Randomized Study Comparing Intrauterine Bupivacaine Lidocaine Spray and Paracervical Block in Reduction of Patient Discomfort During Outpatient Office Hysteroscopy (El- Minia Maternity Hospital Experience)

Objective to assess the efficacy and safety of intrauterine bubivacaine instillation, lidocaine spray and paracervical block in outpatient hysteroscopy Design randomized controlled trial Setting university hospital Method A total of 160 women planned to do office hysteroscopy (outpatient hysteroscopy enrolled in this study). The study was performed using 5mL of isobaric bupivacaine hydrochloride 0.5% Group A, n =40 injected transcervically into the uterine cavity or application of 5 sprays lidocaine 10 % spray into the uterine cavity Group B, n =40 or paracervical block using 3 mL of 2% lidocaine Group c, n 40 or no method of anaesthesia used received placebo (control group, D, n=40 Main outcome measures the evaluation of pain reduction on a visual analogue scales with hysteroscopy and post operative Results pain scores in intrauterine lidocaine group group B and paracervical block group C were found statistically significantly lower than other groups Conclusion intrauterine lidocaine spray and paracervical block decrease pain in outpatient office hysteroscopy rather than bubivacaine and placebo