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ST. LOUIS -- The presence of bacterial vaginosis at the time of pelvic surgery can be easily detected if a patient's vaginal pH is checked in the operating room on the day of surgery, according to S. Robert Kovac, M.D.
"BV is associated with a much higher degree of cuff cellulitis, but if we test a patient 2 months or even 2 weeks before surgery, we have no way of knowing if she has been effectively treated or re-infected by the time she comes back for surgery," he said at the 14th International Pelvic Reconstructive and Vaginal Surgery Conference.
A pH of more than 4.5 on the day of surgery indicates an abnormality, which is most commonly BV. Such patients should be treated therapeutically with 500 mg of Flagyl orally, twice a day ...
Source: HighBeam Research, PH testing may cut postsurgical infection.(Gynecology)