Can the addition of a paracervical block to systemic or local analgesics improve the pain perceived by the patient during hysterosalpingography?

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dc.contributor.authorHacivelioglu, S.
dc.contributor.authorGencer, M.
dc.contributor.authorGungor, A. Cakir
dc.contributor.authorKosar, S.
dc.contributor.authorKoc, E.
dc.contributor.authorCosar, E.
dc.date.accessioned2025-01-27T20:39:23Z
dc.date.available2025-01-27T20:39:23Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractThe aim of the present study was to investigate whether the addition of a paracervical block to local intrauterine anaesthesia or the use of an intramuscular non-steroidal anti-inflammatory drug was effective for pain control during and at 30 min after hysterosalpingography (HSG). A total of 120 patients undergoing hysterosalpingography were randomised into four groups. Patients received intramuscular dexketoprofen trometamol with or without a paracervical block or intracavitary lidocaine instillation with or without paracervical block. The primary outcome was the overall pain score from the four stages of the procedure. The lowest pain scores were observed in the patients receiving dexketoprofen trometamol with a paracervical block, whereas the highest pain scores were observed in patients with intracavitary lidocaine instillation without a paracervical block (p = 0.021). No beneficial effect was found when a paracervical block (PCB) was added to either systemic or local analgesics. The combination of intramuscular dexketoprofen and a paracervical block with plain lidocaine produced the best pain relief during the three specified steps and at up to 30 min after the HSG procedure.
dc.identifier.doi10.3109/01443615.2013.828025
dc.identifier.endpage53
dc.identifier.issn0144-3615
dc.identifier.issn1364-6893
dc.identifier.issue1
dc.identifier.pmid24359050
dc.identifier.scopus2-s2.0-84890952069
dc.identifier.scopusqualityQ3
dc.identifier.startpage48
dc.identifier.urihttps://doi.org/10.3109/01443615.2013.828025
dc.identifier.urihttps://hdl.handle.net/20.500.12428/23935
dc.identifier.volume34
dc.identifier.wosWOS:000328947300012
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTaylor & Francis Inc
dc.relation.ispartofJournal of Obstetrics and Gynaecology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectDexketoprofen trometamol
dc.subjecthysterosalpingography
dc.subjectnon-steroidal anti-inflammatory agent
dc.subjectpain
dc.subjectparacervical block
dc.titleCan the addition of a paracervical block to systemic or local analgesics improve the pain perceived by the patient during hysterosalpingography?
dc.typeArticle

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