[Evaluation of Cicatridine efficacy in healing and repairing process of uterine cervix, vagina and vulva--open no-randomized clinical study].
OBJECTIVE
The aim of the study was to evaluate the efficacy of Cicatridine application in healing and repairing process after operative procedures concerning uterine cervix, vagina and vulva and after brachytherapy due to cervical and endometrial cancer. We also analyzed Cicatridine effect on vaginal athrophical signs in post-menopausal women.


METHODS
The examined group consist of 319 women. They were divided into 2 arms. The active arm concerns 213 women who used Cicatridine, while controlled one consists of 106 women. The effect of treatment was estimated after 6 weeks and 3 months by the visual inspection of the cervix and vagina. We also analyzed the subjective filling of patients bound to sexual intercourses by using of Visual Analogue Scale (0%--no effect; 100%--disappearance of pathological symptoms).


RESULTS
In active arm according to control one the reparation of cervix was more often: after surgery procedures (respectively after 6 weeks 93% vs 70%; after 3 months 99% vs 89%) and after brachytherapy (respectively after 3 months 86% vs 0%). In brachytherapy group the lack of discomfort during sexual intercourses was also more often in active arm (respectively 55% vs 0%). In postmenopausal women reduction of symptoms associated with atrophic vaginitis was observed only in active group (respectively after 6 weeks 43% vs 0%; after 3 months 57% vs 0%). In the group of patients after ephisiotomy due to delivery the relief of discomfort during sexual intercourses was also more often in active arm respectively 94% vs 25%).


CONCLUSIONS
Cicatridine causes fast healing of cervix after gynecological procedures. It influences improvement of atrophical, inflammatory and after radiation therapy effects which improve quality of life and comfort of vagina after brachytherapy due to cervical and endometrial cancer. Cicatridine causes similar effect in vagina of post-menopausal women as locally used estrogens. Cicatridine also causes the feeling of relief and comfort in vagina after delivery as well as fast healing after episiotomy.
Markowska
Janina
J
Oddział Ginekologii Kliniki Onkologii Uniwersytetu Medycznego w Poznaniu. janina.markowska@oncology.am.poznan.pl
Markowska
Anna
A
Madry
Radosław
R
D000328:Adult; D001414:Bacitracin / Q000008:administration & dosage*; D001918:Brachytherapy / Q000009:adverse effects; D002979:Climacteric / Q000187:drug effects*; D003545:Cysteine / Q000008:administration & dosage*; D004338:Drug Combinations; D005260:Female; D005998:Glycine / Q000008:administration & dosage*; D006801:Humans; D008875:Middle Aged; D009355:Neomycin / Q000008:administration & dosage*; D013912:Threonine / Q000008:administration & dosage*; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014599:Uterus / Q000187:drug effects / Q000473:pathology / Q000601:surgery*; D014621:Vagina / Q000187:drug effects / Q000473:pathology / Q000601:surgery*; D014623:Vaginal Diseases / Q000188:drug therapy* / Q000209:etiology / Q000601:surgery; D014625:Vaginal Neoplasms / Q000150:complications / Q000601:surgery; D014844:Vulva / Q000187:drug effects / Q000473:pathology / Q000601:surgery*; D016387:Women's Health; D014945:Wound Healing / Q000187:drug effects*
D004338:Drug Combinations; C042351:bacitracin, cysteine, glycine, neomycin, threonine drug combination; D001414:Bacitracin; D013912:Threonine; D009355:Neomycin; D003545:Cysteine; D005998:Glycine