Giorgio Bogani1, Maurizio Serati2, Antonella Cromi2, Edoardo Di Naro3, Jvan Casarin2, Ciro Pinelli2, Thomas Rossi2, Fabio Ghezzi2. 1. Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy. Electronic address: giorgiobogani@yahoo.it. 2. Department of Obstetrics and Gynecology, University of Insubria, Del Ponte Hospital, Varese, Italy. 3. Department of Obstetrics and Gynecology, University of Bari, Bari, Italy.
Abstract
OBJECTIVE: To evaluate whether the administration of local anesthetic (LA) reduces pain in comparison with forced coughing (FC) for the execution of colposcopically guided biopsies (CGBs). STUDY DESIGN: Data of 100 consecutive patients undergoing CGBs with the use of LA or FC were prospectively evaluated. Procedure-related pain was assessed with the use of a 100-mm visual analogue scale. RESULTS: Fifty-one and 49 patients had CGBs using LA and FC, respectively. No between-group differences were observed in terms of pain related to speculum insertion, CGBs and pain recorded after the procedures (p>0.05). However, patients in the LA group experienced pain related to cervical injection for administration of anesthesia (mean (±SD): 12.4 (±1.6)). Operative time was longer in the LA than in the FC group (7.2 (±0.2) vs. 5.0 (±0.1)min; p<0.001). CONCLUSIONS: FC should be preferred over LA. Although CGB-related pain levels do not differ, the omission of intracervical injection is associated with undoubted advantages.
OBJECTIVE: To evaluate whether the administration of local anesthetic (LA) reduces pain in comparison with forced coughing (FC) for the execution of colposcopically guided biopsies (CGBs). STUDY DESIGN: Data of 100 consecutive patients undergoing CGBs with the use of LA or FC were prospectively evaluated. Procedure-related pain was assessed with the use of a 100-mm visual analogue scale. RESULTS: Fifty-one and 49 patients had CGBs using LA and FC, respectively. No between-group differences were observed in terms of pain related to speculum insertion, CGBs and pain recorded after the procedures (p>0.05). However, patients in the LA group experienced pain related to cervical injection for administration of anesthesia (mean (±SD): 12.4 (±1.6)). Operative time was longer in the LA than in the FC group (7.2 (±0.2) vs. 5.0 (±0.1)min; p<0.001). CONCLUSIONS:FC should be preferred over LA. Although CGB-related pain levels do not differ, the omission of intracervical injection is associated with undoubted advantages.
Authors: A Schneider; K Wagner; C Rakozy; C Stolte; P Bothur-Schäfer; T Welcker; N Choly; A Roesgen; H Rothe; G Böhmer Journal: Geburtshilfe Frauenheilkd Date: 2015-10 Impact factor: 2.915
Authors: Taras I Usichenko; Henriette Janner; Maria Gagarine; Dragan Pavlovic; Eric Lang; Klaus Hahnenkamp Journal: Pain Res Manag Date: 2019-12-12 Impact factor: 3.037