Prostaglandin for enhancing bladder function after vaginal surgery: Does it work?

A. Bergman*, Y. Mushkat, D. Gordon, M. P. David

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Fifty women underwent vaginal hysterectomy with or without anterior and posterior colporrhaphy. After the operations the women were allocated randomly to one of three groups. One group (17 patients) received daily vaginal suppositories of 10 mg of prostaglandin E2. The second group (15) received a daily intravesical solution of 50 μg of prostaglandin F(2α) dissolved in 100 mL of normal saline. The third group (18) received a daily instillation of 100 mL of saline and served as the control group. The postvoiding residual urinary volume was checked daily through a suprapubic catheter, which was removed once the residual volume was <50 mL. The prostaglandin did not shorten the time required for postoperative bladder drainage. The rates of febrile morbidity and hospital stay were the same in all three groups. Since most of the women in the study voided spontaneously within three days, the 'sit and wait' approach seems reasonable if such patients, and prophylactic treatment to enhance bladder function after vaginal operations does not seem justified.

Original languageEnglish
Pages (from-to)320-322
Number of pages3
JournalThe Journal of reproductive medicine
Volume37
Issue number4
StatePublished - 1992
Externally publishedYes

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