Lidocaine Spray vs Coughing for Pain Relief During Colposcopy
Study Details
Study Description
Brief Summary
Cervical cancer is the third most common genital cancer worldwide. The diagnosis of cervical cancer is performed with the cervical biopsy which is guided by the colposcopy. The colposcopy guided cervical biopsy creates pain and several methods have been reported to overcome the pain related with this procedure. Local anesthetic agent injection into the cervix has been studied and found to be effective and also, forced coughing was compared with local anesthetic injection and it is found to be more effective. In fact local injections can create the pain by itself.However no study compared the effect of forced coughing to local anesthetic spray. The study aims to evaluate the comparison of forced coughing with local anesthetic spray with respect to perceived pain during colposcopy guided biopsy.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Placebo Comparator: colposcopic biopsy under local anesthetic sp
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Drug: local lidocaine spray
The lidocaine spray will be introduced to the cervix just before the biopsy procedure
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Placebo Comparator: Patients underwent colposcopic biopsy under forced coughing
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Other: forced coughing
The patients will be asked to forced coughing during the biopsy procedure
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Outcome Measures
Primary Outcome Measures
- Pain during procedure evaluated by the 0-10 cm scale of Visual analog scale (VAS) scoring system [0-1 min]
The perceived pain will be measured during the biopsy procedure. It will be evaluated by the 0-10 cm scale of VAS scoring system. The patient will be asked to rate her pain as 0 corresponds ''no pain'' and 10 to the '' worst pain''
Secondary Outcome Measures
- Pain at the 30th minutes after the procedure evaluated by the 0-10 cm scale of VAS scoring system [30. Min]
The perceived pain will be measured after the biopsy procedure (at the 30th min). It will be evaluated by the 0-10 cm scale of VAS scoring system. The patient will be asked to rate her pain as 0 corresponds ''no pain'' and 10 to the '' worst pain''
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients with age >18,
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Presence of cervix,
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Patients who need a diagnostic work up for abnormal cervical smear results.
Exclusion Criteria:
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Pregnancy,
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Presence of already known invasive cancer,
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Allergy to anesthetic agents.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Yuzuncu Yil University, Medical faculty, department of obstetric and gynecology | Van | Turkey | 65000 |
Sponsors and Collaborators
- Yuzuncu Yıl University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- YuzuncuYıl