Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes

Endometrial polyps are one of the most common pathological conditions in gynecology. Hysteroscopy is the gold standard for the diagnosis and treatment of endometrial polyps. The purpose of this multicenter, retrospective study was to compare patients’ pain perception during an operative hysteroscopi...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Benito Chiofalo [verfasserIn] Mauro Calandra [verfasserIn] Valentina Bruno [verfasserIn] Vincenzo Tarantino [verfasserIn] Giovanni Esposito [verfasserIn] Enrico Vizza [verfasserIn] Giacomo Corrado [verfasserIn] Giovanni Scambia [verfasserIn] Ursula Catena [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	endometrial polyps outpatient hysteroscopy operative hysteroscopy VAS score

Übergeordnetes Werk:	In: Diagnostics - MDPI AG, 2012, 13(2023), 5, p 988
Übergeordnetes Werk:	volume:13 ; year:2023 ; number:5, p 988

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/diagnostics13050988

Katalog-ID:	DOAJ08802718X

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allfields	10.3390/diagnostics13050988 doi (DE-627)DOAJ08802718X (DE-599)DOAJa2b17c66ba194176a384ceb1f796169e DE-627 ger DE-627 rakwb eng R5-920 Benito Chiofalo verfasserin aut Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Endometrial polyps are one of the most common pathological conditions in gynecology. Hysteroscopy is the gold standard for the diagnosis and treatment of endometrial polyps. The purpose of this multicenter, retrospective study was to compare patients’ pain perception during an operative hysteroscopic endometrial polypectomy in an outpatient setting with two different hysteroscopes (rigid and semirigid) and to identify some clinical and intraoperative characteristics that are related to worsening pain during the procedure. We included women that underwent, at the same time as an diagnostic hysteroscopy, the complete removal of an endometrial polyp (using the see-and-treat strategy) without any kind of analgesia. A total of 166 patients were enrolled, of which 102 patients underwent a polypectomy with a semirigid hysteroscope and 64 patients underwent the procedure with a rigid hysteroscope. No differences were found during the diagnostic step; on the contrary, after the operative procedure, a statistically significant greater degree of pain was reported when the semirigid hysteroscope was used. Cervical stenosis and menopausal status were risk factors for pain both in the diagnostic step and in the operative one. Our results confirm that operative hysteroscopic endometrial polypectomy in an outpatient setting is an effective, safe, and well-tolerated procedure and indicate that it might be better tolerated if a rigid rather than semirigid instrument is used. endometrial polyps outpatient hysteroscopy operative hysteroscopy VAS score Medicine (General) Mauro Calandra verfasserin aut Valentina Bruno verfasserin aut Vincenzo Tarantino verfasserin aut Giovanni Esposito verfasserin aut Enrico Vizza verfasserin aut Giacomo Corrado verfasserin aut Giovanni Scambia verfasserin aut Ursula Catena verfasserin aut In Diagnostics MDPI AG, 2012 13(2023), 5, p 988 (DE-627)718627814 (DE-600)2662336-5 20754418 nnns volume:13 year:2023 number:5, p 988 https://doi.org/10.3390/diagnostics13050988 kostenfrei https://doaj.org/article/a2b17c66ba194176a384ceb1f796169e kostenfrei https://www.mdpi.com/2075-4418/13/5/988 kostenfrei https://doaj.org/toc/2075-4418 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2023 5, p 988
spelling	10.3390/diagnostics13050988 doi (DE-627)DOAJ08802718X (DE-599)DOAJa2b17c66ba194176a384ceb1f796169e DE-627 ger DE-627 rakwb eng R5-920 Benito Chiofalo verfasserin aut Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Endometrial polyps are one of the most common pathological conditions in gynecology. Hysteroscopy is the gold standard for the diagnosis and treatment of endometrial polyps. The purpose of this multicenter, retrospective study was to compare patients’ pain perception during an operative hysteroscopic endometrial polypectomy in an outpatient setting with two different hysteroscopes (rigid and semirigid) and to identify some clinical and intraoperative characteristics that are related to worsening pain during the procedure. We included women that underwent, at the same time as an diagnostic hysteroscopy, the complete removal of an endometrial polyp (using the see-and-treat strategy) without any kind of analgesia. A total of 166 patients were enrolled, of which 102 patients underwent a polypectomy with a semirigid hysteroscope and 64 patients underwent the procedure with a rigid hysteroscope. No differences were found during the diagnostic step; on the contrary, after the operative procedure, a statistically significant greater degree of pain was reported when the semirigid hysteroscope was used. Cervical stenosis and menopausal status were risk factors for pain both in the diagnostic step and in the operative one. Our results confirm that operative hysteroscopic endometrial polypectomy in an outpatient setting is an effective, safe, and well-tolerated procedure and indicate that it might be better tolerated if a rigid rather than semirigid instrument is used. endometrial polyps outpatient hysteroscopy operative hysteroscopy VAS score Medicine (General) Mauro Calandra verfasserin aut Valentina Bruno verfasserin aut Vincenzo Tarantino verfasserin aut Giovanni Esposito verfasserin aut Enrico Vizza verfasserin aut Giacomo Corrado verfasserin aut Giovanni Scambia verfasserin aut Ursula Catena verfasserin aut In Diagnostics MDPI AG, 2012 13(2023), 5, p 988 (DE-627)718627814 (DE-600)2662336-5 20754418 nnns volume:13 year:2023 number:5, p 988 https://doi.org/10.3390/diagnostics13050988 kostenfrei https://doaj.org/article/a2b17c66ba194176a384ceb1f796169e kostenfrei https://www.mdpi.com/2075-4418/13/5/988 kostenfrei https://doaj.org/toc/2075-4418 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2023 5, p 988
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callnumber-first	R - Medicine
author	Benito Chiofalo
spellingShingle	Benito Chiofalo misc R5-920 misc endometrial polyps misc outpatient hysteroscopy misc operative hysteroscopy misc VAS score misc Medicine (General) Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes
