Office hysteroscopic morcellation service: Evaluation of women experience and factors affecting satisfaction

Pervaiz, Zahra; Korrapati, Sivanandana; Ghoubara, Ahmed; Ewies, Ayman

doi:10.1016/j.ejogrb.2021.07.049

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…Patient satisfaction was not associated with pain scores during the procedure (p=0.782), immediately after the procedure (p=0.518), or upon discharge (p=0.340). This suggests that patient satisfaction/acceptability may be attributed to the quality of preoperative counselling and information-giving 13 and differences in the pain experienced and the pain expected 12 . Therefore, optimising expectations with pre-procedural counselling and close communication may further increase patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

“…It is also economical, decreasing costs related to dedicated personnel and operating room use as well as reducing waiting times for major surgery by freeing up the operating room 12 . However, only a few studies have examined patient acceptability and satisfaction with hysteroscopic morcellation 13,14 . Therefore, we aimed to evaluate patient pain scores and their associated factors and patient satisfaction with hysteroscopic morcellation.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Patient acceptability and satisfaction for hysteroscopic morcellation

Leung,

Kwong,

et al. 2023

Hong Kong J Gynaecol Obstet Midwifery

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Objective: To evaluate patients' pain scores and satisfaction with hysteroscopic morcellation service in two hospitals in Hong Kong. Methods: Medical records of women who underwent hysteroscopic morcellation as a day procedure using the Intrauterine Bigatti Shaver between 1 November 2018 and 31 October 2022 at Tuen Mun Hospital or Pok Oi Hospital were retrospectively reviewed. Results: 242 patients who underwent hysteroscopic morcellation were included. The mean patient age was 54.1 years. Postmenopausal bleeding was the commonest presenting symptom (48.8%), followed by abnormal menstrual bleeding (42.6%). 43.8% of patients had one lesion; 87.2% of patients had endometrial polyps. There were 523 endometrial polyps and 29 myomas; 99.4% of endometrial polyps and 79.3% of myomas were removed. The complete resection rate was higher for patients with endometrial polyps than for patients with myomas (98.7% vs 77.8%, p<0.001). Most patients reported mild pain intraoperatively (57.4%), immediately after the procedure (72.3%), and upon discharge (95.0%). 98.8% of patients were satisfied with the procedure; 94.2% would undergo the same operation again if clinically indicated; and 95.5% would recommend this procedure to others. Premenopausal women reported more pain immediately after the procedure (2 vs 1, p=0.020) and upon discharge (0 vs 0, p=0.040) than postmenopausal women. Patients with an operative time of >20 minutes reported more pain immediately after the procedure (3 vs 1, p=0.007) than patients with an operative time of ≤20 minutes. Conclusion: Almost all patients were satisfied with hysteroscopic morcellation. Most patients experienced only mild pain during and immediately after the procedure and upon discharge. Premenopausal status and operative time of >20 minutes were associated with higher pain scores. Further optimisation of pain-relief methods should be considered.

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Section: Discussionmentioning

confidence: 99%