Impact of uterine cavity filling pressure levels on pain and procedure duration in diagnostic hysteroscopy: A retrospective cohort study

-д хадгалсан:
Номзүйн дэлгэрэнгүй
-д хэвлэсэн:The Journal of Obstetrics and Gynaecology Research vol. 51, no. 1 (Jan 2025)
Үндсэн зохиолч: Tercan, Can
Бусад зохиолчид: Dagdeviren, Emrah, Yeniocak, Ali Selcuk, Sultan Can, Yucel, Burak
Хэвлэсэн:
Wiley Subscription Services, Inc.
Нөхцлүүд:
Онлайн хандалт:Citation/Abstract
Шошгууд: Шошго нэмэх
Шошго байхгүй, Энэхүү баримтыг шошголох эхний хүн болох!

MARC

LEADER 00000nab a2200000uu 4500
001 3158177869
003 UK-CbPIL
022 |a 1341-8076 
022 |a 1447-0756 
024 7 |a 10.1111/jog.16146  |2 doi 
035 |a 3158177869 
045 2 |b d20250101  |b d20250131 
100 1 |a Tercan, Can  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey 
245 1 |a Impact of uterine cavity filling pressure levels on pain and procedure duration in diagnostic hysteroscopy: A retrospective cohort study 
260 |b Wiley Subscription Services, Inc.  |c Jan 2025 
513 |a Journal Article 
520 3 |a AimThis study investigates the impact of intracavitary pressure levels on pain, visualization quality, and procedure duration in office hysteroscopy, comparing standard pressures (60–100 mmHg) with high pressures (110–150 mmHg).MethodsWe conducted a retrospective cohort study involving non‐menopausal women undergoing diagnostic hysteroscopy at a tertiary clinic. Patients were categorized into two groups based on intracavitary pressure: the standard pressure group (60–100 mmHg; n = 72) and the high‐pressure group (110–150 mmHg; n = 37). Outcomes measured included pain scores, procedure duration, and fluid volume used. Logistic regression was employed to identify risk factors for severe pain.ResultsThe high‐pressure group demonstrated significantly shorter procedure durations compared to the standard pressure group (96.56 ± 34.36 vs. 163.00 ± 61.78 s, p < 0.001). Pain scores were lower in the high‐pressure group (VAS 3.00 [0.00–7.00] vs. 3.50 [0.00–9.00], p = 0.041). Additionally, high‐pressure procedures used less fluid compared to standard pressure procedures, which helps to reduce the risk of fluid‐related complications. Logistic regression analysis identified higher fluid volumes (odds ratio [OR] = 1.005, 95% confidence interval [CI] = 1.001–1.010) and the need for pressure increases (OR = 3.914, 95% CI = 1.157–13.238) as significant risk factors for severe pain.ConclusionsHigher intracavitary pressure levels (above 100 mmHg) in office hysteroscopy are associated with reduced pain, shorter procedure durations, and decreased fluid use, enhancing visualization and procedural efficiency while maintaining patient comfort. 
653 |a Risk factors 
653 |a Pain 
653 |a Regression analysis 
653 |a Pressure 
653 |a Cohort analysis 
653 |a Health risks 
700 1 |a Dagdeviren, Emrah  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey 
700 1 |a Yeniocak, Ali Selcuk  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey 
700 1 |a Sultan Can  |u Department of Obstetrics and Gynecology, Goztepe Prof. Dr. Suleyman Yalcın City Hospital, Istanbul, Turkey 
700 1 |a Yucel, Burak  |u Department of Obstetrics and Gynecology, Basaksehir Cam and Sakura City Hospital, Istanbul, Turkey 
773 0 |t The Journal of Obstetrics and Gynaecology Research  |g vol. 51, no. 1 (Jan 2025) 
786 0 |d ProQuest  |t Health & Medical Collection 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3158177869/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch