The effect of cervical length on procedure time and VAS pain score in office hysteroscopy
Abstract This study aimed to investigate the effect of cervical length on procedure time and VAS pain scores during office hysteroscopy. A cross-sectional study was conducted on 50 patients who underwent office hysteroscopy for various indications such as abnormal uterine bleeding and infertility. E...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-025-85185-x |
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| author | Cenk Soysal Onur Ince Yasemin Taşçı |
| author_facet | Cenk Soysal Onur Ince Yasemin Taşçı |
| author_sort | Cenk Soysal |
| collection | DOAJ |
| description | Abstract This study aimed to investigate the effect of cervical length on procedure time and VAS pain scores during office hysteroscopy. A cross-sectional study was conducted on 50 patients who underwent office hysteroscopy for various indications such as abnormal uterine bleeding and infertility. Exclusion criteria included active vaginal infection, previous cervical surgery, and chronic pelvic pain. Cervical length was measured via transvaginal ultrasound prior to the procedure. Procedure time and VAS pain scores were recorded and analyzed. Patients with a retroverted uterus had higher post-procedure VAS scores (7.6 ± 0.8) compared to those with an anteverted uterus (4.9 ± 1.9, p < 0.001). Cervical length was found to be a significant predictor of both procedure time (β = 5.711, p < 0.001) and VAS pain score change (β = 0.167, p < 0.001). Procedure time was significantly longer in patients with increased cervical length (R2 = 79.6%, p < 0.001). Additionally, an anteverted uterus was associated with a shorter procedure time (118.2 ± 49.2 s) compared to a retroverted uterus (142.7 ± 46.8 s, p < 0.001). Cervical length was a significant predictor of VAS pain scores (β = 0.167, p < 0.001), with each millimeter increase leading to a 0.167-unit rise. While univariate analysis showed a negative association between age and VAS scores (β = -0.299, p = 0.035), this was not significant in the multivariate model (p = 0.586). Cervical length also significantly prolonged procedure time (β = 5.711, R2 = 79.6%, p < 0.001). Cervical length is a significant factor influencing both the duration and pain experienced during office hysteroscopy. Consideration of cervical length can improve patient comfort and procedural efficiency in clinical practice. |
| format | Article |
| id | doaj-art-8260e04590a04143a72524f22fbda518 |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-8260e04590a04143a72524f22fbda5182025-01-19T12:21:39ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-025-85185-xThe effect of cervical length on procedure time and VAS pain score in office hysteroscopyCenk Soysal0Onur Ince1Yasemin Taşçı2Department of Obstetrics and Gynecology, Kütahya Health Sciences UniversityDepartment of Obstetrics and Gynecology, Kütahya Health Sciences UniversityDepartment of Obstetrics and Gynecology, Kütahya Health Sciences UniversityAbstract This study aimed to investigate the effect of cervical length on procedure time and VAS pain scores during office hysteroscopy. A cross-sectional study was conducted on 50 patients who underwent office hysteroscopy for various indications such as abnormal uterine bleeding and infertility. Exclusion criteria included active vaginal infection, previous cervical surgery, and chronic pelvic pain. Cervical length was measured via transvaginal ultrasound prior to the procedure. Procedure time and VAS pain scores were recorded and analyzed. Patients with a retroverted uterus had higher post-procedure VAS scores (7.6 ± 0.8) compared to those with an anteverted uterus (4.9 ± 1.9, p < 0.001). Cervical length was found to be a significant predictor of both procedure time (β = 5.711, p < 0.001) and VAS pain score change (β = 0.167, p < 0.001). Procedure time was significantly longer in patients with increased cervical length (R2 = 79.6%, p < 0.001). Additionally, an anteverted uterus was associated with a shorter procedure time (118.2 ± 49.2 s) compared to a retroverted uterus (142.7 ± 46.8 s, p < 0.001). Cervical length was a significant predictor of VAS pain scores (β = 0.167, p < 0.001), with each millimeter increase leading to a 0.167-unit rise. While univariate analysis showed a negative association between age and VAS scores (β = -0.299, p = 0.035), this was not significant in the multivariate model (p = 0.586). Cervical length also significantly prolonged procedure time (β = 5.711, R2 = 79.6%, p < 0.001). Cervical length is a significant factor influencing both the duration and pain experienced during office hysteroscopy. Consideration of cervical length can improve patient comfort and procedural efficiency in clinical practice.https://doi.org/10.1038/s41598-025-85185-xCervical lengthOffice hysteroscopyPain managementProcedure durationVAS |
| spellingShingle | Cenk Soysal Onur Ince Yasemin Taşçı The effect of cervical length on procedure time and VAS pain score in office hysteroscopy Scientific Reports Cervical length Office hysteroscopy Pain management Procedure duration VAS |
| title | The effect of cervical length on procedure time and VAS pain score in office hysteroscopy |
| title_full | The effect of cervical length on procedure time and VAS pain score in office hysteroscopy |
| title_fullStr | The effect of cervical length on procedure time and VAS pain score in office hysteroscopy |
| title_full_unstemmed | The effect of cervical length on procedure time and VAS pain score in office hysteroscopy |
| title_short | The effect of cervical length on procedure time and VAS pain score in office hysteroscopy |
| title_sort | effect of cervical length on procedure time and vas pain score in office hysteroscopy |
| topic | Cervical length Office hysteroscopy Pain management Procedure duration VAS |
| url | https://doi.org/10.1038/s41598-025-85185-x |
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