Role of vocal distraction analgesia on pain management in the office hysteroscopy procedure: a randomized controlled study

Abstract

Objective. Hysteroscopy is a minimally invasive endoscopic surgical procedure recognized as a “gold standard” for the evaluation of the uterine cavity, for both diagnostic and therapeutic purposes. The possibility of performing hysteroscopy on an outpatient basis strictly depends on the patient’s good compliance, which is a key prerequisite. Materials and Methods. Various methods of analgesia are reported in the Lit-erature, one of them is vocal distraction. Occupying the mind with a distracting activity reduces pain sensations, not just by psychological conditioning. Results. Among patients who experienced verbal distraction analgesia, only 16% of them reported a high level of pain perception (VAS score > 4), while among untreated patients the percentage was 70%, 16% of which presented values with-in tolerable limits. Conclusions. Vocal distraction is thus an effective and easy-to-use analgesic method.