Office Vaginoscopic Hysteroscopy in Infertile Women: Effects of Gynecologist Experience, Instrument Size, and Distention Medium on Patient Discomfort

Pluchino, Nicola; Ninni, Filippo; Angioni, Stefano; Artini, Paolo Giovanni; Araujo, Viana Gersia; Massimetti, Gabriele; Genazzani, Andrea Riccardo; Cela, Vito

doi:10.1016/j.jmig.2010.01.015

Cited by 47 publications

(25 citation statements)

References 16 publications

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“…The evaluation of the uterine cavity by hysteroscopy has become an easy diagnostic procedure to perform, remarkably widespread and commonly performed in infertile women [12,14]. Hysteroscopy provides direct visualization of the endometrial cavity, thereby allowing a targeted biopsy or excision of lesions identified during the procedure [15].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy outcome after hysteroscopic myomectomy

Litta

Conte

Marchi

et al. 2013

Gynecological Endocrinology

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The objective of this longitudinal retrospective study was to evaluate the influence of submucosal myomas on pregnancy outcome in infertile patients after resectoscopic myomectomy. One-hundred and four women with at least a 1-year-long history of infertility and the presence of submucosal myomas as the only cause of infertility were selected after surgical treatment. Pregnancy, delivery and abortion rates were investigated. Patients were divided into three groups according to the myoma classification (G0, G1 and G2). Gestational outcomes were analyzed in the three groups correlated by size, location and number of fibroids. The total pregnancy rate was 85.8% and no difference was shown regarding myoma classification (G0 82.05% versus G1 87.09% versus G2 88.2%; p = ns). Pregnancy and delivery rates were not significantly related to the number, localization or diameter of the fibroids. The abortion rate was not statistically influenced by myoma type, but it was significantly inter-related with myomas situated in the anterior uterine wall (p = 0.03). Pre-term delivery was significantly influenced by myomas localized in the fundic wall (p = 0.02). Caesarean section rates were not affected by the characteristics of the myomas. Our results support the idea that resectoscopic myomectomy should be offered to infertile women who wish to become pregnant independently of their localization and number.

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Section: Discussionmentioning

confidence: 99%

Pregnancy outcome after hysteroscopic myomectomy

Litta

Conte

Marchi

et al. 2013

Gynecological Endocrinology

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“…Special attention has been paid to the role played by distension media during hysteroscopy (15), and despite the substantial literature available on the matter, results are often controversial (16)(17)(18)(19) and even unreliable in some cases, owing to the limited number of enrolled patients (17,20).…”

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Pain in diagnostic hysteroscopy: a multivariate analysis after a randomized, controlled trial

Mazzon

Favilli

Grasso

et al. 2014

Fertility and Sterility

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“…These can be divided into factors related to the hysteroscopist, technique or procedure and patient characteristics. Hysteroscopist-related factors refer mainly to operator's experience which was found to affect the perception of pain during OH 15,16 . The more experienced the hysteroscopist, the less the lateral movements and unnecessary rough manipulations which induces unacceptable pain.…”

Section: Discussionmentioning

confidence: 99%

Do Patients With Blocked Tubes Experience More Pain During Outpatient Hysteroscopy Than Those With Patent Tubes?! A Prospective Comparative Study

2017

Evidence Based Women's Health Journal

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Objective: To study the impact of tubal blockage on pain experienced during and immediately after diagnostic outpatient hysteroscopy. Study design: A prospective comparative study (Canadian Task Force Classification II-2). Setting: Outpatient hysteroscopy clinic at a University Hospital. Patients and Methods:We included 140 women in the childbearing period attending outpatient hysteroscopy clinic for infertility or recurrent miscarriage. Patients were divided into two equal groups; Group-A included those with unilateral or bilateral tubal block (n=70) and Group-B included those with patent tubes on both sides (n =70). All patients had diagnostic outpatient hysteroscopy without the use of anaesthesia or analgesia. Outcomes measured included pain experienced during and immediately after the procedure assessed using a 100 mm -Visual Analogue Scale (VAS) and the successful completion of the procedure. Results: Patients with blocked tubes experienced statistically significant more pain than those with patent tubes both during and immediately after the procedure using a uterine filling pressure of 80 -100 mmHg. However, all procedures were successfully completed with no failures or complications. Conclusion: Blocked Fallopian tubes contribute to pain during and immediately after outpatient hysteroscopy when a uterine filling pressure of 80-100 mmHg is used. However, this didn't adversely affect the success rate of the procedure. For this group of patients, strategies to improve patients' satisfaction need to be studied with a special attention for; the use of lower uterine filling pressures, shortening the procedure duration and/or the use of preemptive analgesics.

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Office Vaginoscopic Hysteroscopy in Infertile Women: Effects of Gynecologist Experience, Instrument Size, and Distention Medium on Patient Discomfort

Cited by 47 publications

References 16 publications

Pregnancy outcome after hysteroscopic myomectomy

Pregnancy outcome after hysteroscopic myomectomy

Pain in diagnostic hysteroscopy: a multivariate analysis after a randomized, controlled trial

Do Patients With Blocked Tubes Experience More Pain During Outpatient Hysteroscopy Than Those With Patent Tubes?! A Prospective Comparative Study

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