Comparison between vaginoscopy and traditional technique of hysteroscopy under local anesthesia for operative approachYasemin Çekmez1, Doğa Öcal2, Vakkas Korkmaz3, Tuncay Küçüközkan2
1Department Of Obstetrics And Gyneacology, Ümraniye Medical And Research Hospital
2Department Of Obstetrics And Gyneacology, Dr. Sami Ulus Medical And Research Hospital
3Department Of Obstetrics And Gyneacology, Ankara Medical And Research Hospital
Objective: To compare vaginoscopy with traditional technique of hysteroscopy combined with local anesthesia for surgical procedures in terms of patient compliance and ease of procedure.Keywords: Vaginoscopy, hysteroscopy, anesthesia
Material and Method: A total of 98 women who were scheduled for operative hysteroscopy were divided into two groups: Group 1 (vaginoscopy), Group 2 (traditional technique with local anesthesia). Patient compliance was assessed by using a Visual Analog Scale (VAS) at five different time points as follows: before placement of speculum, phase 1 (baseline pain perception); after placement of the speculum, phase 2; after grasping with tenaculum, phase 3; during hysteroscopy, phase 4; and 5 min after the procedure, phase 5.VAS-4 reflected the compliance of patients. We determined the ease of the procedure by employing Likert-type scale to clinicians.
Results: VAS-2 scores were statistically higher in Group 2 than Group 1 (P=0.001). There were no significant differences between VAS-1, VAS-3 and VAS-5 scores. VAS-4 scores were statistically higher in Group 1 than Group 2 (P=0.001) Likert-type scale scores were statistically higher in Group 2 (P<0.001), but the procedure time was longer in Group 1 than Group 2 (P=0.001).
Conclusion: Usage of tenaculum and speculum decreases the compliance of the patient although they help to facilitate the procedure. However based on our study, we suggest that traditional technique combined with local anesthesia may be better than vaginoscopy for operative procedures in terms of
Yasemin Çekmez, Doğa Öcal, Vakkas Korkmaz, Tuncay Küçüközkan. Comparison between vaginoscopy and traditional technique of hysteroscopy under local anesthesia for operative approach. Medeniyet Med J. 2015; 30(2): 67-71
Corresponding Author: Yasemin Çekmez, Türkiye