Will Cleaning the Bowel With an Enema Before Vaginal Prolapse Surgery Prevent Complications?

Illinois Urogynecology, Ltd.

Status: Unknown

Conditions: Colon Cleansing

Treatments: Procedure: enema

Study type: Interventional

Funder types: Other

Identifiers

NCT00981539

IULTD-4747

Details and patient eligibility

About

Traditionally, many gynecologic surgeons have asked patients to perform a cleansing enema the night before a vaginal surgery done to repair pelvic organ prolapse (dropped bladder, dropped uterus). The belief is that there is then less or no stool present at the vaginal incision and less chance of infection of the wound by bowel bacteria. However, not all surgeons follow this practice. There is no evidence in the medical literature if one way is better than the other. In this study, patients scheduled for vaginal surgery to correct prolapse will be randomly assigned to perform an enema or not to perform an enema.

Full description

The factors to be measured will be wound infection rates, and need to cleanse an incision of escaped stool.

Enrollment: 310 estimated patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• female, AND
• undergoing vaginal surgery for prolapse.

Exclusion criteria

• pregnant women,
• age younger than eighteen,
• male sex, OR
• concurrent abdominal surgery.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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310 participants in 2 patient groups

treatment : receives pre operative enema

Active Comparator group

Description:

one arm will receive pre operative enema

Treatment:

Procedure: enema

no enema

No Intervention group

Description:

this group will not receive pre operative enema