The effect of uterine straightening by bladder distention before outpatient hysteroscopy: a randomised clinical trial

• Published in: European journal of obstetrics & gynecology and reproductive biology Vol. 180; pp. 89 - 92
• Main Authors: Celik, Cem, Tasdemir, Nicel, Abali, Remzi, Bastu, Ercan, Akbaba, Eren, Yucel, Seher Horzum, Gul, Abdulaziz
• Format: Journal Article
• Language: English
• Published: Ireland Elsevier B.V 01-09-2014
• Subjects: Adult; Ambulatory Surgical Procedures - methods; Bladder distention; Female; Humans; Hysteroscopy - methods; Middle Aged; Obstetrics and Gynecology; Operative Time; Outpatient hysteroscopy; Pain; Pain - prevention & control; Patient Acceptance of Health Care; Preoperative Care - methods; Urinary Bladder; Outpatient hysteroscopy; Pain; Bladder distention
• ISSN: 0301-2115; 1872-7654
• DOI: 10.1016/j.ejogrb.2014.06.029

Abstract Objective To investigate the effect of bladder distention before outpatient hysteroscopy (OH). Study design Initially, 120 eligible patients were approached, and a total of 102 patients were recruited into the randomised controlled trial. OH was completed successfully in 97 patients. Pain scoring (visual analogue scale) and the ease of cervical entry (Likert scale) were the primary outcome measures. The secondary outcome measures in this study were the duration of the procedure and patient acceptability (Likert scale). Result(s) Bladder distention before OH was related to easier cervical entry, a shorter procedural time and low pain scoring in patients who underwent the procedure with a full bladder. Conclusion(s) Bladder distention before OH significantly improved the pain score of patients and increases the feasibility of the hysteroscopy procedure.