Sedoanalgesia and Colposcopy: A Retrospective Comparison of Procedural Outcomes

Aim: To evaluate the effect of sedoanalgesia on procedural outcomes of colposcopy, with particular emphasis on procedure time and the need for hemostatic interventions. Materials and Methods: This retrospective cohort study included women aged 25–65 years who underwent colposcopic biopsy between February and October 2024. Patients were allocated to either a sedoanalgesia group or a no-anesthesia group based on clinical indications and patient preference. The primary outcome was colposcopy table time, defined as the interval from patient positioning to completion of hemostasis. Secondary outcomes included the need for cauterization and additional hemostatic measures. Results: A total of 191 patients were analyzed (80 with sedoanalgesia, 111 without). The mean colposcopy table time was significantly shorter in the sedoanalgesia group. Cauterization was required in 8.8% of sedated cases compared with 46.8% of non-sedated cases (p