Paracervical anesthesia for outpatient hysteroscopy.

Abstract

One hundred seventy-seven women aged 41 +/- 8 (mean +/- SD) years, referred for evaluation of excessive uterine bleeding, were enrolled in an open-label randomized trial to evaluate the efficacy of local anesthesia before hysteroscopy in an outpatient population. The patients underwent hysteroscopy and endometrial biopsy with paracervical block by 10 mL of 1% mepivacaine hydrochloride solution (n = 87) or no local anesthesia (n = 90) and assessed lower abdominal and pelvic pain according to a 10-point linear analog scale. The mean +/- SD pain score was 4.5 +/- 2.0 at hysteroscopy and 5.2 +/- 2.1 at endometrial biopsy in the 87 subjects given a paracervical block versus 4.9 +/- 2.2 and 5.7 +/- 2.4 in the 90 women not given local anesthesia, without statistically significant differences. Paracervical anesthesia for routine outpatient hysteroscopy in premenopausal women may be superfluous.

• Authors: P Vercellini, A Colombo, F Mauro, S Oldani, T Bramante, P G Crosignani
• Journal: Fertility and sterility (Fertil Steril) Vol. 62 Issue 5 Pg. 1083-5 (Nov 1994) ISSN: 0015-0282 [Print] United States
• PMID: 7646610 (Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial)

Topics

• Adult
• Analgesia
• Anesthesia
• Biopsy
• Cervix Uteri
• Endometrium (pathology)
• Female
• Humans
• Hysteroscopy
• Middle Aged
• Pain
• Uterine Hemorrhage (pathology)