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Year : 2020  |  Volume : 15  |  Issue : 3  |  Page : 337-340

Minimal optimum uterine filling pressure for diagnostic hysteroscopy: A randomized study

Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi(M), Wardha, Maharashtra, India

Correspondence Address:
Dr. Deepika K C. Dewani
Room No S.27, Radhikabai Meghe PG Girls Hostel, JNMC Campus, DMIMS, Sawangi (Meghe), Wardha, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdmimsu.jdmimsu_122_19

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Background: Hysteroscopy involves uterine cavity distension to allow adequate visualization. Higher uterine filling pressures ensure adequate visualization but might cause intravasation of the distension media into the vasculature and its various adverse effects. Aim: The aim of the study was to ascertain the minimum adequate filling pressure required for the optimal visualization of the uterine cavity during diagnostic hysteroscopy while minimizing the total fluid usage, thereby reducing the associated complications. Study Design: Randomized study. Materials and Methods: This was a study designed to assess whether optimal visibility can be achieved with lower uterine filling pressures for diagnostic hysteroscopy and whether patient discomfort can be reduced. A total of sixty patients were randomized and subjected to uterine distension pressure of 70 mmHg (thirty patients) or 100 mmHg (thirty patients). The primary outcome measure was the proportion of procedures where adequate visibility was achieved during diagnostic hysteroscopy. The secondary outcome was the level of pain experienced by the patient, duration of the procedure, and fluid deficit during the procedure. Results: Optimal visualization was achieved in 93.33% and 96.66% with a uterine filling pressure of 70 mm hg and 100 mm hg, respectively, and is comparable. Conclusion: The uterine filling pressure of 70 mm Hg was associated with optimum visualization as obtained that in 100 mmHg lower pain scores than 100 mmHg with no difference in the proportion of completed procedures.

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