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Misoprostol Versus Uterine Striating by Bladder Filling for Pain Relief During Office Hysteroscopy

Phase 2
Completed
Conditions
Pain
Interventions
Other: Bladder Filling
Registration Number
NCT02328495
Lead Sponsor
Cairo University
Brief Summary

The aim of this study is to compare the effectiveness of misoprostol versus uterine straightening by bladder filling for pain relief in menopausal patients undergoing office hysteroscopy.

Detailed Description

Several studies revealed that cervical ripening with misoprostol is effective in reducing pain especially in postmenopausal patients. A recent randomized controlled trial revealed that uterine striating by bladder filling prior to office hysteroscopy is associated with reduced pain perception and easier introduction of hysteroscope through the cervix.

The aim of this study is to compare the effectiveness of misoprostol versus uterine straightening by bladder filling for pain relief in menopausal patients undergoing office hysteroscopy.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
76
Inclusion Criteria
  • Menopausal patients who have an indication for office hysteroscopy
Exclusion Criteria
  • Nulliparous patients, patients with cervical pathology and previous cesarean section or cervical surgery.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
bladder FillingBladder FillingUterine straightening by bladder filling before office hysteroscopy
MisoprostolMisoprostolMisoprostol (400µg) is administered vaginally 12 hours before office hysteroscopy
Primary Outcome Measures
NameTimeMethod
Intensity of pain [ visual analogue scale ranging from 0 to 10 ]Pain intensity will be assessed by visual analogue scale during the procedure [an expected average of 10 minutes] and 30 minutes after the procedure
Secondary Outcome Measures
NameTimeMethod
Operative timeFrom the introduction of hysteroscope into the vagina till compilation of hysteroscopic examination[ an expected average 10 minutes]

Trial Locations

Locations (1)

Obstetrics and Gynecology Department,Cairo university

🇪🇬

Cairo, Egypt

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