Abstract

Introduction:

Diagnostic hysteroscopy remains to date globally the gold standard for diagnosing and managing intrauterine pathologies (Riemma, et al., 2020).
Ambulatory hysteroscopy has been to be proven a safe procedure, with patient experience however differing vastly. Evidence has shown 66% of women experience mild pain, 22% moderate pain and 12% severe pain during the operation (Malu, et al., 2023). Designed as a prospective cohort study, this study aims to amalgamate such factors to help in the hysteroscopic training of surgical trainees.

Methodology:

During diagnostic hysteroscopy, patients (n = 20) will be analysed for pain. Half the cohort will be made up of a control, using only the visual analogue scale, to reduce observer bias. The other half will be given a clicker to communicate pain at differing points of fluid management, and position of the hysteroscope along the vertical and horizontal axis. These factors can then be put together to identify the relationship between pain, fluid pressure and hysteroscope movement along a vector. Results to follow

Conclusion:

Compounding its results with information regarding pain pathways, this study aims to advise surgical training by providing exact parameters for hysteroscopy simulation to ensure patient-centred care.