Outpatient Hysteroscopy: A Comparison of 2 Methods of Local Analgesia

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Abstract
EDITORIAL COMMENT: We accepted this paper for publication to inform readers who perform hysteroscopy that the procedure can be done under local analgesia with minimal patient discomfort. This is important now that we must increase the number of patients managed as day cases and because in many major institutions hysteroscopies are still done under general anaesthesia.Summary: A prospective, randomized study was undertaken to objectively compare pain tolerance of 2 methods of local analgesia for outpatient hysteroscopy. Patients in group 1 received a paracervical block using 20 ml of 1% lignocaine. Patients in group 2 received a uterosacral block using 2 ml of 2% lignocaine. There was no statistical difference between the 2 groups (p = <0.65) in efficacy of pain relief. The method used for patients in group 2 reduces time and costs for outpatient hysteroscopy.

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