TY - JOUR
T1 - Transrectal versus transvaginal abscess drainage
T2 - Survey of patient tolerance and effect on activities on daily living
AU - Hovseplan, David M.
AU - Steele, Joseph R.
AU - Skinner, Celette Sugg
AU - Malden, Eric S.
PY - 1999/7
Y1 - 1999/7
N2 - PURPOSE: To evaluate patient perception of pain related to transrectal and transvaginal drainage and the catheter's effect on activities of daily living. MATERIALS AND METHODS: From July 1993 to August 1997, 22 male and 40 female patients (mean age, 41 years; age range, 4-80 years) underwent transrectal or transvaginal aspiration or drainage. Fifty-seven drainages were performed. In a follow-up survey, patients were asked to score pain experienced during the procedure and afterward on a scale of 1-10 and to rate the effect of the catheter on their activities of daily living. RESULTS: Twenty-two patients participated in the telephone survey. For those able to recall the insertion procedure, the mean pain score was 3.2 for transrectal and 5.9 for transvaginal drainage. Mean indwelling catheter pain was 1.6 for transrectal and 4.8 for transvaginal drainage. Pain after removal was 1.4 for transrectal and 2.3 for transvaginal drainage. Only one patient with a transrectal catheter reported severe limitation (bowel movement), with no reports of any serious effect on urinating, bathing, sitting, or walking. Transvaginally placed catheters caused marked limitation in all categories and were more painful than transrectal catheters (P < .05). CONCLUSION: Of the transrectal and transvaginal approaches, transrectal is better tolerated.
AB - PURPOSE: To evaluate patient perception of pain related to transrectal and transvaginal drainage and the catheter's effect on activities of daily living. MATERIALS AND METHODS: From July 1993 to August 1997, 22 male and 40 female patients (mean age, 41 years; age range, 4-80 years) underwent transrectal or transvaginal aspiration or drainage. Fifty-seven drainages were performed. In a follow-up survey, patients were asked to score pain experienced during the procedure and afterward on a scale of 1-10 and to rate the effect of the catheter on their activities of daily living. RESULTS: Twenty-two patients participated in the telephone survey. For those able to recall the insertion procedure, the mean pain score was 3.2 for transrectal and 5.9 for transvaginal drainage. Mean indwelling catheter pain was 1.6 for transrectal and 4.8 for transvaginal drainage. Pain after removal was 1.4 for transrectal and 2.3 for transvaginal drainage. Only one patient with a transrectal catheter reported severe limitation (bowel movement), with no reports of any serious effect on urinating, bathing, sitting, or walking. Transvaginally placed catheters caused marked limitation in all categories and were more painful than transrectal catheters (P < .05). CONCLUSION: Of the transrectal and transvaginal approaches, transrectal is better tolerated.
KW - Abscess, US
KW - Abscess, drainage
KW - Interventional procedures
KW - Pelvic organs, US
KW - Pelvic organs, abscess
KW - Pelvic organs, interventional procedures
UR - http://www.scopus.com/inward/record.url?scp=0032967651&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0032967651&partnerID=8YFLogxK
U2 - 10.1148/radiology.212.1.r99jl23159
DO - 10.1148/radiology.212.1.r99jl23159
M3 - Article
C2 - 10405736
AN - SCOPUS:0032967651
SN - 0033-8419
VL - 212
SP - 159
EP - 163
JO - RADIOLOGY
JF - RADIOLOGY
IS - 1
ER -