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RCOG World Congress 2023

June 12 - 14, 2023 | London, UK

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PP.0052

Does Virtual Reality Technology Reduce Pain and Anxiety During Outpatient Hysteroscopy?

Part of Topic

Benign Gynaecology

Does Virtual Reality Technology Reduce Pain and Anxiety during Outpatient Hysteroscopy?

Y. Fung1, T. Sewell2, A. Al-Kufaishi2, K. Clifford2, S. Quinn2

1Imperial College London, London, United Kingdom; 2St Mary’s Hospital, London, United Kingdom.

 

Background
•Outpatient hysteroscopy (OPH) is used to diagnose and manage various intrauterine pathology1.
•Although usually well-tolerated, some women experience significant pain and anxiety during OPH1.
•Studies into the use of virtual reality technology (VRT) in managing pain and anxiety in different procedures are rapidly emerging2.
•There is limited research on the use of VRT in OPH.

AIM:to evaluate the effectiveness of VRT in reducing pain and anxiety during OPH.
 
Methods
•An unblinded randomised controlled trial was performed between March and October 2022.
•83 women were randomly allocated to receive standard care alone (control; n=42) or with VRT as adjunct (intervention; n=41).
•VRT was administered using a Pico G2 VR headset, provided by SyncVR Medical (Utrecht, Netherlands).
•Participants rated pain and anxiety levels on numerical rating scales (NRS) using pre- and post-procedure questionnaires.
 
Results
•Mean anxiety NRS scores were significantly lower in the intervention group (3.29 ± 2.93) than in the control group (4.79 ± 3.38; p=0.03).
•There were no serious side effects or procedure-related complications experienced by any patients in either group.
 
Conclusion
•VRT is a simple, feasible and safe adjunct to standard care during OPH.
•VRT can significantly reduce anxiety during OPH
•However, there is no significant difference in reported pain levels or pain control satisfaction.
•Continued improvements in VRT and development of increasingly immersive environments in the future may continue to improve patient experience in the OPH setting.
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