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topic_title	R5-920 Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes endometrial polyps outpatient hysteroscopy operative hysteroscopy VAS score
topic	misc R5-920 misc endometrial polyps misc outpatient hysteroscopy misc operative hysteroscopy misc VAS score misc Medicine (General)
topic_unstemmed	misc R5-920 misc endometrial polyps misc outpatient hysteroscopy misc operative hysteroscopy misc VAS score misc Medicine (General)
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title	Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes
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author_browse	Benito Chiofalo Mauro Calandra Valentina Bruno Vincenzo Tarantino Giovanni Esposito Enrico Vizza Giacomo Corrado Giovanni Scambia Ursula Catena
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title_sort	outpatient hysteroscopic polypectomy—a retrospective study comparing rigid and semirigid office hysteroscopes
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title_auth	Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes
abstract	Endometrial polyps are one of the most common pathological conditions in gynecology. Hysteroscopy is the gold standard for the diagnosis and treatment of endometrial polyps. The purpose of this multicenter, retrospective study was to compare patients’ pain perception during an operative hysteroscopic endometrial polypectomy in an outpatient setting with two different hysteroscopes (rigid and semirigid) and to identify some clinical and intraoperative characteristics that are related to worsening pain during the procedure. We included women that underwent, at the same time as an diagnostic hysteroscopy, the complete removal of an endometrial polyp (using the see-and-treat strategy) without any kind of analgesia. A total of 166 patients were enrolled, of which 102 patients underwent a polypectomy with a semirigid hysteroscope and 64 patients underwent the procedure with a rigid hysteroscope. No differences were found during the diagnostic step; on the contrary, after the operative procedure, a statistically significant greater degree of pain was reported when the semirigid hysteroscope was used. Cervical stenosis and menopausal status were risk factors for pain both in the diagnostic step and in the operative one. Our results confirm that operative hysteroscopic endometrial polypectomy in an outpatient setting is an effective, safe, and well-tolerated procedure and indicate that it might be better tolerated if a rigid rather than semirigid instrument is used.
abstractGer	Endometrial polyps are one of the most common pathological conditions in gynecology. Hysteroscopy is the gold standard for the diagnosis and treatment of endometrial polyps. The purpose of this multicenter, retrospective study was to compare patients’ pain perception during an operative hysteroscopic endometrial polypectomy in an outpatient setting with two different hysteroscopes (rigid and semirigid) and to identify some clinical and intraoperative characteristics that are related to worsening pain during the procedure. We included women that underwent, at the same time as an diagnostic hysteroscopy, the complete removal of an endometrial polyp (using the see-and-treat strategy) without any kind of analgesia. A total of 166 patients were enrolled, of which 102 patients underwent a polypectomy with a semirigid hysteroscope and 64 patients underwent the procedure with a rigid hysteroscope. No differences were found during the diagnostic step; on the contrary, after the operative procedure, a statistically significant greater degree of pain was reported when the semirigid hysteroscope was used. Cervical stenosis and menopausal status were risk factors for pain both in the diagnostic step and in the operative one. Our results confirm that operative hysteroscopic endometrial polypectomy in an outpatient setting is an effective, safe, and well-tolerated procedure and indicate that it might be better tolerated if a rigid rather than semirigid instrument is used.
abstract_unstemmed	Endometrial polyps are one of the most common pathological conditions in gynecology. Hysteroscopy is the gold standard for the diagnosis and treatment of endometrial polyps. The purpose of this multicenter, retrospective study was to compare patients’ pain perception during an operative hysteroscopic endometrial polypectomy in an outpatient setting with two different hysteroscopes (rigid and semirigid) and to identify some clinical and intraoperative characteristics that are related to worsening pain during the procedure. We included women that underwent, at the same time as an diagnostic hysteroscopy, the complete removal of an endometrial polyp (using the see-and-treat strategy) without any kind of analgesia. A total of 166 patients were enrolled, of which 102 patients underwent a polypectomy with a semirigid hysteroscope and 64 patients underwent the procedure with a rigid hysteroscope. No differences were found during the diagnostic step; on the contrary, after the operative procedure, a statistically significant greater degree of pain was reported when the semirigid hysteroscope was used. Cervical stenosis and menopausal status were risk factors for pain both in the diagnostic step and in the operative one. Our results confirm that operative hysteroscopic endometrial polypectomy in an outpatient setting is an effective, safe, and well-tolerated procedure and indicate that it might be better tolerated if a rigid rather than semirigid instrument is used.
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title_short	Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes
url	https://doi.org/10.3390/diagnostics13050988 https://doaj.org/article/a2b17c66ba194176a384ceb1f796169e https://www.mdpi.com/2075-4418/13/5/988 https://doaj.org/toc/2075-4418
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author2	Mauro Calandra Valentina Bruno Vincenzo Tarantino Giovanni Esposito Enrico Vizza Giacomo Corrado Giovanni Scambia Ursula Catena
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up_date	2024-07-03T15:22:21.319Z
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Outpatient Hysteroscopic Polypectomy—A Retrospective Study Comparing Rigid and Semirigid Office Hysteroscopes

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