Effectiveness of paracervical block in endometrial sampling procedures for pain control: a randomized controlled clinical trial

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dc.contributor.authorArı, Sabahattin Anıl
dc.contributor.authorAri, Seyda Ceylan
dc.contributor.authorAkdemir, Ali
dc.date.accessioned2023-03-22T19:47:26Z
dc.date.available2023-03-22T19:47:26Z
dc.date.issued2022
dc.departmentBelirleneceken_US
dc.description.abstractObjectives: We aimed to evaluate the effect of paracervical block (PCB) on endometrial sampling procedures, to assess the effect on pain of waiting between PCB and intervention, and to compare the effectiveness of PCB with oral non-steroidal anti-inflammatory drugs (NSAID) for decreasing the pain levels associated with endometrial biopsy. Material and methods: A total of 123 participants were divided into four groups as Group 1: Waiting 1 minute after PCB, Group 2: Waiting 3 minute after PCB, Group 3: Control group, and Group 4: Waiting 60 minute after taking oral NSAIDs. The success of analgesic measures used for endometrial biopsy during and 30 minutes after the procedure was compared with the Numeric Pain Rating Scale (NPRS) system. Results:The Numeric Pain Rating Scale (NPRS) 0 score was 2.60 (+/- 2.42) in Group 1; 1.60 (+/- 1.73) in Group 2; 5.30 (+/- 2.10) in Groups 3; 5.63 (+/- 1.99) in Groups 4. NPRS 30 score was 0.80 (+/- 0.88) in Group 1; 0.43 (+/- 0.81) in Group 2; 1.90 (+/- 1.32) in Groups 3; 2.70 (+/- 1.41) in Groups 4. The pain was significantly less in the paracervical block groups compared to control and oral NSAIDs groups. However, there was no significant difference in NPRS 0 (p = 0.196) and NPRS 30 (p = 0.191) scores between Group 1 and Group 2. There was no significant difference in NPRS 0 and NPRS 30 scores between control group and oral NSAID group. Conclusions: Paracervical block (PCB) is an effective method and superior to oral NSAIDs. Waiting 1 minute or 3 minutes after PCB were equally effective.en_US
dc.identifier.doi10.5603/GP.a2022.0043
dc.identifier.endpage895en_US
dc.identifier.issn0017-0011
dc.identifier.issn2543-6767
dc.identifier.issue11en_US
dc.identifier.pmid35894487en_US
dc.identifier.scopus2-s2.0-85144677432en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage889en_US
dc.identifier.urihttps://doi.org/10.5603/GP.a2022.0043
dc.identifier.urihttps://hdl.handle.net/20.500.14034/698
dc.identifier.volume93en_US
dc.identifier.wosWOS:000906871000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVia Medicaen_US
dc.relation.journalGinekologia Polskaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectendometrial samplingen_US
dc.subjectnumeric pain rating scaleen_US
dc.subjectoral NSAIDsen_US
dc.subjectpain controlen_US
dc.subjectparacervical blocken_US
dc.subjectIntrauterine Lidocaineen_US
dc.subjectSurgical Abortionen_US
dc.subjectDouble-Blinden_US
dc.subjectBiopsyen_US
dc.titleEffectiveness of paracervical block in endometrial sampling procedures for pain control: a randomized controlled clinical trialen_US
dc.typeArticleen_US

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