Original ArticleImpact of Uterine Scar on Pain Experienced During Outpatient Hysteroscopy: A Prospective Blinded Comparative Study
Section snippets
Methods
This prospective comparative observational study was performed at the outpatient hysteroscopy clinic at the Department of Obstetrics and Gynecology at Cairo University Hospital. The study was conducted from August 1, 2015 until May 1, 2016. The study was approved by the research ethics committee of Cairo University Hospital. All patients provided their written informed consent after proper explanation of the procedure.
We included women in the childbearing period (18–45 years old) attending the
Results
We recruited 140 patients who were divided equally into 2 groups: Group A, those with scarred uterus (n = 70), and Group B, those with unscarred uterus (n = 70). Baseline characteristics of patients, indications, duration, and pain scores during and immediately after the procedure are shown in Table 1. Kolmogorov Spirnov and Shapiro Wilk tests revealed normal distribution of the continuous data of the study. Student t test revealed a significant difference in age, gravidity, and parity between
Discussion
Cesarean delivery is the most common laparotomy performed worldwide [7], and the incidence has been showing a global increase, described as a “cesarean epidemic” [8]. This means more women with cesarean scars will be encountered in the gynecologic practice, thus reflecting the importance of addressing patients' concerns and expectations regarding pain experience when they undergo diagnostic outpatient hysteroscopy.
Several predictive factors for pain evoked by outpatient hysteroscopy have been
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The authors declare that they have no conflict of interest.