Comparison of pain and proper sample status according to usage of tenaculum and analgesia: a randomized clinical trial

• DOI: 10.5468/ogs.19185
• Publication Date: 2020-06-19T08:23:27Z
• Authors: Cihan Comba; Gökhan Demirayak; Sakir Volkan Erdogan; Ibrahim Karaca; Omer Demir; Oguz Guler; Isa Aykut Ozdemir
• Keywords: Biopsy; Human Papilloma Virus; Pain Perception; Cervix Uteri; Gynecology and obstetrics; pain perception; 3. Good health; 03 medical and health sciences; 0302 clinical medicine; cervix uteri; human papilloma virus; RG1-991; biopsy; Original Article

Objective Colposcopic biopsy is a discomfortable procedure. Additionally, it creates negative influence on sexuality. This study aimed to investigate the relationships among tenaculum, pain perception, and size during colposcopy. Methods In total, 228 patients who underwent colposcopy-directed were included, randomized into 4 groups based whether analgesic tenaculum used replaced (tenaculum with n=58/without n=56, no replacement n=57/without n=57). Lidocaine hydrochloride (40 mg) plus adrenaline (0.025 was administered in groups. The assessed using linear visual analog scale. specimen measured millimeters. Results mean age of 42.85±8.88 years. most frequent colposcopy indications atypical squamous cells undetermined significance human papilloma virus-positive results cervical cytology (30.2%; n=69). Low- high-grade intraepithelial lesions noted 14.91% (n=34) 10.96% (n=25) women through results, respectively. Tenaculum increased perception without group; however, statistically significant differences between analgesic. number specimens not associated use. Conclusion Administration analgesics decreased discomfort patients. aided colposcopists manipulating cervix. administration relieved group. Trial Registration ClinicalTrials.gov Identifier: NCT03279666 Keywords: Cervix uteri; Biopsy; Pain perception; Human virus