Effect of Distention Medium Temperature on Pain and Image Quality in Operative Hysteroscopy Study of Risks Including Hyponatremia in Women Undergoing Operative Hysteroscopy

What this Trial Is About

Minimally invasive methods are preferred in gynecology for their benefits like less pain, shorter hospital stays, and better cosmetic outcomes. This research focuses on operative hysteroscopy, a small-scale surgical procedure inside the uterus. The study aims to understand how warming the distention fluid to body temperature affects image quality, the risk of low sodium levels hyponatremia, and pain after surgery since current guidelines do not specify the best fluid temperature. The trial compares two groups one undergoing operative hysteroscopy with room temperature fluid 24C and the other with warmed fluid at body temperature 37C. Both groups receive the same surgical procedure, but the study investigates how the temperature of the fluid used to expand the uterus might impact outcomes. This study is randomized, and no blinding is used. Participants will have operative hysteroscopy planned for specific uterine conditions like endometrial polyps or small myomas. Researchers will monitor post-operative pain three hours after surgery and changes in sodium levels one minute after the procedure. The study involves women aged 18 to 65 who have had at least one vaginal delivery and can communicate in Turkish or English. Safety is assessed by excluding pregnant women and those with infections. The total participation timeline aligns with the surgery and immediate follow-up assessments.

Investigation of the Effect of Distention Medium Temperature on Image Quality, Hyponatremia Risk, and Post-operative Pain in Operative Hysteroscopy