Evaluation of pain during hysterosalpingography with the use of balloon catheter vs metal cannula

Altinbas S. K., Dilbaz B., Zengin T., Kilic S., Cakir L., Sengul O., ...Daha Fazla

JOURNAL OF OBSTETRICS AND GYNAECOLOGY, cilt.35, sa.2, ss.193-198, 2015 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 2
  • Basım Tarihi: 2015
  • Doi Numarası: 10.3109/01443615.2014.948400
  • Dergi Adı: JOURNAL OF OBSTETRICS AND GYNAECOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.193-198
  • Anahtar Kelimeler: Balloon catheter, female infertility, hysterosalpingography, metal cannula, pain assessment, TUBAL PATENCY ASSESSMENT, CERVICAL VACUUM CUP, FOLEY CATHETER, INSUFFLATION
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Our aim was to investigate the use of a balloon catheter device in comparison with metal cannula for hysterosalpingography (HSG) in terms of patient comfort. A total of 168 patients were randomised for HSG either with a balloon catheter (n = 83) or metal cannula (n = 85). Scores of pelvic pain during insertion of the devices, injection of the contrast medium and 1 h after the procedure were evaluated using the Wong Baker Faces Pain Rating Scale; complications and reinsertion rates were also noted. The pain scores were significantly lower in the balloon catheter group (p < 0.001). The reinsertion rate of metal cannula was higher (8.2% vs 2.4%) as well as the incidence of nausea being the most common short-term adverse effect (14.1% vs 1.2%) in the metal cannula group (p = 0.002). Performing HSG with a balloon catheter is advantageous for decreasing the pain and side-effects related to the procedure, when compared with the use of a metal cannula.