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A randomised trial of Medgyn Endosampler® vs Endocurette® in an outpatient hysteroscopy clinic setting

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Abstract Outpatient hysteroscopy and endometrial biopsy are increasingly being used in the investigation of abnormal uterine bleeding. In our unit, both Endocurette® and Endosampler® endometrial biopsy devices are available in the outpatient hys-teroscopy clinic. Literature comparing these devices is lacking. This was a prospective, randomised trial involving women attending the outpatient hysteroscopy clinic at Cork University Maternity Hospital. Women were randomised to endometrial sampling with either Endosampler® or Endocurette® devices. A number of device insertions, pain scores, ease of handling and histological reporting of sample adequacy and tissue his-tology were recorded. One hundred and six women were re-cruited comprising 55 pre-menopausal and 51 post-menopausal women. Asubstantially higher rate ofmultiple device insertions to obtain a visually adequate sample was recorded using Endocurette® compared with Endosampler®. In the Endosampler® group, 10.7 and 12.5 % of women in pre- and post-menopausal categories had≥2 device insertions compared to 88.8 and 58.3 %, respectively, with Endocurette® (p=0.002 andp=0.0001). There was no difference in the rate of histolog-ically inadequate samples or difficulty with device handling between matched groups. Meanpain scores in the pre- and post-menopausal groupswere 5.83 and 4.58 for Endosampler®, and 4.69 and 4.88 for Endocurette® (p=0.02). The rate of histologically inadequate samples was higher in post-menopausal compared to pre-menopausal women (27.4 vs 3.7%,p=0.0025). A significantly lower rate of multiple device insertions for adequate histological sample was recorded with Endosampler®. No significant differences in operational diffi-culties, patient acceptability and sample adequacy were shown. Higher overall pain scores were reported with Endosampler® with no difference in the rate of severe pain between groups’ satisfaction with the procedure or willingness to undergo the procedure again.

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Informasi Detail

Judul Seri

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No. Panggil

Artikel

Penerbit

USA : Springer., 2014

Deskripsi Fisik

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Bahasa

English

ISBN/ISSN

DOI 10.1007/s10397-0

Klasifikasi

NONE

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

Gynecol Surg (2014) 11:179–184

Subjek

Medicine
outpatient hysteroscopy

Info Detail Spesifik

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Pernyataan Tanggungjawab

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