Open Access Open Access  Restricted Access Subscription Access


Sanjeew Kumar Chowdhary, Ramendranath Talukdar


Introduction: Warm sitz bath and hot waterbag application are two commonly practiced method of superficial heat application in painful conditions of body. Sitz bath provides much relief in painful perianal conditions including anal fissure, thrombosed heamorrhoids etc. as well as following perianal surgeries. But it is cumbersome and somewhat awkward to take sitz bath while hot waterbag is simpler and requires no privacy.

Aims & Objective: As there was little scientific literature available presently comparing the two methods, present study was undertaken to compare the efficacy and compliance between the two methods.

Material & Methods: 56 patients of different painful perianal conditions were randomly divided into two groups-one taking warm sitz bath and another applying hot waterbag and data were collected and results were analyzed to know which one is better.

Results: 71.4% of patients using sitz bath showed satisfactory result while 92.9 % of cases using hot waterbag showed satisfactory result as compliance rate was higher in latter group than former.

Conclusion: Though both methods were equally effective but better compliance with hot waterbag application patient’s satisfaction regarding clinical recovery including relief from pain and healing was fast and better than using sitz bath.


Painful perianal conditions, Sitz bath, Hot waterbag, Anal fissure, Periananl surgery, Thrombosed haemorrhoid.

Full Text:



Ahmed S. (1993). “A study on role of sitz bath in anorectal condition and inducing micturation in post operative urinary retention after anorectal operations”, Journal of Gastroenterology, Lippincott Raven publishers,Vol.50(4), pp.213-217.

Berman A, Synder S, Kozier B, and Erb G. (2002). “Heat And Cold Measures techniques, Kozier and Erb’s Techniques in Clinical Nursing”, 5th edition, Prentice Hall: In Tech, New Jersey.

Gupta PJ. (2006). “On comparing sitz bath and no sitz bath treatment and warm sitz bath does reduce symptoms in posthemorroidectomy, Gupta nursing home India”, ANZ journal of surgery, pp.318-401.

Gupta PJ. (2007). “Effects of Warm Water Sitz Bath on Symptoms in Post-anal Sphincterotomy in Chronic Anal Fissure-A Randomized and Controlled Study”, World Journal of Surgery, July, Vol.31(7), pp.1480-1484.

Jensen SL. (1986). “A study on lignocaine ointment versus hydrocortisone ointment or warm water sitz bath plus bran”, br med j(clin res ed), Vol.292(6529), pp.1167-1169.

Lang DS, and Chito P. (2011). “A study on use of the sitz bath had no significant impact on reducing overall intensity of post operative pain”, Japan Journal of Nursing Sciences, p.1742.

Rambler D, and Roberts J. (2006). “A study on effect of cold sitz bath in relieving perineal pain”, The journal of obstetrics and Gynecological Nursing, Vol.15, pp. 471-474.

Simkin P, and Bolding A. (2004). “Update on nonpharmacologic approaches to relieve labor pain and prevent suffering”, J Midwifery Womens Health, Vol.49(6), pp.489-504.

Taylor C, Lillis C, and LeMone P. (2001). “Fundamentals of Nursing The Art & science of Nursing Care”, 4th edition, Lippincott Williams & Wilkins: In Tech, Philadelphia.

Tejirian T, and Abbas MA. (2005). “A study on midline research was conducted using the key words sitz bath and hot bath”, Journal of Gastrointestinal surgery, Vol.31(7).


  • There are currently no refbacks.

Send mail to with questions or comments about this web site. 

International Journal of Surgery and Surgical Sciences, All rights reserved.