| Title: |
Comparison of office hysteroscopy and dilatation & curettage regarding patient comfort, efficacy and quality of life in patients suffering from menorrhagia: prospective randomized study |
| Authors: |
Devranoglu, B.; Keyif, B.; Ugurlucan, Funda; Ilhan, G.; Cogendez, E.; Turfanda, A.; Eken, M. K. |
| Contributors: |
İstanbul Üniversitesi ,; 239171 |
| Publication Year: |
2017 |
| Subject Terms: |
Tıp; Cerrahi Tıp Bilimleri; Kadın Hastalıkları ve Doğum; Sağlık Bilimleri; Klinik Tıp (MED); Klinik Tıp; KADIN HASTALIKLARI & DOĞUM |
| Description: |
Objective: Endometrial sampling is essential to exclude carcinoma and confirm the benign nature of abnormal uterine bleeding. Methods include endometrial biopsy, office hysteroscopy, and dilatation and curettage (D&C). The aim of this study was to evaluate the diagnostic efficacy of office hysteroscopy and D&C in patients suffering from menorrhagia, and to compare the tolerability and the outcome of the two procedures. Materials and Methods: Forty patients suffering from menorrhagia and willing to participate were included in this prospective study and randomized to office hysteroscopy (n=20) and D&C groups (n=20). Quality of life was evaluated using the Menorrhagia-Impact-Questionnaire (MIQ) before and three months after the procedure. Visual analogue scale (VAS) was used to evaluate the pain felt during the procedure. Primary outcomes were patient-reported improvement in menorrhagia and effect on quality of life. Secondary outcomes were objective improvement in the complete-blood-count, tolerability and complications of the procedure, and pathology results. Results: There was a significant difference in the mean VAS results for pain in the office hysteroscopy and D&C groups (p = 0.00). In the MIQ domains, there was a significant improvement in the perception of blood loss in both groups, which was more significant in the office hysteroscopy group when compared to the D&C group. There was a significant improvement in the limitations in work inside/outside home, limitations in physical and social activities in the office hysteroscopy group, and the differences were significant when compared with the D&C group. In the assessment of change in blood loss, the difference between the two groups after the procedure was significant. Twenty patients (100%) in the office hysteroscopy group and 19 patients (95%) in the D&C group suggested that this was a remarkable and important change. Two patients in each group had insufficient tissue for diagnosis. Eight patients in the office hysteroscopy ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY; vv_1032021; http://hdl.handle.net/20.500.12627/104206; https://doi.org/10.12891/ceog3247.2017; 44; 599; 604 |
| DOI: |
10.12891/ceog3247.2017 |
| Availability: |
https://hdl.handle.net/20.500.12627/104206; https://doi.org/10.12891/ceog3247.2017 |
| Accession Number: |
edsbas.39354C8E |
| Database: |
BASE |