The use of paracervical anesthesia in outpatient hysteroscopy: a prospective cohort study
- Author:
Bernal-Lacuna Janice M.
;
Sison-Aguilar Angel
- Publication Type:Journal Article
- MeSH:
Human;
Female;
ANESTHESIA, OBSTETRICAL
- From:
Philippine Journal of Reproductive Endocrinology and Infertility
2005;2(1):1-4
- CountryPhilippines
- Language:English
-
Abstract:
Objectives:
To determine the acceptability of office hysteroscopy using paracervical block with lidocaine 2 percent and to assess its efficacy in reducing pain during the procedure.
Methods:
Fifteen patients undergoing outpatient hysteroscopy assessed each step of the procedure using the Present Pain Intensity Scale and the Faces Pain Scale.
Result:
Mean pain score was highest for the administration of the paracervical block and lowest for the viewing of the endometrial cavity. Age was not a significant factor in pain scoring while nulliparity is a significant factor (PO.1). The overall accumulated pain score was 12.7, the mean peak score was highest for the insertion of the scope at 2.3. Vasovagal attack and dizziness were the only complications experienced by the patients and 86.7 percent were willing to repeat the procedure if needed.
Conclusions:
Hysteroscopy with paracervical block is an acceptable outpatient procedure in terms of pain experienced during the procedure, severity of complications, speed of recovery and patient satisfaction.
