Local anesthetic versus forced coughing at colposcopic-guided biopsy: A prospective study

Giorgio Bogani; Maurizio Serati; Antonella Cromi; Edoardo Di Naro; Jvan Casarin; Ciro Pinelli; Thomas Rossi; Fabio Ghezzi

doi:10.1016/j.ejogrb.2014.07.022

Local anesthetic versus forced coughing at colposcopic-guided biopsy: A prospective study

Giorgio Bogani, Maurizio Serati, Antonella Cromi, Edoardo Di Naro, Jvan Casarin, Ciro Pinelli, Thomas Rossi, Fabio Ghezzi

Fondazione IRCCS Istituto Nazionale dei Tumori

Research output: Contribution to journal › Article › peer-review

Abstract

Objective: To evaluate whether the administration of local anesthetic (LA) reduces pain in comparison with forced coughing (FC) for the execution of colposcopically guided biopsies (CGBs).

Study design: Data of 100 consecutive patients undergoing CGBs with the use of LA or FC were prospectively evaluated. Procedure-related pain was assessed with the use of a 100-mm visual analogue scale.

Results: Fifty-one and 49 patients had CGBs using LA and FC, respectively. No between-group differences were observed in terms of pain related to speculum insertion, CGBs and pain recorded after the procedures (p > 0.05). However, patients in the LA group experienced pain related to cervical injection for administration of anesthesia (mean (±SD): 12.4 (±1.6)). Operative time was longer in the LA than in the FC group (7.2 (±0.2) vs. 5.0 (±0.1) min; p <0.001).

Conclusions: FC should be preferred over LA. Although CGB-related pain levels do not differ, the omission of intracervical injection is associated with undoubted advantages.

Original language	English
Pages (from-to)	15-19
Number of pages	5
Journal	European Journal of Obstetrics and Gynecology and Reproductive Biology
Volume	181
DOIs	https://doi.org/10.1016/j.ejogrb.2014.07.022
Publication status	Published - Oct 1 2014

Keywords

Cervical biopsy
Cervical dysplasia
Colposcopy
Forced coughing
Local anesthesia

ASJC Scopus subject areas

Obstetrics and Gynaecology
Reproductive Medicine
Medicine(all)

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Local anesthetic versus forced coughing at colposcopic-guided biopsy : A prospective study. / Bogani, Giorgio; Serati, Maurizio; Cromi, Antonella; Di Naro, Edoardo; Casarin, Jvan; Pinelli, Ciro; Rossi, Thomas; Ghezzi, Fabio.

In: European Journal of Obstetrics and Gynecology and Reproductive Biology, Vol. 181, 01.10.2014, p. 15-19.

Research output: Contribution to journal › Article › peer-review

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abstract = "Objective: To evaluate whether the administration of local anesthetic (LA) reduces pain in comparison with forced coughing (FC) for the execution of colposcopically guided biopsies (CGBs).Study design: Data of 100 consecutive patients undergoing CGBs with the use of LA or FC were prospectively evaluated. Procedure-related pain was assessed with the use of a 100-mm visual analogue scale.Results: Fifty-one and 49 patients had CGBs using LA and FC, respectively. No between-group differences were observed in terms of pain related to speculum insertion, CGBs and pain recorded after the procedures (p > 0.05). However, patients in the LA group experienced pain related to cervical injection for administration of anesthesia (mean (±SD): 12.4 (±1.6)). Operative time was longer in the LA than in the FC group (7.2 (±0.2) vs. 5.0 (±0.1) min; p <0.001).Conclusions: FC should be preferred over LA. Although CGB-related pain levels do not differ, the omission of intracervical injection is associated with undoubted advantages.",

keywords = "Cervical biopsy, Cervical dysplasia, Colposcopy, Forced coughing, Local anesthesia",

author = "Giorgio Bogani and Maurizio Serati and Antonella Cromi and {Di Naro}, Edoardo and Jvan Casarin and Ciro Pinelli and Thomas Rossi and Fabio Ghezzi",

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AU - Bogani, Giorgio

AU - Serati, Maurizio

AU - Cromi, Antonella

AU - Di Naro, Edoardo

AU - Casarin, Jvan

AU - Pinelli, Ciro

AU - Rossi, Thomas

AU - Ghezzi, Fabio

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N2 - Objective: To evaluate whether the administration of local anesthetic (LA) reduces pain in comparison with forced coughing (FC) for the execution of colposcopically guided biopsies (CGBs).Study design: Data of 100 consecutive patients undergoing CGBs with the use of LA or FC were prospectively evaluated. Procedure-related pain was assessed with the use of a 100-mm visual analogue scale.Results: Fifty-one and 49 patients had CGBs using LA and FC, respectively. No between-group differences were observed in terms of pain related to speculum insertion, CGBs and pain recorded after the procedures (p > 0.05). However, patients in the LA group experienced pain related to cervical injection for administration of anesthesia (mean (±SD): 12.4 (±1.6)). Operative time was longer in the LA than in the FC group (7.2 (±0.2) vs. 5.0 (±0.1) min; p <0.001).Conclusions: FC should be preferred over LA. Although CGB-related pain levels do not differ, the omission of intracervical injection is associated with undoubted advantages.

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