title: Use of Oral Misoprostol for Cervical Priming before Hysteroscopy: A Randomized Comparison of Two Dosages.
abstract: OBJECTIVE
  The study aims to compare the safety and effectiveness of 200 and 400 µg of oral misoprostol for cervical priming before hysteroscopy.
  
  
  METHODS
  A double-blinded randomized study included 70 patients scheduled for hysteroscopy in a Lebanese University Hospital. Two dosages of oral misoprostol (200 or 400 µg) were randomly distributed to these patients 1 h before surgery under general anesthesia. Subjective assessment of the ease of dilatation, size of the first used Hegar, cervical injuries, bleeding or uterine perforation, duration of the procedure and misoprostol adverse effect were all noted and compared.
  
  
  RESULTS
  The difficulty of dilation until a Hegar 10 was similar for both treatment groups. Operative time was not reduced with a higher misoprostol dosage. We found 2 uterine perforations within the 200 µg group (6.7%), and none within the 400 µg group. Cervical lacerations and bleeding were similar (20%) for both treatment groups. A 2-fold increase in side effects (nausea, vomiting and cramps) is reported among the 400 µg group.
  
  
  CONCLUSIONS
  Increasing the dose of misoprostol from 200 to 400 mg doubled the rate of side effects while no clinical benefit was noted. Larger trials are needed to assess rates of uterine perforation with the 200 µg dosage.
authors.affiliation: Obstetrics and Gynecology Department, St. Joseph University, Lebanon Hotel-Dieu de France University Hospital, Beirut, Lebanon.
authors.forename: Assaad
authors.initials: A
authors.lastname: Kesrouani
authors.forename: Samer
authors.initials: S
authors.lastname: Maalouf
authors.forename: Fersan
authors.initials: F
authors.lastname: Mansour
authors.forename: Elie
authors.initials: E
authors.lastname: Attieh
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000187:drug effects* / Q000293:injuries; D003085:Colic / Q000139:chemically induced; D004106:Dilatation / Q000379:methods; D004305:Dose-Response Relationship, Drug; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D022125:Lacerations; D008875:Middle Aged; D016595:Misoprostol / Q000008:administration & dosage* / Q000009:adverse effects; D009325:Nausea / Q000139:chemically induced; D010120:Oxytocics; D011247:Pregnancy; D011300:Preoperative Care; D014595:Uterine Perforation / Q000453:epidemiology / Q000209:etiology; D014839:Vomiting / Q000139:chemically induced
chemical_list: D010120:Oxytocics; D016595:Misoprostol