title: The effect of uterine straightening by bladder distention before outpatient hysteroscopy: a randomised clinical trial.
abstract: OBJECTIVE
  To investigate the effect of bladder distention before outpatient hysteroscopy (OH).
  
  
  METHODS
  Initially, 120 eligible patients were approached, and a total of 102 patients were recruited into the randomised controlled trial. OH was completed successfully in 97 patients. Pain scoring (visual analogue scale) and the ease of cervical entry (Likert scale) were the primary outcome measures. The secondary outcome measures in this study were the duration of the procedure and patient acceptability (Likert scale).
  
  
  RESULTS
  Bladder distention before OH was related to easier cervical entry, a shorter procedural time and low pain scoring in patients who underwent the procedure with a full bladder.
  
  
  CONCLUSIONS
  Bladder distention before OH significantly improved the pain score of patients and increases the feasibility of the hysteroscopy procedure.
authors: Namik Kemal University, Faculty of Medicine, Department of Gynecology and Obstetrics, Tekirdag, Turkey. Electronic address: cemcel@yahoo.com.
authors: Cem
authors: C
authors: Celik
authors: Namik Kemal University, Faculty of Medicine, Department of Gynecology and Obstetrics, Tekirdag, Turkey. Electronic address: ntasdemir@nku.edu.tr.
authors: Nicel
authors: N
authors: Tasdemir
authors: Namik Kemal University, Faculty of Medicine, Department of Gynecology and Obstetrics, Tekirdag, Turkey. Electronic address: rabali@nku.edu.tr.
authors: Remzi
authors: R
authors: Abali
authors: Istanbul University, Faculty of Medicine, Department of Gynecology and Obstetrics, Istanbul, Turkey. Electronic address: dr.ercanbastu@yahoo.com.
authors: Ercan
authors: E
authors: Bastu
authors: Sıtkı Kocman University, Faculty of Medicine, Department of Gynecology and Obstetrics, Muğla, Turkey. Electronic address: erenakbaba@gmail.com.
authors: Eren
authors: E
authors: Akbaba
authors: Namik Kemal University, Faculty of Medicine, Department of Gynecology and Obstetrics, Tekirdag, Turkey. Electronic address: seheryucer@yahoo.com.
authors: Seher Horzum
authors: SH
authors: Yucel
authors: Namik Kemal University, Faculty of Medicine, Department of Gynecology and Obstetrics, Tekirdag, Turkey. Electronic address: agul@nku.edu.tr.
authors: Abdulaziz
authors: A
authors: Gul
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D061646:Operative Time; D010146:Pain / Q000517:prevention & control*; D010342:Patient Acceptance of Health Care; D011300:Preoperative Care / Q000379:methods*; D001743:Urinary Bladder
keywords: Bladder distention; Outpatient hysteroscopy; Pain