World Journal of Laparoscopic Surgery

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VOLUME 14 , ISSUE 2 ( May-August, 2021 ) > List of Articles


Comparative Evaluation of Vaginoscopic vs Traditional Hysteroscopy

Anuradha Yadav, Rashmi Kumari

Keywords : Hysteroscopy, Outpatient, Pain score, Procedure time, Traditional, Vaginoscopic

Citation Information : Yadav A, Kumari R. Comparative Evaluation of Vaginoscopic vs Traditional Hysteroscopy. World J Lap Surg 2021; 14 (2):98-102.

DOI: 10.5005/jp-journals-10033-1455

License: CC BY-NC 4.0

Published Online: 19-08-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aim: A randomized case–control study was performed to compare the traditional using a speculum vs vaginoscopic hysteroscopy in terms of pain score and procedure time. Materials and methods: A total of 100 patients aged 20 to 60 years old, including nulliparous, multiparous, and postmenopausal, were randomized in two groups: group A undergoing traditional hysteroscopy with speculum and vulselum (50 patients) and group B undergoing “no-touch” vaginoscopic hysteroscopy. Results: Vaginoscopy was significantly more successful than the traditional hysteroscopy. The total pain was calculated for each group, it was significantly lower in the vaginoscopic technique (p = 0.026). The mean time was 5.71 for traditional hysteroscopy and 4.44 for vaginoscopic hysteroscopy. The time taken to perform hysteroscopy was significantly shorter with vaginoscopic hysteroscopy. There was no difference in failure rates. Conclusion: The vaginoscopic approach is better tolerated, quicker to perform, less painful, and therefore, more successful than the traditional hysteroscopy using the speculum. It should be preferred in an outpatient setting.

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