Prevalence of Male and Female Sexual Dysfunction Is High Following Surgery for Rectal Cancer

Hendren, Samantha; O’Connor, Brenda I.; Liu, Maria; Asano, Tracey K.; Cohen, Zane; Swallow, Carol J.; MacRae, Helen; Gryfe, Robert; McLeod, Robin S.

doi:10.1097/01.sla.0000171299.43954.ce

Cited by 504 publications

(358 citation statements)

References 24 publications

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“…It has also been used to evaluate sexual problems in adolescence, pregnancy, middle and menopausal ages [5, 6, 24, 25]. It has been used to evaluate sexual problems in various clinical conditions, like women with diabetes mellitus, hypertension, female genital mutilation, obstructive sleep apnea, medical tinnitus, spinal cord injury, pelvic surgery, elective aortic surgery, and women from a medical clinic [7, 26, 27, 28, 29, 30, 31, 32, 33, 34]. …”

Section: Introductionmentioning

confidence: 99%

The Female Sexual Function Index (FSFI): Translation, Validation, and Cross-Cultural Adaptation of an Urdu Version “FSFI–U”

et al. 2015

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IntroductionFemale sexual dysfunction (FSD) is a common problem, and many self‐report questionnaires are available for its evaluation. Pakistani women with sexual problems feel shy to consult with their physician. A validated self‐report questionnaire, in the local language with modest expressions is required for these women.AimThe aim of this study was to translate, cross‐culturally adapt, and perform a psychometric validation of an Urdu translation of the Female Sexual Function Index (FSFI).MethodsThe FSFI was translated in Urdu, and its precision was ascertained through reverse translation. It was pretested on 22 bilingual women and refined again to reach at a reliable Urdu version of the questionnaire FSFI‐U. One hundred sixteen bilingual women, in a stable sexual relationship over the previous 6 months were finally asked to fill out the FSFI and FSFI‐U. Their sexual function was then clinically evaluated and responses were compared with the clinical assessment as well as with each other.Main Outcome MeasuresThe responses were analyzed through descriptive statistics for reliability, face validity, agreement between the responses to the original English version and to the FSFI‐U, and also for test–retest consistency. The data were analyzed statistically using Cronbach's alpha analysis, Intraclass correlation coefficients, Pearson correlation, and Student's t‐test.Results FSFI was found to be easily understandable and capable of adequately evaluating and measuring various aspects of female sexual function. A high degree of internal consistency was demonstrated on Cronbach's alpha analysis. Cronbach's α coefficient for various domains was sufficiently high ranging from 0.84 to 0.97. The clinical assessment of the presence and severity of FSD also matched with the self‐report questionnaire. Similarly, various domains of FSFI had high degree of correlation in the Urdu version of FSFI (P < 0.001).ConclusionThe Urdu translation version of FSFI is valid and reliable for use in the literate population of Pakistan. Rehman KU, Asif Mahmood M, Sheikh SS, Sultan T, Khan MA. The Female Sexual Function Index (FSFI): Translation, Validation, and Cross‐Cultural Adaptation of an Urdu Version “FSFI–U”. Sex Med 2015;3:244–250.

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Section: Introductionmentioning

confidence: 99%

The Female Sexual Function Index (FSFI): Translation, Validation, and Cross-Cultural Adaptation of an Urdu Version “FSFI–U”

et al. 2015

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“…Nevertheless, the impact of rectal cancer therapy on sexual function should be conveyed to patients preoperatively. 1 In addition to helping patients evolve realistic expectations, it will help clinicians identify those for whom interventions may be appropriate.…”

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Sexual Function After Treatment for Rectal Cancer: A Review

Lee

Stein

et al. 2011

Diseases of the Colon &Amp; Rectum

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Sexual function is one element of QOL that may be significantly altered following treatment for rectal cancer, but the incidence and contributing risk factors are generally poorly understood. Nevertheless, the impact of rectal cancer therapy on sexual function should be conveyed to patients preoperatively. In addition to helping patients evolve realistic expectations, it will help clinicians identify those for whom interventions may be appropriate. In the past 10 years, there has been an increase in the number of studies reporting sexual dysfunction following rectal cancer treatment. However, these studies are difficult to interpret collectively for a variety of reasons. Most importantly, sexual dysfunction lacks a standardized definition, which leads to poor comparability between studies. The best inclusive definitions describe sexual dysfunction as a collection of distinct symptoms, which differ for men and women. The absence of sexual activity is sometimes used as a surrogate for sexual dysfunction, but this is confounded by an individual's desire and opportunity for sexual activity, and may not be an accurate reflection of physiologic functionality. Additional factors complicating assimilation of studies include the absence of baseline data, missing data, small sample sizes, and heterogeneity in use of validated and nonvalidated instruments. The purpose of this article is to systematically review the contemporary literature reporting sexual function after rectal surgery to determine the overall risk of sexual dysfunction, evaluate possible contributing factors, and identify questions that should be addressed in future studies.

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“…Estos resultados coinciden con estudios anteriores, que sugieren un impacto psicosocial generalizado de la colostomía (Brown y Randle, 2005). Entre los efectos psicosociales de la colostomía incluyen problemas sexuales (Hendren et al, 2005;Weerakoon, 2001), reducido funcionamiento social (Engel et al, 2003a;MacDonald y Anderson, 1985), aumento de los niveles de síntomas depresivos (Williams y Johnston, 1983;Wirsching, Druner, y Hermann, 1975). Otro estudio muestra que hay una mayor prevalencia de la depresión en pacientes con cáncer colorrectal, especial-mente aquellos que reciben una colostomía, que puede continuar durante un período de tiempo considerable después de la cirugía (Sharma, Sharp, Walker, y Monson, 2007); y especialmente para aquellos con síntomas depresivos graves (MacDonald y Anderson, 1985).…”

Section: Estudios De Calidad De Vida Y Factores Psicosociales En La Cunclassified

“…Por lo tanto, la disfunción sexual debe ser discutida con pacientes con cáncer colorrectal y debe incrementarse los esfuerzos para prevenirla y tratarla (Hendren et al, 2005). La revisión de Breukink y Donovan (2013) sugiere que la terapia quirúrgica y tratamiento adyuvante para el cáncer colorrectal se asocian comúnmente con una amplia gama de problemas sexuales.…”

Section: Estudios De Calidad De Vida Y Factores Psicosociales En La Cunclassified

Evaluación de las alteraciones psicológicas y de la calidad de vida en pacientes con cáncer colorrectal localizado

Pérez

2016

Psicooncología

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Prevalence of Male and Female Sexual Dysfunction Is High Following Surgery for Rectal Cancer

Abstract: Sexual problems after surgery for rectal cancer are common, multifactorial, inadequately discussed, and untreated. Therefore, sexual dysfunction should be discussed with rectal cancer patients, and efforts to prevent and treat it should be increased.

Cited by 504 publications

References 24 publications

The Female Sexual Function Index (FSFI): Translation, Validation, and Cross-Cultural Adaptation of an Urdu Version “FSFI–U”

The Female Sexual Function Index (FSFI): Translation, Validation, and Cross-Cultural Adaptation of an Urdu Version “FSFI–U”

Sexual Function After Treatment for Rectal Cancer: A Review

Evaluación de las alteraciones psicológicas y de la calidad de vida en pacientes con cáncer colorrectal localizado

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