|
Application of portable vaginal irrigator in patients with cervical cancer undergoing external irradiation combined with intracavitary brachytherapy
|
H. Zhang   , J. Qian , J. Lin |
| Department of Radiation Oncology, and Department of Laboratory Medicine, Shanghai Sixth People's Hospital, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200000, China , yqyysj116@163.com |
|
|
Abstract: (1360 Views) |
Background: To probe the impact of portable vaginal irrigator in patients with cervical cancer undergoing radiotherapy. Materials and Methods: A total of 100 patients with advanced cervical cancer who received radiotherapy in our hospital from January 2021 to December 2022 were chosen and separated into control group (CG, n=50) and research group (RG, n=50). After radiotherapy, patients in the CG control group adopted extrusion balloon irrigator for vaginal irrigation, while patients in the RG adopted portable vaginal irrigator for vaginal irrigation. The cleanliness, vaginal length, vaginal width, comfort ratio, patient satisfaction, and occurrence of complications in both groups were compared. Results: The number of patients with a white blood cell count of 15-30 in the RG was less than that of the CG (P<0.05). The number of patients in cleanliness degree I in the RG was higher relative to the CG (P<0.05), while the number of patients in cleanliness degree III in the RG was lower compared to the CG (P<0.05). Three months after radiotherapy, the vaginal length and vaginal width of the RG were higher relative to the CG (P<0.05). The comfort ratio and satisfaction of patients in the RG was higher compared to the CG (P<0.05). The occurrence of complications in the RG was declined compared to the CG (P<0.05). Conclusion: The use of portable vaginal irrigation device realizes the comfortable feeling of patients in the process of use, improves the effect of vaginal irrigation, reduces the occurrence of complications after radiotherapy, which is worthy of clinical promotion. |
|
| Keywords: Cervical cancer, radiotherapy, portable vaginal irrigator, cleanliness, complications. |
|
|
Full-Text [PDF 577 kb]
(787 Downloads)
|
|
Type of Study: Original Research |
Subject:
Radiation Biology
|
|
|
|
|
|
|
| References |
1. 1. Johnson CA, James D, Marzan A, et al. (2019) Cervical Cancer: An Overview of Pathophysiology and Management. Semin Oncol Nurs, 35(2): 166-74. [ DOI:10.1016/j.soncn.2019.02.003] [ PMID] 2. Vu M, Yu J, Awolude OA, et al. (2018) Cervical cancer worldwide. Curr Probl Cancer, 42(5):457-65. [ DOI:10.1016/j.currproblcancer.2018.06.003] [ PMID] 3. Burd EM. (2003) Human papillomavirus and cervical cancer. Clin Microbiol Rev, 16(1): 1-17. [ DOI:10.1128/CMR.16.1.1-17.2003] [ PMID] [ ] 4. Moore DH. (2006) Cervical cancer. Obstet Gynecol, 107(5): 1152-61. [ DOI:10.1097/01.AOG.0000215986.48590.79] [ PMID] 5. Olusola P, Banerjee HN, Philley JV, et al. (2019) Human Papilloma Virus-Associated Cervical Cancer and Health Disparities. Cells, 8(6). 622. [ DOI:10.3390/cells8060622] [ PMID] [ ] 6. Cohen PA, Jhingran A, Oaknin A, et al. (2019) Cervical cancer. Lancet, 393(10167): 169-82. [ DOI:10.1016/S0140-6736(18)32470-X] 7. Mayadev JS, Ke G, Mahantshetty U, et al. (2022) Global challenges of radiotherapy for the treatment of locally advanced cervical cancer. Int J Gynecol Cancer, 32(3): 436-45. [ DOI:10.1136/ijgc-2021-003001] [ PMID] [ ] 8. Chargari C, Peignaux K, Escande A, et al. (2022) Radiotherapy of cervical cancer. Cancer Radiother, 6(1-2): 298-308. [ DOI:10.1016/j.canrad.2021.11.009] [ PMID] 9. Shelley CE, Barraclough LH, Nelder CL, et al. (2021) Adaptive Radiotherapy in the Management of Cervical Cancer: Review of Strategies and Clinical Implementation. Clin Oncol (R Coll Radiol), 33(9): 579-90. [ DOI:10.1016/j.clon.2021.06.007] [ PMID] 10. Kokka F, Bryant A, Olaitan A, et al. (2022) Hysterectomy with radiotherapy or chemotherapy or both for women with locally advanced cervical cancer. Cochrane Database Syst Rev, 8(8): Cd010260. [ DOI:10.1002/14651858.CD010260.pub3] [ PMID] [ ] 11. Hamoonga TE, Olowski P, Musonda P (2019) Vaginal douching in Zambia: a risk or benefit to women in the fight against cervical cancer: a retrospective cohort study. BMC Womens Health, 19(1): 135. [ DOI:10.1186/s12905-019-0834-y] [ PMID] [ ] 12. Cottrell BH (2003) Vaginal douching. J Obstet Gynecol Neonatal Nurs, 32(1): 12-8. [ DOI:10.1177/0884217502239796] [ PMID] 13. Phongsavan K, Phengsavanh A, Wahlström R, et al. (2010) Women's perception of cervical cancer and its prevention in rural Laos. Int J Gynecol Cancer, 20(5): 821-6. [ DOI:10.1111/IGC.0b013e3181daaefb] [ PMID] 14. Musunuru HB, Pifer PM, Mohindra P, et al. (2021) Advances in management of locally advanced cervical cancer. Indian J Med Res, 154(2): 248-61. 15. Vordermark D (2016) Radiotherapy of cervical cancer. Oncol Res Treat, 39(9): 516-20. [ DOI:10.1159/000448902] [ PMID] 16. Naga Ch P, Gurram L, Chopra S, et al. (2018) The management of locally advanced cervical cancer. Curr Opin Oncol, 30(5): 323-9. [ DOI:10.1097/CCO.0000000000000471] [ PMID] 17. Tan Mbbs Mrcp Frcr Md LT, Tanderup Ph DK, Kirisits Ph DC, et al. (2019) Image-guided Adaptive Radiotherapy in Cervical Cancer. Semin Radiat Oncol, 29(3): 284-98. [ DOI:10.1016/j.semradonc.2019.02.010] [ PMID] 18. Haverkos H, Rohrer M, Pickworth W (2000) The cause of invasive cervical cancer could be multifactorial. Biomed Pharmacother, 54(1): 54-9. [ DOI:10.1016/S0753-3322(00)88642-4] 19. Suwannarurk K, Bhamarapravatana K, Kheolamai P, et al. (2010) Can self vaginal douching for high risk HPV screening replace or assist efficacy of cervical cancer screening? Asian Pac J Cancer Prev, 11(5): 1397-401. 20. Mattingly RF, Boyd A, Frable WJ (1967) The vaginal irrigation smear: a positive method of cervical cancer control. Obstet Gynecol, 29(4): 463-70. [ DOI:10.1097/00006254-196710000-00014] |
|
| Send email to the article author |
|
|
|
| Add your comments about this article |
|
|
|
|
Zhang H, Qian J, Lin J. Application of portable vaginal irrigator in patients with cervical cancer undergoing external irradiation combined with intracavitary brachytherapy. Int J Radiat Res 2023; 21 (3) :499-503 URL: http://ijrr.com/article-1-4890-en.html
|
