Forced coughing versus local anesthesia and pain associated with cervical biopsy: A randomized trial

Fragestellung: Cervical biopsy often causes discomfort and pain. We quantified the actual pain experienced during cervical punch biopsies either under local anesthesia with 1% lidocaine or with forced coughing. Methodik: Sixty-eight consecutive women undergoing cervical punch biopsies for assessment of abnormal cervical smears were randomized in two groups for a prospective trial conducted at the Medical University of Vienna. Two different methods for pain relief (injection of 1% lidocaine and forced coughing) were compared. Patients discomfort was assessed immediately after biopsy using at 10-cm visual analogue…