Hysteroscopy Clinical Trial
Official title:
The Impact of Different Filling Pressures in Operative Outpatient Hysteroscopy on the Procedure Success Rates and Associated Pain. A Randomized Double Blind Controlled Trial
The study aims to compare different filling pressures in operative outpatient hysteroscopy. Women will be divided into 3 groups. The hysteroscope will be introduced in the uterine cavity. Saline will be used as the distension medium and the pressure will be 80mm Hg in group1, 60mm Hg in group 2 and 40mmHg in group 3.
240 women will be randomly divided into 3 groups, each containing 80 women. Randomisation
will be performed using a computer generated random numbers and sealed envelopes.
Full history will be taken followed by general and local examination. One hour before the
procedure all women will receive diclofenac 100mg (Voltaren@ Novartis Switzerland). The
procedure will be done in the lithotomy position. Hysteroscopy will be done using a 5mm
outer diameter continuous flow hysteroscope with a French working channel and a 30 degrees
direction of view provided by Techno GmbH and CO. The hysteroscope will be introduced using
the vaginoscopy technique, in which no speculum will be used. The cervix will be detected
and the external os will be identified using the hysteroscope. The hysteroscope will be
introduced in the uterine cavity. Saline will be used as the distension medium and the
pressure will be 80mm Hg in group1, 60mm Hg in group 2 and 40 mmHg in group 3. Randomisation
will be double blind, neither the operator nor the patient will know the pressure during the
procedure, a third party will set the pressure according to the computer generated random
numbers. If the procedure cannot be completed, the operator will ask for the pressure to be
adjusted to 80mm Hg, which is the usual pressure used in Cairo university hospitals, or more
if needed. In this case the operator will document in the data collection form that the
procedure could not be completed with the pre-set pressure.
The anterior wall, posterior wall and tubal ostea will be visualised, any polyps, adhesions
septa, congenital malformations or submucous fibroids will be noted. Endometrial biopsy will
be taken using a semi-rigid, double action oval serrated biopsy forceps 40cm 50Charr Tecchno
medical GmbH. The used scissor will be a single action semi-rigid rounded tip scissors
Tecchno medical GmbH.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Supportive Care
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