclusion: Blocked Fallopian tubes contribute to pain during and immediately after outpatient hysteroscopy when a uterine filling pressure of 80- 100 mmHg is used. However, this didn’t adversely affect the success rate of the procedure. For this group of patients, strategies to improve patients’ satisfaction need to be studied with a special attention for; the use of lower uterine filling pressures, shortening the procedure duration and/or the use of preemptive analgesics. | ||||
| Keywords | ||||
| analgesics; blocked tubes; outpatient hysteroscopy; Pain; patent tubes | ||||
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