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Comparison of Two Hysteroscopy Approaches

This study has been completed.
Information provided by:
Wolfson Medical Center Identifier:
First received: April 27, 2006
Last updated: November 27, 2006
Last verified: April 2006
This randomized clinical trial compares two methods of diagnostic hysteroscopy: vaginoscopic hysteroscopy vs. traditional method. Pain intensity was estimated using a visual analogue scale (VAS), and patient satisfaction was evaluated. These endpoints were compared by treatment assignment. Vaginoscopic hysteroscopy was associated with significantly lower VAS scores, indicating reduced experience of pain in this treatment group; however, this was not associated with improved patient satisfaction.

Condition Intervention Phase
Menorrhagia Procedure: vaginoscopic hysteroscopy Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: A New Approach to Office Hysteroscopy Compared With Traditional Hysteroscopy

Further study details as provided by Wolfson Medical Center:

Primary Outcome Measures:
  • Visual analogue scale for pain
  • Patient satisfaction

Estimated Enrollment: 130
Study Start Date: July 2005
Estimated Study Completion Date: December 2005
Detailed Description:

OBJECTIVE: To compare the vaginoscopic approach of diagnostic hysteroscopy without anesthesia with the traditional diagnostic hysteroscopy after intracervical injection of Mepivacaine Hydrochloride 3%.

METHODS: A total of 130 women undergoing diagnostic hysteroscopy were included in the study and were randomized, using a computer-generated randomization list, into two groups with a ratio of 2:1. Eighty three women underwent vaginoscopy without speculum, tenaculum or anesthesia. Forty seven women received intracervical anesthesia with 10 ml of 3% mepivacaine hydrochloride solution injected at two sites (3:00 and 9:00 positions) and underwent traditional hysteroscopy using a speculum and tenaculum. Hysteroscopy was performed using a rigid 3.7 mm hysteroscope in a medium of 0.9% saline, and the image was transmitted to a screen visible to the patient. A Visual Scale Analogue (VAS) consisting of a 10 cm line was used to assess the intensity of pain experienced during and after the procedure. Overall patient satisfaction was assessed during, immediately after, 15 minutes later, and three days post hysteroscopy.

RESULTS: The mean pain score was significantly lower in the vaginoscopy group (3.8±2.7 vs 5.34±3.23, p=0.01). Patient satisfaction rate was similar in both groups.

CONCLUSION: Patients reported significantly less pain with the vaginoscopic approach to diagnostic hysteroscopy even without anesthesia compared to patients undergoing the traditional procedure with anesthesia. This new approach should therefore be considered as a replacement for the traditional hysteroscopic technique.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:adult female, referred for outpatient diagnostic hysteroscopy, subscriber to Maccabe health maintenance organization -

Exclusion Criteria:heavy vaginal bleeding; severe cervical stenosis; patients refusing the examination on an outpatient basis.

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Please refer to this study by its identifier: NCT00319410

Maccabe Health Maintenance Organization
Tel Aviv, Israel
Sponsors and Collaborators
Wolfson Medical Center
Principal Investigator: Ron Sagiv, M.D. E. Wolfson Medical Center
  More Information

Publications: Identifier: NCT00319410     History of Changes
Other Study ID Numbers: EWMCgyn-1
Study First Received: April 27, 2006
Last Updated: November 27, 2006

Keywords provided by Wolfson Medical Center:
intrauterine diagnosis
visual analogue scale

Additional relevant MeSH terms:
Uterine Hemorrhage
Uterine Diseases
Genital Diseases, Female
Menstruation Disturbances
Pathologic Processes processed this record on September 21, 2017