Hysteroscopic cornual nerve block in operative hysteroscopy: a Randomized controlled trial

Abstract

ysteroscopy has become a standard investigation for a lot of gynecological cases and found to be effective in detecting intrauterine pathology and treating it . It is usually performed as an outpatient procedure under either local or no anesthesia It is associated with some degree of pain and carries a risk of a vaso-vagal reaction. Pain is the commonest reason for failure to complete the procedure. Although paracervical anesthesia is useful for local ablation of the cervix and suction evacuation of the uterus, it has not been shown to reduce pain during hysteroscopy in randomized trials suggesting that the use of local anesthesia may reduce the pain.