Pelvic floor disorders in women with gynecologic malignancies: a systematic review

Ramaseshan, Aparna S.; Felton, Jessica; Roque, Dana M.; Rao, Gautam; Shipper, Andrea Goldstein; Sanses, Tatiana

doi:10.1007/s00192-017-3467-4

Cited by 59 publications

(56 citation statements)

References 51 publications

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“…Breast cancer survivors who have lost a breast have had to cope with the tension and the discrepancy between the “self and body” and the social expectations of femininity [ 29 ]. Ramaseshan et al [ 30 ] also indicated the relationship between body image and the difficulties in regulating emotions in the context of sex appeal in women after having a mastectomy.…”

Section: Introductionmentioning

confidence: 99%

Psychological Resilience as a Protective Factor for the Body Image in Post-Mastectomy Women with Breast Cancer

Izydorczyk

Kwapniewska

Lizińczyk

et al. 2018

IJERPH

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European statistics confirm a rise in breast cancer among contemporary women. Those suffering from cancer and undergoing a surgery (mastectomy) are undoubtedly considered to be in difficult situations. The range of the numerous negative and/or positive emotions, thoughts, and behaviours depend on many psychological factors such as psychological resilience. The authors are currently drawing a report on their own studies where they are trying to determine factors that protect body image resilience in women suffering from breast cancer after mastectomies. The research group consisted of 120 women after a short (up to 2 years) or a long (over 2 years) duration having elapsed since their mastectomy. The results of the research groups show that psychological resilience is a significant protecting factor for the body image that prevents the excessive development of negative self-esteem in post-mastectomy women. Female patients ought to be provided aid in the short time immediately after the procedure and afterwards, when they are less capable of tolerating negative emotions. In order to significantly improve the general body image resilience to emotional and cognitive distortions in post-mastectomy women who experienced breast cancer, it is recommended that psychological interventions (from psychoeducation to psychological assistance and specialist psychotherapy) are conducted systematically throughout the course of treatment.

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Section: Introductionmentioning

confidence: 99%

Psychological Resilience as a Protective Factor for the Body Image in Post-Mastectomy Women with Breast Cancer

Izydorczyk

Kwapniewska

Lizińczyk

et al. 2018

IJERPH

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“…Treatment of gynaecological cancer often causes direct or indirect injury to the pelvic floor and can cause long-term urinary and faecal incontinence that negatively impacts quality of life (Ramaseshan & Felton, 2018;Skjeldestad & Rannestad, 2009). One small pilot trial evaluated a pelvic floor muscle training and behavioural therapy intervention for urinary incontinence among gynaecological (predominantly uterine) cancer survivors and found significant improvements in survivors' urinary incontinence (Rutledge, Rogers, Lee, & Muller, 2014).…”

Section: Incontinencementioning

confidence: 99%

A systematic literature review of trials of survivorship interventions for women with gynaecological cancer and their caregivers

2019

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Core components of survivorship care include treatment of late and long‐term effects, care coordination, promotion of psychological well‐being, health and addressing special populations’ needs. Women affected by gynaecological cancer and their caregivers can experience disease‐specific issues. This review presents an overview of survivorship interventions that have been trialled among this population. Databases were searched in October/November 2016 to identify eligible studies. Titles, abstracts then full‐text were assessed for inclusion by two reviewers until consensus was reached. Data were abstracted using standard tables. Study quality was independently appraised. Twenty‐eight articles were included (five reviews; 23 trials). In regards to late and long‐term treatment effects, our review found mounting high‐level evidence for the effectiveness of psycho‐educational programmes to improve physical aspects of sexual function and for exercise interventions for reducing fatigue. We also found emerging evidence for nurse‐led follow‐up care to improve care coordination and cognitive behavioural therapy to improve psychological wellbeing. There were gaps in the evidence for interventions to effectively address psychosexual issues specific to gynaecological cancer and needs of caregivers. Further research is required to explore strategies to improving psychosexual concerns after gynaecological cancer and the dynamics and supportive care needs of the patient‐partner dyad.

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“…In patients with cervical cancer, stress urinary incontinence was noted in 24-29% of cases, urinary incontinence in 8-18%, and fecal incontinence in 6% of cancer patients before treatment. In patients with uterine cancer, the pre-treatment prevalence of stress urinary incontinence was 29-36%, of urge urinary incontinence15-25%, and of fecal incontinence 3% (22). The authors also investigated the prevalence of pelvic floor dysfunction in cancer survivors after treatment, as described further in this article.…”

Section: Introductionmentioning

confidence: 99%

“…In women with cervical cancer, they noted a 4-76% post-treatment prevalence of stress urinary incontinence, a 4-59% post-treatment prevalence of urge incontinence, and a 2-34% prevalence of fecal incontinence. Cervical cancer treatment also caused urinary retention 0.4-39% and dyspareunia 7-39% (22).…”

Section: Introductionmentioning

confidence: 99%

Pelvic floor disorders in gynecological malignancies. An overlooked problem?

Bodean¹,

Marcu²,

Spinu³

et al. 2018

JMMS

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Cervical, endometrial, ovarian, vulvar, and vaginal cancers affect women of a broad age spectrum. Many of these women are still sexually active when their cancer is diagnosed. Treatment options for gynecological malignancies, such as gynecological surgery, radiation, and chemotherapy, are proven risk factors for pelvic floor dysfunction. The prevalence of urinary incontinence, fecal incontinence, and sexual dysfunction before cancer treatment is still unclear. Hypotheses have been raised in the literature that these manifestations could represent early symptoms of pelvic cancers, but most remain overlooked even in cancer surviving patients. The primary focus of therapy is always cancer eradication, but as oncological and surgical treatment options become more successful, the number of cancer survivors increases. The quality of life of patients with gynecological cancers often remains an underrated subject. Pelvic floor disorders are not consistently reported by patients and are frequently overlooked by many clinicians. In this brief review we discuss the importance of pelvic floor dysfunction in patients with gynecological malignant tumors.

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Pelvic floor disorders in women with gynecologic malignancies: a systematic review

Abstract: PFDs are prevalent in gynecologic cancer survivors and this is an important area of clinical concern and future research.

Cited by 59 publications

References 51 publications

Psychological Resilience as a Protective Factor for the Body Image in Post-Mastectomy Women with Breast Cancer

Psychological Resilience as a Protective Factor for the Body Image in Post-Mastectomy Women with Breast Cancer

A systematic literature review of trials of survivorship interventions for women with gynaecological cancer and their caregivers

Pelvic floor disorders in gynecological malignancies. An overlooked problem?

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