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Preoperative treatment with oestradiol in women scheduled for vaginal operation for genital prolapse. A randomised, double-blind trial.
Felding, C; Mikkelsen, A L; Clausen, H V; Loft, A; Larsen, L G.
Afiliación
  • Felding C; Department of Obstetrics and Gynaecology, University of Copenhagen, Glostrup County Hospital, Denmark.
Maturitas ; 15(3): 241-9, 1992 Dec.
Article en En | MEDLINE | ID: mdl-1465038
OBJECTIVE: To disclose a clinical and histopathological effect of local low-dose oestradiol treatment on the vagina. DESIGN: A randomised, double-blind trial. SETTING: Two gynaecological departments at University Hospitals. SUBJECTS: Forty-eight postmenopausal women scheduled for surgery because of genital prolapse. INTERVENTION: 25 micrograms oestradiol or placebo, administered as vaginal pessaries daily, 3 weeks prior to surgery. MAIN OUTCOME MEASURES: Cytological, histological and clinical changes of the vaginal mucosa. RESULTS: The thickness of the vaginal wall increased as did the oestrogenic index. No clinical effect was seen apart from decreased incidence of recurrent cystitis postoperatively. CONCLUSIONS: Preoperative oestrogen treatment has been shown to reduce the incidence of recurrent cystitis and may be needed for stimulation of vaginal mucosa; the short-term clinical effect is not convincing, however.
Asunto(s)
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Preoperatorios / Prolapso Uterino / Estradiol Tipo de estudio: Clinical_trials / Etiology_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Maturitas Año: 1992 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Irlanda
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cuidados Preoperatorios / Prolapso Uterino / Estradiol Tipo de estudio: Clinical_trials / Etiology_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Maturitas Año: 1992 Tipo del documento: Article País de afiliación: Dinamarca Pais de publicación: Irlanda