A Sitz bath does not improve wound healing after elective episiotomy

Oladokun, Adesina; Babarinsa, Isaac; Adewole, I F; Ojengbede, Aderinola

doi:10.1080/01443610050009601

Cited by 15 publications

(3 citation statements)

References 9 publications

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“…The mechanical damage in the urethral mucosa leads to leakage of urine, resulting in inflammation and scar formation. In the case of our study, the procedure and sitz bath were not done simultaneously but at different times, but the study by Oladokun et al suggests that the wound healing effect of sitz baths takes place by keeping the temperature warm and promoting vasodilation, which leads to improved circulation [16]. From this point of view, postoperative care with warm water sitz baths might have the benefit of preventing inflammation and scar formation.…”

Section: Discussionmentioning

confidence: 89%

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Warm Sitz Bath: Are There Benefits after Transurethral Resection of the Prostate?

et al. 2010

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PurposeWe aimed to evaluate the efficacy of warm water sitz baths in patients who have undergone transurethral resection of the prostate (TURP) owing to lower urinary tract symptoms secondary to benign prostatic hyperplasia.Materials and MethodsWe reviewed the records of 1,783 patients who had undergone TURP between 2001 and 2009. In the warm water sitz bath group, patients were instructed to sit in a tub containing lukewarm water at 40-45℃ for 10 minutes each time. Patients were advised to perform the procedure for at least 5 days immediately after the removal of a Foley urethral catheter. The differences in post-TURP complications between the warm water sitz bath group and the no sitz bath group were compared.ResultsAfter TURP, 359 of the 1,561 patients performed a warm water sitz bath. Complications after TURP, such as hemorrhage, urinary tract infection, urethral stricture, and acute urinary retention were found in 19 (5.3%) and 75 (6.2%) patients in the sitz bath and no sitz bath groups, respectively (p=0.09). There was a significant difference in postoperative complications such as urethral stricture between the warm sitz bath group and the no sitz bath group (p=0.04). The group that did not undergo warm water sitz bath treatment showed a 1.13-fold increased risk of rehospitalization within 1 month after TURP due to postoperative complications compared with the warm water sitz bath group (odds ratio [OR]=1.134; 95% confidence interval [CI], 1.022 to 1.193; p=0.06).ConclusionsWarm water sitz bath treatment reduced postoperative complications such as urethral stricture. These results suggest that large-scale prospective studies are needed to establish an ideal method and optimal duration of sitz baths.

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Section: Discussionmentioning

confidence: 89%

“…In our study, we observed that the incidence of urethral stricture after TURP was lower in the warm water sitz bath group than in the no sitz bath group. Oladokun et al reported, although not a study of TURP, that sitz baths after episiotomy promoted postoperative wound healing [16]. The mechanism of the process is not yet clear.…”

Section: Discussionmentioning

confidence: 99%

Warm Sitz Bath: Are There Benefits after Transurethral Resection of the Prostate?

et al. 2010

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“…He theorized that the relaxation of the internal sphincter muscle is mediated through sensory perianal skin receptors being stimulated by warm water [11]. However, a few other studies did not confirm this hypothesis, as they did not find any advantage of sitz bath in patients with painful anorectal conditions [12, 13].…”

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confidence: 99%