{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T09:35:29Z","timestamp":1758274529567,"version":"3.41.2"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T00:00:00Z","timestamp":1730937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study investigates the impact of intracavitary pressure levels on pain, visualization quality, and procedure duration in office hysteroscopy, comparing standard pressures (60\u2013100\u2009mmHg) with high pressures (110\u2013150\u2009mmHg).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort study involving non\u2010menopausal women undergoing diagnostic hysteroscopy at a tertiary clinic. Patients were categorized into two groups based on intracavitary pressure: the standard pressure group (60\u2013100\u2009mmHg; <jats:italic>n<\/jats:italic>\u2009=\u200972) and the high\u2010pressure group (110\u2013150\u2009mmHg; <jats:italic>n<\/jats:italic>\u2009=\u200937). Outcomes measured included pain scores, procedure duration, and fluid volume used. Logistic regression was employed to identify risk factors for severe pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The high\u2010pressure group demonstrated significantly shorter procedure durations compared to the standard pressure group (96.56\u2009\u00b1\u200934.36 vs. 163.00\u2009\u00b1\u200961.78\u2009s, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Pain scores were lower in the high\u2010pressure group (VAS 3.00 [0.00\u20137.00] vs. 3.50 [0.00\u20139.00], <jats:italic>p<\/jats:italic>\u2009=\u20090.041). Additionally, high\u2010pressure procedures used less fluid compared to standard pressure procedures, which helps to reduce the risk of fluid\u2010related complications. Logistic regression analysis identified higher fluid volumes (odds ratio [OR]\u2009=\u20091.005, 95% confidence interval [CI]\u2009=\u20091.001\u20131.010) and the need for pressure increases (OR\u2009=\u20093.914, 95% CI\u2009=\u20091.157\u201313.238) as significant risk factors for severe pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Higher intracavitary pressure levels (above 100\u2009mmHg) in office hysteroscopy are associated with reduced pain, shorter procedure durations, and decreased fluid use, enhancing visualization and procedural efficiency while maintaining patient comfort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.16146","type":"journal-article","created":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:35:13Z","timestamp":1731044113000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of uterine cavity filling pressure levels on pain and procedure duration in diagnostic hysteroscopy: A retrospective cohort study"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1325-6294","authenticated-orcid":false,"given":"Can","family":"Tercan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1730-3724","authenticated-orcid":false,"given":"Emrah","family":"Dagdeviren","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8149-6348","authenticated-orcid":false,"given":"Ali Selcuk","family":"Yeniocak","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4927-0557","authenticated-orcid":false,"given":"Sultan","family":"Can","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Goztepe Prof. Dr. Suleyman Yalc\u0131n City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2788-104X","authenticated-orcid":false,"given":"Burak","family":"Yucel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Basaksehir Cam and Sakura City Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2020.1777742"},{"issue":"11","key":"e_1_2_7_3_1","first-page":"Cd006604","article-title":"Uterine distension media for outpatient 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