Pain management in outpatient hysteroscopy

Evaluation and ranking of different interventions for pain relief during outpatient hysteroscopy: A systematic review and network meta‐analysis

“…Paracervical block with local anesthetics has shown considerable efficacy according to our P ‐score ranking, especially during tenaculum placement and 30 min after the procedure. Several approaches for local anesthesia have been investigated as the paracervical, transcervical, intracervical, uterosacral blocks or topical application in gel, cream or spray form . A previous meta‐analysis by Cooper et al .…”

“…Several strategies have been developed to manage pain during outpatient hysteroscopy, which ranges from technique's modifications (avoiding tenaculum use, using vaginoscopy and cervical hydrodistention) to utilization of different pharmacological and nonpharmacologic analgesic methods. Over the recent decades, various pharmacological agents (mainly nonsteroidal anti‐inflammatory drugs (NSAID), opioids and local anesthetics) and nonpharmacological interventions (as hypnosis, heat and transcutaneous electric nerve stimulation [TENS]) were investigated for pain relief during outpatient hysteroscopy .…”

Virtual reality for acute pain in outpatient hysteroscopy: a randomised controlled trial

“…[3][4][5][6] Pain relief options include sedation, local anaesthetic, analgesics and distraction techniques, though no consistent good quality evidence exists to underpin practice. [7][8][9][10][11][12] Virtual reality (VR), a relatively new intervention, has been studied as a distraction technique for non-pharmacological pain relief. It is a computer-generated representation of an immersive environment viewed through a headset.…”

“…Such procedures are usually well tolerated 2 but can be associated with acute pain and anxiety 3–6 . Pain relief options include sedation, local anaesthetic, analgesics and distraction techniques, though no consistent good quality evidence exists to underpin practice 7–12 …”

Electronic Continuous Pain Measurement vs Verbal Rating Scale in gynaecology: A prospective cohort study

“…For example, diagnostic and therapeutic hysteroscopies are performed increasingly in outpatient settings [4][5][6][7]. Patient perceptions of pain experienced during a procedure play a key role in their perceived tolerance and their satisfaction concerning the treatment [8][9][10][11][12]. However, pain perception can differ widely between patients and could be aggravated by anxiety [13][14][15], underlining the need for pain measurement and assessment of patient tolerability [16,17].…”