Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?

Abstract Background Pipelle endometrial biopsy is vital for the early diagnostics of endometrial pathology and is performed in outpatient setting in minimally invasive manner. One of the reported disadvantages of sampling with Pipelle curette is failure to collect enough tissue for histological anal...

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Autores principales:	Aiym Kaiyrlykyzy, Faina Linkov, Faye Foster, Gauri Bapayeva, Talshyn Ukybassova, Gulzhanat Aimagambetova, Kamila Kenbayeva, Bakytkali Ibrayimov, Alla Lyasova, Milan Terzic
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Pipelle endometrial biopsy Pipelle sampling Endometrial sampling Pipelle failure Pain Anxiety Gynecology and obstetrics RG1-991 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f9319a593a534507aea6feda4d17cdd8
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spelling	oai:doaj.org-article:f9319a593a534507aea6feda4d17cdd82021-11-14T12:12:24ZPipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?10.1186/s12905-021-01526-81472-6874https://doaj.org/article/f9319a593a534507aea6feda4d17cdd82021-11-01T00:00:00Zhttps://doi.org/10.1186/s12905-021-01526-8https://doaj.org/toc/1472-6874Abstract Background Pipelle endometrial biopsy is vital for the early diagnostics of endometrial pathology and is performed in outpatient setting in minimally invasive manner. One of the reported disadvantages of sampling with Pipelle curette is failure to collect enough tissue for histological analysis. The role of psychological factors such as anxiety and pain sensitivity in obtaining adequate samples is not well known. The study's objective was to explore whether there is relationship between severe pain, anxiety, and the rate of Pipelle failure. Methods Study included 158 women with median age of 42 who underwent Pipelle endometrial biopsy at Clinical Academic Department of Women’s Health of the University Medical Center (UMC), Nur-Sultan City, Kazakhstan with an abnormal uterine bleeding from June 2019 to April 2021. Women were asked to fill survey on pain, anxiety before, during and after the procedure. Results 3.8%, 15.19% and 4.43% of women reported severe pain and 39.24%, 34.18% and 14.56% of women reported severe anxiety prior, during and after procedure, respectively. Women who experienced severe pain during procedure tend to be more anxious during procedure (p = 0.0001) and have higher number of sampling attempts (p = 0.0040). Pain level was higher among patients sampled by the junior OB/GYN specialist (p < 0.0001). We found no differences in Pipelle biopsy success rates in relationship to baseline, during and postprocedural pain and anxiety scores. Conclusion Anxiety during procedure performance was significantly associated with severe pain during the procedure but did not represent a key element for the success of Pipelle biopsy.Aiym KaiyrlykyzyFaina LinkovFaye FosterGauri BapayevaTalshyn UkybassovaGulzhanat AimagambetovaKamila KenbayevaBakytkali IbrayimovAlla LyasovaMilan TerzicBMCarticlePipelle endometrial biopsyPipelle samplingEndometrial samplingPipelle failurePainAnxietyGynecology and obstetricsRG1-991Public aspects of medicineRA1-1270ENBMC Women's Health, Vol 21, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pipelle endometrial biopsy Pipelle sampling Endometrial sampling Pipelle failure Pain Anxiety Gynecology and obstetrics RG1-991 Public aspects of medicine RA1-1270
spellingShingle	Pipelle endometrial biopsy Pipelle sampling Endometrial sampling Pipelle failure Pain Anxiety Gynecology and obstetrics RG1-991 Public aspects of medicine RA1-1270 Aiym Kaiyrlykyzy Faina Linkov Faye Foster Gauri Bapayeva Talshyn Ukybassova Gulzhanat Aimagambetova Kamila Kenbayeva Bakytkali Ibrayimov Alla Lyasova Milan Terzic Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?
description	Abstract Background Pipelle endometrial biopsy is vital for the early diagnostics of endometrial pathology and is performed in outpatient setting in minimally invasive manner. One of the reported disadvantages of sampling with Pipelle curette is failure to collect enough tissue for histological analysis. The role of psychological factors such as anxiety and pain sensitivity in obtaining adequate samples is not well known. The study's objective was to explore whether there is relationship between severe pain, anxiety, and the rate of Pipelle failure. Methods Study included 158 women with median age of 42 who underwent Pipelle endometrial biopsy at Clinical Academic Department of Women’s Health of the University Medical Center (UMC), Nur-Sultan City, Kazakhstan with an abnormal uterine bleeding from June 2019 to April 2021. Women were asked to fill survey on pain, anxiety before, during and after the procedure. Results 3.8%, 15.19% and 4.43% of women reported severe pain and 39.24%, 34.18% and 14.56% of women reported severe anxiety prior, during and after procedure, respectively. Women who experienced severe pain during procedure tend to be more anxious during procedure (p = 0.0001) and have higher number of sampling attempts (p = 0.0040). Pain level was higher among patients sampled by the junior OB/GYN specialist (p < 0.0001). We found no differences in Pipelle biopsy success rates in relationship to baseline, during and postprocedural pain and anxiety scores. Conclusion Anxiety during procedure performance was significantly associated with severe pain during the procedure but did not represent a key element for the success of Pipelle biopsy.
format	article
author	Aiym Kaiyrlykyzy Faina Linkov Faye Foster Gauri Bapayeva Talshyn Ukybassova Gulzhanat Aimagambetova Kamila Kenbayeva Bakytkali Ibrayimov Alla Lyasova Milan Terzic
author_facet	Aiym Kaiyrlykyzy Faina Linkov Faye Foster Gauri Bapayeva Talshyn Ukybassova Gulzhanat Aimagambetova Kamila Kenbayeva Bakytkali Ibrayimov Alla Lyasova Milan Terzic
author_sort	Aiym Kaiyrlykyzy
title	Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?
title_short	Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?
title_full	Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?
title_fullStr	Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?
title_full_unstemmed	Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?
title_sort	pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?
publisher	BMC
publishDate	2021
url	https://doaj.org/article/f9319a593a534507aea6feda4d17cdd8
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Pipelle endometrial biopsy for abnormal uterine bleeding: do patient’s pain and anxiety really impact on sampling success rate?

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