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The necessity of using tenaculum for endometrial sampling procedure with pipelle: a randomized controlled study
Umran Kucukgoz Gulec1, Ghanim Khatib, Ahmet Baris Guzel
1Department of Obstetrics and Gynecology, Cukurova University Faculty of Medicine, 01330, Adana, Turkey, ukucukgoz@yahoo.com.
Archives of Gynecology and Obstetrics
|August 22, 2013
Summary
Using a tenaculum during endometrial sampling increases pain perception. Performing the procedure without a tenaculum is feasible and results in less pain for patients.
Area of Science:
- Gynecological procedures
- Pain management in women's health
Background:
- Endometrial sampling is a common gynecological procedure.
- The use of a tenaculum during endometrial sampling is debated regarding its impact on patient pain and procedure success.
Purpose of the Study:
- To evaluate the impact of tenaculum use on patient pain perception during endometrial sampling.
- To assess the effect of tenaculum use on the ease and success rate of endometrial sampling with a pipelle.
Main Methods:
- A randomized controlled trial involving 118 patients was conducted.
- Patients were assigned to groups with or without a tenaculum.
- Pain was assessed using the Visual Analog Scale (VAS), and procedure ease was measured by the surgeon using a Likert scale.
Main Results:
- Higher VAS scores (pain) were observed in the group using a tenaculum (p = 0.001).
- Nulliparous patients reported higher pain scores than multiparous patients.
- Tenaculum use was identified as an independent risk factor for increased pain perception (RR 31.8).
- Inadequate sampling occurred in 12 postmenopausal patients, all in the group without tenaculum.
Conclusions:
- Endometrial sampling without a tenaculum is a feasible alternative.
- Omitting the tenaculum reduces patient pain perception during the procedure.
