Comparative evaluation of no touch vaginoscopy and conventional hysteroscopy in a tertiary care hospital of North India

Background: Optimal management of endometrial disease requires accurate and timely diagnosis followed by effective treatment. Modern outpatient hysteroscopy can be utilized as a first line method for diagnostic procedure. No touch technique (vaginoscopy) has been introduced in an attempt to make the procedure less painful as it includes reduced anesthetic risks and is cost effective. This study aimed to compare the vaginoscopic hysteroscopy and conventional hysteroscopy in context of pain and patient satisfaction. Also, to compare the procedure time, complications and use of anaesthesia associated with both the techniques Methods: This is a hospital based prospective study which will be conducted on 100 women in department of obstetrics and gynaecology, DMC&H, Ludhiana. After taking informed consent patients will be randomised into 2 groups. Group A (n= 50) patients who will be undergoing vaginoscopic hysteroscopy and Group B (n= 50) who will be undergoing standard hysteroscopy. Both groups were compared based on demographic parameters, pain score, time required for procedure completion and need of anesthesia. Results: The mean pain score, duration required for procedure completion and need of anesthesia was less in vaginoscopy group compared to standard hysteroscopy group. Conclusions: The vaginoscopic approach is less painful, better tolerated, quicker to perform therefore, more successful than standard hysteroscopy technique.