- Academic Editor
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Background: Hysteroscopy is a
pragmatic diagnostic and operative method for the assessment of uterine
pathologies. Cervical preparation is an important step for hysteroscopy, and it
is recommended in order to reduce complications. The efficacy of Dilapan-S and
Misoprostol as two means of cervical preparation were evaluated and compared in
this study. Methods: This randomized clinical trial was conducted on
women referred to Rasoul-e-Akram Hospital outpatient department. A total of 120
menopausal and non-menopausal patients with no history of vaginal delivery were
included in this study. 400 micrograms of misoprostol and Dilapan-S were used for
cervical ripening three hours before hysteroscopy. Cervical dilation was measured
by the diameter of the largest dilator inserted without resistance prior to
hysteroscopy. The time needed to achieve 9 mm dilatation was recorded.
Complications of the procedure were evaluated and compared in both groups.
Results: The size of the largest Hegar dilator without resistance in
Dilapan-S and misoprostol groups were 7.6