Preoperative Promestriene for Hysteroscopy: A Randomized Clinical Trial
Objective
In hysteroscopy, complications like false passage creation and uterine perforation can lead to procedure suspension, causing delays in diagnosing uterine pathology. This study aimed to assess the impact of using promestriene for cervical preparation on complications in postmenopausal women undergoing surgical hysteroscopy.
Methods
A double-blind clinical trial involving 37 postmenopausal patients undergoing surgical hysteroscopy. Participants used promestriene or placebo vaginally daily for 2 weeks and then twice a week for another 2 weeks until surgery.
Results
Complications were observed in 14.3% of participants in the promestriene group and 17.4% in the placebo group, with no significant difference between the two groups.
Conclusion
Cervical preparation with promestriene did not reduce intraoperative complications in postmenopausal patients undergoing surgical hysteroscopy.
PMID: 39045953 | DOI: 10.1590/1806-9282.20231559
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