title: Douching with Water Works device for perceived vaginal odor with or without complaints of discharge in women with no infectious cause of vaginitis: a pilot study.
abstract: OBJECTIVE
  To determine if douching with Water Works device for 1 month can (1) lower or eliminate perceived vaginal odor by subject; (2) have any effects on vaginal ecosystem.
  
  
  METHODS
  Ten women with perceived vaginal odor with or without discharge, douched every day for 4 weeks in an open-label, nonrandomized pilot study. Primary outcome measures included perceived vaginal odor by subject, lactobacilli score from Nugent slide, and acceptance of the Water Works douching system. Secondary outcome included the safety of using this douching device.
  
  
  RESULTS
  At week 4, there was improvement in vaginal odor (P=.0006) and there was no significant change in lactobacilli score.
  
  
  CONCLUSIONS
  Douching with Water Works device is associated with reduction or elimination of vaginal odor without adversely affecting the vaginal ecosystem.
authors.affiliation: Division of Gynecology, Department of Obstetrics and Gynecology, Temple University Hospital, Philadelphia, PA 19140, USA.
authors.forename: Ashwin J
authors.initials: AJ
authors.lastname: Chatwani
authors.forename: Sarmina
authors.initials: S
authors.lastname: Hassan
authors.forename: Salma
authors.initials: S
authors.lastname: Rahimi
authors.forename: Stacey
authors.initials: S
authors.lastname: Jeronis
authors.forename: Vani
authors.initials: V
authors.lastname: Dandolu
mesh_terms: D000293:Adolescent; D000328:Adult; D017753:Ecosystem; D005260:Female; D006801:Humans; D007778:Lactobacillus / Q000254:growth & development* / Q000302:isolation & purification; D009812:Odorants; D010865:Pilot Projects; D016896:Treatment Outcome; D014621:Vagina / Q000382:microbiology* / Q000502:physiology*; D044364:Vaginal Douching / Q000009:adverse effects / Q000295:instrumentation / Q000706:statistics & numerical data; D014627:Vaginitis / Q000628:therapy*