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Objective: To report the experience after 4 years of use of the new version of the globally used ‘Smit Sleeve’ not requiring sutures as an ancillary device for well-fractionated, user-friendly and costeffective brachy-radiotherapy of carcinoma of the cervix of the uterus. Methods: Injection moulding of suitable polymers of medical grade made many improvements to the original lathe-turned sleeve and injection moulded copies possible. The improved sleeves were used in 250 consecutive patients with carcinoma of the cervix. A problem with the old design was the need to stitch the sleeves in place and even then about 15% of them fell out and had to be repositioned. Results: Not a single sleeve fell out in the 250 consecutive patients’ representing1000 brachy-radiotherapy sessions. No complications related to the sleeves were observed. Conclusions: The new sleeves were found to be superior to the older ones on all counts. By obviating stitching and loss, resterilization and re-insertion, they are cost- effective and more userfriendly to oncologist and patient alike and enable easy fractionation of dose.

cancer science and research: open access

Update After 4 Years of Use of the Improved Indwelling Intrauterine Tube (IIUT or ‘Smit Sleeve’) not Requiring Retaining Stitches for Well-Fractionated Brachy-Radiotherapy for Carcinoma of the Uterine Cervix