title: Evaluation of pain during hysterosalpingography with the use of balloon catheter vs metal cannula.
abstract: Our aim was to investigate the use of a balloon catheter device in comparison with metal cannula for hysterosalpingography (HSG) in terms of patient comfort. A total of 168 patients were randomised for HSG either with a balloon catheter (n = 83) or metal cannula (n = 85). Scores of pelvic pain during insertion of the devices, injection of the contrast medium and 1 h after the procedure were evaluated using the Wong Baker Faces Pain Rating Scale; complications and reinsertion rates were also noted. The pain scores were significantly lower in the balloon catheter group (p < 0.001). The reinsertion rate of metal cannula was higher (8.2% vs 2.4%) as well as the incidence of nausea being the most common short-term adverse effect (14.1% vs 1.2%) in the metal cannula group (p = 0.002). Performing HSG with a balloon catheter is advantageous for decreasing the pain and side-effects related to the procedure, when compared with the use of a metal cannula.
authors.affiliation: Department of Obstetrics and Gynecology, Etlik Zubeyde Hanim Women's Health Training and Research Hospital.
authors.forename: S
authors.initials: S
authors.lastname: Kiykac Altinbas
authors.forename: B
authors.initials: B
authors.lastname: Dilbaz
authors.forename: T
authors.initials: T
authors.lastname: Zengin
authors.forename: S
authors.initials: S
authors.lastname: Kilic
authors.forename: L
authors.initials: L
authors.lastname: Cakir
authors.forename: O
authors.initials: O
authors.lastname: Sengul
authors.forename: S
authors.initials: S
authors.lastname: Dede
mesh_terms: D000328:Adult; D057785:Catheters; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000009:adverse effects* / Q000295:instrumentation*; D009325:Nausea / Q000209:etiology; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology*; D011446:Prospective Studies; D016037:Single-Blind Method; D055815:Young Adult
keywords: Balloon catheter; female infertility; hysterosalpingography; metal cannula; pain assessment