Pain During Hystroscopy Clinical Trial
Official title:
The Value of Endocervical and Endometrial Lidocaine Flushing Before Office Hystroscopy
women candidate for office hystroscopy were randomized to either flushing of the endocervix and endometrium with 4 ml lidocaine 2% diluted in 15 ml normal saline or 19 ml normal saline before office hystroscopy
Patients were asked to urinate to evacuate the bladder. Posterior vaginal retractor was
introduced to expose the cervix and ( embryo transfer catheter was introduced throught the
cervix passing the internal os and intrauterine and intracervical instillation of to either
flushing of the endocervix and endometrium with 4 ml lidocaine 2% diluted in 15 ml normal
saline or 19 ml normal saline.
After 5 mins the procedure was started A rigid 3.5 mm hystroscope with an optic of 30 degrees
was used. Normal saline solution was used as distension media, with 120 mmHg intrauterine
pressure, Vaginoscopic approach, nocervical tenaculum or dilators used.
Post procedure pain management by optional dose of 75 mg of diclofenac potassium when
requested.
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