Comparative evaluation of no touch vaginoscopy and conventional hysteroscopy in a tertiary care hospital of North India
DOI:
https://doi.org/10.18203/2320-6012.ijrms20260231Keywords:
Abnormal uterine bleeding, Standard hysteroscopy, VaginoscopyAbstract
Background: Optimal management of endometrial disease requires accurate and timely diagnosis followed by effective treatment. Modern outpatient hysteroscopy can be utilized as a first line method for diagnostic procedure. No touch technique (vaginoscopy) has been introduced in an attempt to make the procedure less painful as it includes reduced anesthetic risks and is cost effective. This study aimed to compare the vaginoscopic hysteroscopy and conventional hysteroscopy in context of pain and patient satisfaction. Also, to compare the procedure time, complications and use of anaesthesia associated with both the techniques
Methods: This is a hospital based prospective study which will be conducted on 100 women in department of obstetrics and gynaecology, DMC&H, Ludhiana. After taking informed consent patients will be randomised into 2 groups. Group A (n= 50) patients who will be undergoing vaginoscopic hysteroscopy and Group B (n= 50) who will be undergoing standard hysteroscopy. Both groups were compared based on demographic parameters, pain score, time required for procedure completion and need of anesthesia.
Results: The mean pain score, duration required for procedure completion and need of anesthesia was less in vaginoscopy group compared to standard hysteroscopy group.
Conclusions: The vaginoscopic approach is less painful, better tolerated, quicker to perform therefore, more successful than standard hysteroscopy technique.
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References
Sardo AD, Calagna G, Di Carlo C. Tips and tricks in office hysteroscopy. Gynecol Minimal Invasive Ther. 2015;4(1):3-7. DOI: https://doi.org/10.1016/j.gmit.2014.12.004
Yadav A, Kumari R. Comparative Evaluation of Vaginoscopic vs Traditional Hysteroscopy. World J Lap Surg. 2021;14(2):98-102. DOI: https://doi.org/10.5005/jp-journals-10033-1455
Tsonis O, Gkrozou F, Iram N, Ntritsos G, Dimitriou E, Tzallas A, et al. 20 Years of Experience in Office Hysteroscopy: The Largest Retrospective Study in Greece to Date. Clin Experim Obstetr Gynecol. 2023;50(6):133. DOI: https://doi.org/10.31083/j.ceog5006133
Cheng C, Subedi J, Zhang A, Johnson G, Zhao X, Xu D, Guan X. Vaginoscopic Incision of Oblique Vaginal Septum in Adolescents with OHVIRA Syndrome. Sci Rep. 2019;9(1):20042. DOI: https://doi.org/10.1038/s41598-019-56471-2
Tien CT, Li PC, Ding DC. Outcome comparison between vaginoscopy and standard hysteroscopy: A retrospective cohort study. J Chin Med Assoc. 2021;84(5):536-539. DOI: https://doi.org/10.1097/JCMA.0000000000000519
Chaudhari KR, Sathe P. Role of diagnostic hysteroscopy in evaluation of abnormal uterine bleeding and its histopathological correlation. Int J Reproduct Contracep Obstetr Gynecol. 2014;3(3):666-71. DOI: https://doi.org/10.5455/2320-1770.ijrcog20140958
Lotha L, Borah A. Clinicopathological evaluation of abnormal uterine bleeding in perimenopausal women. Int J Reprod Contracept Obstet Gynecol. 2016;5(9):3072-4. DOI: https://doi.org/10.18203/2320-1770.ijrcog20162987
Biela MM, Doniec J, Szafarowska M, Sobocinski K, Kwiatkowski A, Kamiński P. Is every patient eligible to have an office hysteroscopy? A retrospective analysis of 1301 procedures. Wideochir Inne Tech Maloinwaz. 2020;15(2):337-345. DOI: https://doi.org/10.5114/wiitm.2019.89609
Methods in Medicine CA. Retracted: Effect of Vaginoscopy versus Conventional Hysteroscopy on Pain, Complications, and Patient Satisfaction in Patients with Endometrial Polyps. Hindawi Computational and Mathematical Methods in Medicine Volume 2023:1. DOI: https://doi.org/10.1155/2023/9824302
Sharma M, Taylor A, di Spiezio Sardo A, Buck L, Mastrogamvrakis G, Kosmas I, et al. Outpatient hysteroscopy: traditional versus the ‘no-touch’ technique. BJOG. 2005;112(7):963-7. DOI: https://doi.org/10.1111/j.1471-0528.2005.00425.x
Ekin M, Yasar L, Akgöl S. Comparison of Vaginoscopic no touch method with the traditional method of outpatient hysteroscopy. Menopause. 2009;31(31.81):0-5.
Jeong N, Cho A, Koo YJ, Ahn JW, Park H, Lee ES, et al. Clinical practice in office hysteroscopy. Obstetr Gynecol Sci. 2025 Apr 4;68(3):175-85. DOI: https://doi.org/10.5468/ogs.24234
del Valle C, Solano JA, Rodríguez A, Alonso M. Pain management in outpatient hysteroscopy. Gynecology and Minimally Invasive Therapy. 2016;5(4):141-7. DOI: https://doi.org/10.1016/j.gmit.2016.08.001
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