Bipolar versus balloon endometrial ablation in the office: a randomized controlled trial

Local anaesthesia during endometrial ablation: a systematic review

“…[11][12][13]19,20,26,35,37 Nine studies described the use of paracervical anaesthesia 17,18,22,23,27,28,31,32,36 and seven studies described the use of a combination of intracervical, paracervical and/or intrauterine anaesthesia. The ablation techniques that were used include thermal balloon endometrial ablation (TBEA), [11][12][13][17][18][19][20][21][22][23]25,27,[29][30][31]33,36 bipolar radiofrequency endometrial ablation (RFA), 19,20,22,28,32,34,37 hydrothermablation (HTA), 24,38 microwave endometrial ablation (MEA) 35 and hysteroscopic transcervical endometrial resection (T.C.R.E.). The ablation techniques that were used include thermal balloon endometrial ablation (TBEA), [11][12][13]…”

“…11,13,[17][18][19][20][21][22][23][24][25]27,[29][30][31][32][33][34]36,37 Seven of these articles reported a pain score measured during active ablation. These scores described the level of pain during active ablation and/or an 'overall' pain score of the procedure.…”

“…11,13,[17][18][19][20][21][22][23][24][25]27,[29][30][31][32][33][34]36,37 Seven of these articles reported a pain score measured during active ablation. 11,13,[17][18][19][20][21][22]27,[29][30][31][32] Penninx et al 32 reported a median pain score and from the raw data a mean with standard deviation was calculated. Sixteen articles reported an 'overall' pain experience of the procedure, 11,13,[17][18][19][20][21][22]25,27,[29][30][31][32]36,37 which was measured with the VAS in 13 of these art...…”

“…For that reason, these three studies were excluded. [14][15][16] Six of the included studies were randomised controlled trials, [17][18][19][20][21][22] 16 were prospective observational studies [11][12][13][23][24][25][26][27][28][29][30][31][32][33][34][35] and three were retrospective studies. [36][37][38] The characteristics and quality assessment of the included studies are presented in Tables S1 and S2.…”

“…18,21,30 In eight studies, intracervical anaesthesia was evaluated. [11][12][13]19,20,26,35,37 Nine studies described the use of paracervical anaesthesia 17,18,22,23,27,28,31,32,36 and seven studies described the use of a combination of intracervical, paracervical and/or intrauterine anaesthesia. 20,24,25,29,33,34,38 There was variation in the injection sites, the type of anaesthetics used, and the concentration and volumes used (Table S1).…”