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(Radiology. 1999;212:159-163.)
© RSNA, 1999

Vascular and Interventional Radiology

Transrectal versus Transvaginal Abscess Drainage: Survey of Patient Tolerance and Effect on Activities of Daily Living1

David M. Hovsepian, MD, Joseph R. Steele, MD, Celette Sugg Skinner, PhD and Eric S. Malden, MD

1 From the Departments of Radiology (D.M.H., J.R.S., C.S.S., E.S.M.) and Surgery (D.M.H., E.S.M.), Washington University Medical Center, Mallinckrodt Institute of Radiology, 510 S Kingshighway Blvd, St Louis, MO 63110. From the 1997 RSNA scientific assembly. Received July 27, 1998; revision requested August 27; revision received October 22; accepted December 21. Address reprint requests to D.M.H. (e-mail: hovsepian@mirlink.wustl.edu).

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.

Index terms: Abscess, drainage, 757.1263, 791.1263, 855.1263 • Abscess, US, 857.12986 • Interventional procedures, 757.1263, 791.1263, 855.1263 • Pelvic organs, abscess, 85.211 • Pelvic organs, interventional procedures, 757.1263, 791.1263, 855.1263 • Pelvic organs, US, 757.12986, 791.12986, 855.12986




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J. P. McGahan and C. Wu
Sonographically Guided Transvaginal or Transrectal Pelvic Abscess Drainage Using the Trocar Method with a New Drainage Guide Attachment
Am. J. Roentgenol., November 1, 2008; 191(5): 1540 - 1544.
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