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Lidocaine‐prilocaine (EMLA®) cream as analgesia in hysteroscopy practice: a prospective, randomized, non‐blinded, controlled study
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AbstractWe investigated the efficacy of 5% lidocaine 25 mg–prilocaine 25 mg/g cream (EMLA®) applied to the uterine cervix for reducing pain during diagnostic or operative hysteroscopy, using a visual analogue scale (VAS) for pain in a prospective randomized, non‐blinded, controlled study in 92 successive patients. Patients were randomized to either 3 mL of EMLA cream or 3 mL of ultrasound gel (placebo), placed endocervically and exocervically, 10 min before hysteroscopy. Intensity of pain was evaluated immediately after the procedure using a 10‐cm VAS. No differences were found between the two groups (p = 0.07). The number of women who wished to stop the procedure was significantly lower in the EMLA group compared with the control group (p = 0.013). We concluded that topical instillation of EMLA does not decrease pain during hysteroscopy, but does reduce a desire to abandon the procedure.
Title: Lidocaine‐prilocaine (EMLA®) cream as analgesia in hysteroscopy practice: a prospective, randomized, non‐blinded, controlled study
Description:
AbstractWe investigated the efficacy of 5% lidocaine 25 mg–prilocaine 25 mg/g cream (EMLA®) applied to the uterine cervix for reducing pain during diagnostic or operative hysteroscopy, using a visual analogue scale (VAS) for pain in a prospective randomized, non‐blinded, controlled study in 92 successive patients.
Patients were randomized to either 3 mL of EMLA cream or 3 mL of ultrasound gel (placebo), placed endocervically and exocervically, 10 min before hysteroscopy.
Intensity of pain was evaluated immediately after the procedure using a 10‐cm VAS.
No differences were found between the two groups (p = 0.
07).
The number of women who wished to stop the procedure was significantly lower in the EMLA group compared with the control group (p = 0.
013).
We concluded that topical instillation of EMLA does not decrease pain during hysteroscopy, but does reduce a desire to abandon the procedure.
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