Pain Experienced Using Two Different Methods of Endometrial Biopsy

Leclair, Catherine M.; Zia, Joy; Doom, Carmen M.; Morgan, Terry K.; Edelman, Alison

doi:10.1097/aog.0b013e31820ad45b

Cited by 36 publications

(23 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Introduced by Cornier in 1984 (Eddowes et al 1990), the Pipelle is the most studied biopsy device in the literature (Eddowes et al 1990; Youssif and Mcmillan 1995; Eddowes et al 1990; Leng et al 2013; Fakhar et al 2008; Elsandabesee and Greenwood 2005; Machado et al 2003; Dijkhuizen et al 2000; Sundsbak and Jebsen 1994; Zorlu et al 1994; Sanam and Majid 2015; Ben-baruch et al 1994; Leclair et al 2011). The Pipelle device is 23.5 mm in length, with a polypropylene sheath with an outer diameter of 3.1 mm.…”

Section: Resultsmentioning

confidence: 99%

“…The Pipelle device is 23.5 mm in length, with a polypropylene sheath with an outer diameter of 3.1 mm. Suction is created along a negative pressure gradient when the inner plunger is withdrawn (Leclair et al 2011). The Pipelle endometrial sampler can be used without cervical dilatation in the outpatient department and causes minimum discomfort.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Endometrial sampling devices for early diagnosis of endometrial lesions

Li²,

et al. 2016

J Cancer Res Clin Oncol

View full text Add to dashboard Cite

PurposeEndometrial carcinoma is the most common gynecologic malignancy in both developed and some developing countries. Unlike cervical cancer, for which there is routine screening, only patients symptomatic for endometrial carcinoma typically seek medical help for its diagnosis and treatment. Dilatation and curettage (D&C) has been the standard procedure for evaluating suspicious endometrial lesions. The discomfort and injury caused by the D&C procedure, however, restrict its use as a screening method for early diagnosis of endometrial lesions. High-risk endometrial cancer patients would benefit from an effective and low-cost screening test. In recent years, several endometrial devices have been developed and proposed as screening tools.MethodsWe have reviewed and evaluated the literature relating to the endometrial sampling devices in clinical use or clinical trials, with the goal of comparing devices and identifying the most appropriate ones for screening for endometrial lesions. Eligible literature was identified from systematic PubMed searches, and the relevant data were extracted. Comments, letters, unpublished data, conference proceedings, and case reports were excluded from our search. Seventy-four articles on endometrial sampling devices were obtained for this review.ResultsThe main screening devices for endometrial carcinoma are aspiration devices (such as the Vabra aspirator), Pipelle, Tao Brush, and SAP-1 device. Among these devices, the Tao Brush is the most promising endometrial sampler for screening for endometrial lesions. However, its sampling insufficiency, cost, and unsuccessful insertion rate (20 % in nulliparous and 8 % in parous women) are problematic.ConclusionsA more accurate and low-cost endometrial sampler, with improved specimen sufficiency and higher sensitivity for endometrial lesions, needs tobe developed and clinically verified.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Endometrial sampling devices for early diagnosis of endometrial lesions

Li²,

et al. 2016

J Cancer Res Clin Oncol

View full text Add to dashboard Cite

show abstract

“…trial; results showed the Explora to be slightly superior regarding proportion of adequate samples (97% vs 91%) 55 (Class 1b). However, in randomized trials from Scotland, the Tao Brush (Cook Medical; Bloomington, IN; USA) was found to be superior to the Pipelle catheter in obtaining a satisfactory endometrial sample (72% to 43%) 56,57 (Class 1b).…”

Section: Investigation Of Women With Postmenopausal Uterine Bleeding:mentioning

confidence: 93%

Investigation of Women with Postmenopausal Uterine Bleeding: Clinical Practice Recommendations

Munro

2014

TPJ

View full text Add to dashboard Cite

“…This procedure is usually conducted using a Pipelle or Explora curette, both of which cause a similar degree of pain. 28 The procedure is brief, with the aspiration portion of the biopsy completed within 1 to 2 minutes, but half of women describe their experience as "moderately" or "severely" painful. 29 A significant source of pain during endometrial sampling is placement of the tenaculum on the cervix.…”

Section: Endometrial Biopsymentioning

confidence: 99%