Virtual Reality During Outpatient Hysteroscopy
Research type
Research Study
Full title
Does Virtual Reality Reduce Pain and Anxiety During Outpatient Hysteroscopy? A Randomised Controlled Trial
IRAS ID
306610
Contact name
Stephen Quinn
Contact email
Sponsor organisation
Imperial College NHS Foundation Trust
Clinicaltrials.gov Identifier
Duration of Study in the UK
0 years, 6 months, 1 days
Research summary
Research Summary
Hysteroscopy is a common procedure where a camera attached to a thin scope is passed into the uterus via the vagina and cervix in order to obtain views of the inside of the uterus. Hysteroscopy is used for the diagnosis and management of a variety of benign and conditions as well as the diagnosis of uterine cancer. It can be performed under general anaesthetic or in an outpatient setting without formal anaesthetic. The latter has several advantages when compared to hysteroscopy with general anaesthesia as it avoids the additional risk of general anaesthesia, has a quicker recovery time, shorter hospital stay and reduced cost. However, women may experience discomfort or pain during an outpatient procedure and pain is one of the most common reasons for failure to complete the procedure.
The most appropriate way to manage pain and anxiety during outpatient hysteroscopy is not yet fully understood and conventional therapy, as recommended by the Royal College of Obstetricians and Gynaecologists, involves the use of simple pain killers taken prior to the procedure and sometimes local anaesthetic during the procedure. In recent years virtual reality software has been developed and used in a variety of different settings to alleviate pain and anxiety during medical procedures.
This study aims to investigate whether the use virtual reality as an adjunct to conventional pain management can reduce anxiety and pain during outpatient hysteroscopy. The study will take the form of a randomised controlled trial at St Mary's hospital London. A randomly selected group of patients undergoing outpatient hysteroscopy with conventional management plus the addition of virtual reality software will be compared to a control group of patients undergoing the procedure with conventional management only.
Summary of Results
Outpatient hysteroscopy is a common gynaecological procedure where a thin telescope is passed into the womb via the vagina and cervix.
The study found that the use of a virtual reality technology headset playing a virtual reality software program can significantly reduce anxiety levels experienced by patients during outpatient hysteroscopy procedures compared to the standard care.
There was no difference in the levels of pain reported by patients undergoing outpatient hysteroscopy procedures compared to standard pain management. Therefore, it does not appear that the use of virtual reality headsets can reduce pain experienced by patients during these procedures.
In addition, the use of the virtual reality headset did not change the chance of the procedure being completed successfully.REC name
North West - Greater Manchester East Research Ethics Committee
REC reference
22/NW/0083
Date of REC Opinion
25 Mar 2022
REC opinion
Further Information Favourable Opinion