Vulvar rinsing for vulvar cancerMedical editor Gunnar B. Kristensen MD
Oslo University Hospital
Vulvar rinsing is a procedure performed by request of a gynecologist. It is used to relieve soreness and discharge associated with external radiation therapy, or routinely after a bowel movement on a vulvectomee.
- Patients with advanced cancer with necrosis, tumor mass, or vaginal discharge.
- Patients receiving external radiation therapy to the vulva where there is soreness or soreness may occur.
- Patients susceptible to infection or having confirmed infection in the vulva.
- Patients who otherwise could use a hand-held shower head, but who are not capable of self-care.
- After a bowel movement on a vulvectomee.
- Any other indication where gynecologist recommends vulvar rinsing.
- Prevent soreness and infections.
- Keep tumor masses and sore surfaces as clean as possible.
- Reduce odor and foul-smelling discharge.
- Help the patient with daily hygiene when the patient is not capable.
- Improve well-being for the patient.
- Basin with lid
- Sodium chloride 0.9 mg/ml, 500 ml bag. Or, 1 L boiled water with 1 tablespoon salt.
- If there is an odor, a doctor can prescribe a special vinegar solution.
- Transfer adapter
- Sanitary pad/diaper
- Inform the patient about the procedure.
- Give pain medication if needed.
- The saline bag is warmed to body temperature by placing it in warm water.
- If prescribed, a vinegar solution is used.
- Attach the transfer adapter to the salt water bag.
- Check the temperature of the saline before using.
- The patient lies in the lithotomy position. Make her as comfortable as possible.
- Place a drape under the patient.
- The basin is placed under the patient to catch fluid while the rinse fluid is poured over the vulva.
A doctor should be contact if there is increasing discharge, bleeding, or foul odor.