81640
document
Paracervical anesthesia for outpatient hysteroscopy . 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 .
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Intervention_Pharmacological
local anesthesia
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Intervention_Surgical
hysteroscopy and endometrial biopsy
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Intervention_Pharmacological
paracervical block by 10 mL of 1 % mepivacaine hydrochloride solution
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Intervention_Control
no local anesthesia
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Intervention_Physical
Paracervical anesthesia
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Outcome_Physical
outpatient hysteroscopy .
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Outcome_Physical
hysteroscopy
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Outcome_Physical
hysteroscopy
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Outcome_Physical
mean +/- SD pain score
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Outcome_Physical
outpatient hysteroscopy
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Participant_Sample-size
One hundred seventy-seven
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Participant_Sex
women
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Participant_Age
41 +/- 8
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Participant_Condition
excessive uterine bleeding
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Participant_Age
premenopausal