Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW)
Abstract Aim Electronic bidets can be a substitute for sitz baths, but no study has examined the use of electronic bidets to manage anal problems. Methods A randomized, controlled, single-blind, multicenter, parallel group trial was performed. Patients who underwent hemorrhoidectomy were randomly as...
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BMC
2025-01-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-024-02737-0 |
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| author | Yoon-Hye Kwon Seung-Bum Ryoo Heung-Kwon Oh Jae Bum Lee Hyung-Joong Jung Kee-Ho Song Seung Chul Heo Rumi Shin Joongyub Lee Kyu Joo Park |
| author_facet | Yoon-Hye Kwon Seung-Bum Ryoo Heung-Kwon Oh Jae Bum Lee Hyung-Joong Jung Kee-Ho Song Seung Chul Heo Rumi Shin Joongyub Lee Kyu Joo Park |
| author_sort | Yoon-Hye Kwon |
| collection | DOAJ |
| description | Abstract Aim Electronic bidets can be a substitute for sitz baths, but no study has examined the use of electronic bidets to manage anal problems. Methods A randomized, controlled, single-blind, multicenter, parallel group trial was performed. Patients who underwent hemorrhoidectomy were randomly assigned (1:1) to use the electronic bidet or warm sitz baths for 7 days after hemorrhoidectomy. The primary endpoint was the difference in the anal pain VAS score for 7 days posthemorrhoidectomy. Results Patients were assigned to the electronic bidet (51) or sitz bath (50) groups. Twenty-six patients dropped out after randomization, and the final analysis included 34 patients in the electronic bidet group and 41 in the sitz bath group. The VAS score for anal pain 7 days posthemorrhoidectomy did not differ between the electronic bidet and sitz bath groups (38.3 ± 21.9 vs. 42.0 ± 21.1, p = 0.453). The upper limit of the 95% confidence interval of the VAS score in the electronic bidet group (81.22) was greater than the margin of noninferiority (46.20). Conclusion The VAS scores after hemorrhoidectomy did not differ between the electronic bidet and sitz bath groups, but the noninferiority of the electronic bidet to sitz baths for anal pain 7 days posthemorrhoidectomy was not verified. Trial Registration The trial was registered on ClinicalTrials.gov (Registration number: NCT02353156, date: 02/02/2015). |
| format | Article |
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| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-f22a870409374941ade558ce4c0cae8d2025-01-12T12:06:09ZengBMCBMC Surgery1471-24822025-01-012511910.1186/s12893-024-02737-0Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW)Yoon-Hye Kwon0Seung-Bum Ryoo1Heung-Kwon Oh2Jae Bum Lee3Hyung-Joong Jung4Kee-Ho Song5Seung Chul Heo6Rumi Shin7Joongyub Lee8Kyu Joo Park9Department of Surgery, Seoul National University Hospital, Seoul National University College of MedicineDepartment of Surgery, Seoul National University Hospital, Seoul National University College of MedicineDepartment of Surgery, Seoul National University Bundang Hospital, Seoul National University College of MedicineDepartment of Surgery, Daehang HospitalDepartment of Surgery, Daehang HospitalDepartment of Surgery, Daehang HospitalDepartment of Surgery, Seoul National University Boramae Hospital, Seoul National University College of MedicineDepartment of Surgery, Seoul National University Boramae Hospital, Seoul National University College of MedicineDivision of Clinical Epidemiology, Biomedical Research Institution, Medical Research Collaborating Center, Seoul National University HospitalDepartment of Surgery, Seoul National University Hospital, Seoul National University College of MedicineAbstract Aim Electronic bidets can be a substitute for sitz baths, but no study has examined the use of electronic bidets to manage anal problems. Methods A randomized, controlled, single-blind, multicenter, parallel group trial was performed. Patients who underwent hemorrhoidectomy were randomly assigned (1:1) to use the electronic bidet or warm sitz baths for 7 days after hemorrhoidectomy. The primary endpoint was the difference in the anal pain VAS score for 7 days posthemorrhoidectomy. Results Patients were assigned to the electronic bidet (51) or sitz bath (50) groups. Twenty-six patients dropped out after randomization, and the final analysis included 34 patients in the electronic bidet group and 41 in the sitz bath group. The VAS score for anal pain 7 days posthemorrhoidectomy did not differ between the electronic bidet and sitz bath groups (38.3 ± 21.9 vs. 42.0 ± 21.1, p = 0.453). The upper limit of the 95% confidence interval of the VAS score in the electronic bidet group (81.22) was greater than the margin of noninferiority (46.20). Conclusion The VAS scores after hemorrhoidectomy did not differ between the electronic bidet and sitz bath groups, but the noninferiority of the electronic bidet to sitz baths for anal pain 7 days posthemorrhoidectomy was not verified. Trial Registration The trial was registered on ClinicalTrials.gov (Registration number: NCT02353156, date: 02/02/2015).https://doi.org/10.1186/s12893-024-02737-0Electronic bidetHemorrhoidectomyPainSitz bathWound |
| spellingShingle | Yoon-Hye Kwon Seung-Bum Ryoo Heung-Kwon Oh Jae Bum Lee Hyung-Joong Jung Kee-Ho Song Seung Chul Heo Rumi Shin Joongyub Lee Kyu Joo Park Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW) BMC Surgery Electronic bidet Hemorrhoidectomy Pain Sitz bath Wound |
| title | Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW) |
| title_full | Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW) |
| title_fullStr | Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW) |
| title_full_unstemmed | Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW) |
| title_short | Comparison of warm sitz bath and electronic bidet with a lower-force water flow for postoperative management after hemorrhoidectomy (BIDLOW) |
| title_sort | comparison of warm sitz bath and electronic bidet with a lower force water flow for postoperative management after hemorrhoidectomy bidlow |
| topic | Electronic bidet Hemorrhoidectomy Pain Sitz bath Wound |
| url | https://doi.org/10.1186/s12893-024-02737-0 |
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