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Dinoprostone Versus Misoprostol for Cervical Ripening before Diagnostic Hysteroscopy in Nulliparous Women: A Randomized Controlled Trial

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Last updated: 03 Jan 2025

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Abstract

Background: Hysteroscopy has revolutionized the field of Gynecology and the management of many gynecological conditions. It has now become a standard part in the diagnosis of postmenopausal bleeding by the gynecological surgeons. Cost, convenience, accuracy, and patient acceptability of these procedures are clearly superior to those of traditional surgeries. As gynecologists have grown better acquainted with the benefits and techniques of operative hysteroscopy, it has become the method of choice for treatment of intrauterine pathology. Cervical ripening is a complicated process, being mediated by cytokines, growth factors, hormones and other biochemical compounds. Both dinoglandin and Misoprostol can be used for cervical ripening before introduction of hysteroscopy and hence reduce the incidence of complications. Objects: This study aims to assess the efficacy of dinoprostone compared to misoprostol in cervical ripening in nulliparous women undergoing diagnostic hysteroscopy. Methodology: a randomized controlled clinical trial comparing dinoprostone versus misoprostol for cervical ripening before diagnostic hysteroscopy in nulliparous women, it included 2 groups, 33 patients each. In the first group named (group D) dinoprostone 3 mg was applied vaginally 6 hours before diagnostic hysteroscopic procedure while in the second group named (group M) 400 mcg misoprostol was applied vaginally at the same timing. Results: There was no statistically significant difference between the groups that received misoprostol or dinoprostone with regard to age, duration of marriage, medical disorder, history of gynecological operations and type of gynecological operations. However, the use of misoprostol caused slightly less pain compared to dinoprostone but more side effects occurred with the use of misoprostol. Conclusion: There was no significant difference between dinoprostone and misoprostol in priming of cervix before diagnostic hysteroscopy in nulliparous women regarding ease of hysteroscope entry, pain or side effects.

Keywords

Dinoprostone, misoprostol, Diagnostic hysteroscopy

Authors

First Name

Ayman Abd El-Razek Abulnour*, Mohamed El-Mandooh Mohamed*,

Last Name

Waleed Mohamed Khalaf*, Shady Ali Tarek**

MiddleName

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Affiliation

*Obstetrics & Gynecology Department, Ain Shams University; ** M.B.B.Ch. October University

Email

shaditarek@gmail.com

City

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Orcid

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Volume

71

Article Issue

1

Related Issue

1702

Issue Date

2018-04-01

Receive Date

2017-12-11

Publish Date

2018-04-01

Page Start

2,287

Page End

2,293

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_8855.html

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https://ejhm.journals.ekb.eg/service?article_code=8855

Order

14

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Dinoprostone Versus Misoprostol for Cervical Ripening before Diagnostic Hysteroscopy in Nulliparous Women: A Randomized Controlled Trial

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Article

Created At

22 Jan 2023