The Effect of Intrauterine Lidocaine versus Warm Saline Distention Medium for Pain Control during Office Hysteroscope

Abstract

Abstract Outpatient hysteroscopy is adiagnostic procedure. It indicated mainly in evaluation of women with abnormal uterine bleeding. The uterine cavity is a potential space so we need to use a distension media to see it. Myometrium is distended in respond to uterine distension so it may cause a colicky pain of medium to high intensity. When physiologic saline solution is the distension medium, it is used at room temperature, colicky pain may be increased by cool temperature: In 2000, the American association of gynaecological laparoscopist recommended the use of electrolyte containing fluid in diagnostic and operative cases. Our study aim to compare between intrauterine lidocaine, warm saline distension medium and room temperature saline distension medium as regard their effectiveness on decreasing pain during, at the end of the procedure and 15 minutes after the end of the procedure. We evaluated the patient satisfaction as the percentage of patients who could undergo the hysteroscopic examination again using the same method. Simple analysis of VAS scores revealed a statistically significantly lower VAS score during and at the end of the procedure in the lidocaine group compared to the warm and room-temperature distention medium groups. The same finding was held constant also after 15 minutes from the end of the procedure. Keywords: Intrauterine Lidocaine, Warm Saline Distention Medium, Pain Control