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J Am Assoc Gynecol Laparosc · Aug 2004
ReviewPain relief and outpatient hysteroscopy: a literature review.
- Emma Readman and Peter J Maher.
- Endosurgery Unit, Mercy Hospital for Women, Clarendon Street, East Melbourne, 3002 Victoria, Australia.
- J Am Assoc Gynecol Laparosc. 2004 Aug 1;11(3):315-9.
AbstractOur early experience in setting up an ambulatory hysteroscopy service provoked a review of the literature, due to an unacceptably high failure rate. A literature review has been undertaken to establish the accepted success rates and reasons for failure, and to assess evidence for various analgesic protocols through randomized controlled trials. The data suggest the procedure is acceptable to most patients, with a completion success rate over 90%, and the use of analgesia may enhance the success rate. Analgesic protocols studied were nonsteroidal anti-inflammatory drugs, intracervical block, paracervical block, transcervical block, and topical analgesia. Failures are due predominantly to pain, stenosis, and poor view.
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