Sexual outcome following female genital cancer treatment: A critical review of methods of investigation and results

Schultz, Wcmw; Bransfield, Diana D.; Wiel, H. R. B. M. Van De; Bouma, J

doi:10.1080/02674659208404465

Cited by 19 publications

(10 citation statements)

References 31 publications

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“…First, our sample size was very limited and a more powerful sample size may have produced a more poignant picture. However, previous studies used comparable sample sizes but reported significant sexual disruption following treatment for gynecological cancer (4,6,10,28) . These studies included patients with mixed tumors and more advanced disease.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with other gynecological cancers, cervical cancer often affects younger women (2) , and concerns about sexuality and fertility are particularly prominent among this group. There is extensive evidence in the literature indicating that outcomes of treatment for cervical cancer entail adverse sexual functioning (3–6) , but most of the studies report on mixed samples of patients undergoing surgery, radiotherapy, or combined treatment (6) . Radiotherapy as primary or adjuvant treatment has been reported to result in more severe sexual functioning difficulties than hysterectomy alone (7–9) .…”

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confidence: 99%

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Sexual functioning in patients following radical hysterectomy for stage IB cancer of the cervix

Grumann¹,

Robertson²,

Hacker³

et al. 2001

Int J Gynecol Cancer

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Despite extensive research on sexual dysfunction after gynecological cancer, uncertainty remains regarding the nature and extent of sexual problems following surgery for early cervical cancer. This study investigated whether radical hysterectomy for stage IB cancer of the cervix without adjuvant treatment entails short- or long-term sexual difficulties. Twenty patients with stage IB cervical cancer undergoing radical hysterectomy (CG), 18 women treated with hysterectomy for a benign gynecological condition (BG), and 20 gynecologically healthy women (HG) were studied. At 0, 4, and 8 months postoperatively, data were prospectively gathered using standardized questionnaires and specifically developed scales. Sexual functioning was covered in 15 specifically designed items and analyzed using Fisher's exact tests. For all other variables, group comparisons were computed using analysis of variance (ANOVA) or nonparametric statistical equivalents. Nonsignificant trends, consistent across time and groups, resulted for most of the sexual variables. Preoperatively, cancer patients exhibited slightly better sexual functioning than the other two groups, but over time this decreased slightly. Conversely, sexual functioning among the patients with benign disease showed steady improvement. These results indicate that radical hysterectomy for stage IB cervical cancer does not entail major sexual sequelae. Because of the limited sample size of our study, conclusions must be drawn cautiously.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Sexual functioning in patients following radical hysterectomy for stage IB cancer of the cervix

Grumann¹,

Robertson²,

Hacker³

et al. 2001

Int J Gynecol Cancer

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“…Three previously conducted literature reviews ( Horton, 1991; Weijmar Schultz et al ., 1991a ; So Kum Tang et al ., 1996 ) served as the starting point when answering the question, ‘What are the effects of gynaecological cancer on sexuality?’ The reader is referred to these publications and their reference lists for detailed description of the individual studies and the research methods. The three review articles are also useful when examining sexual outcomes in association with culture (western vs. eastern) and as a function of specific type of gynaecological cancer.…”

Section: Effects Of Gynaecological Cancer On Sexualitymentioning

confidence: 99%

“…The studies reported by Weijmar Schultz et al . (1991a , b, c) are used extensively because their measurement instruments are valid and reliable for gynaecological cancer and the Dutch culture.…”

Section: Effects Of Gynaecological Cancer On Sexualitymentioning

confidence: 99%

Informational needs about the effects of gynaecological cancer on sexuality: a review of the literature

Gamel

Hengeveld

Davis

2000

Journal of Clinical Nursing

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• In order to develop a supportive and information‐giving intervention for women with gynaecological cancer, the effects of cancer on sexuality and the associated informational needs were reviewed. • Pre‐diagnosis symptoms of gynaecological cancer which affect sexual function may resolve after treatment; these symptoms are often replaced by treatment‐associated effects on sexuality. • Sexual dysfunction has been found even when women report regular intercourse and sexual satisfaction. • Effects on sexuality seen at 6 months gradually resolve over time. However, women with cervical and ovarian cancer tend to attain better long‐term sexual function than those with vulvar and endometrial cancer. • Specific sexuality information needs can be ascertained from the findings of qualitative studies in which the experience of sexuality, sexual adaptation and received information is described. • Different sexuality information is needed at three time periods: diagnosis and treatment period; recovery and first intercourse; the period of rebuilding sexual life. • The type of information and the time when it is needed are not necessarily the same for women and their partners.

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“…Gynecologic cancer is the fourth most frequently diagnosed cancer in women and is accompanied by an array of well documented psychosexual problems . Estimates of the incidence of ongoing sexual distress in this population are approximately 50% .…”

Section: Introductionmentioning

confidence: 99%

Psychosexual distress in women with gynecologic cancer: a feasibility study of an online support group

et al. 2012

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Sexual outcome following female genital cancer treatment: A critical review of methods of investigation and results

Cited by 19 publications

References 31 publications

Sexual functioning in patients following radical hysterectomy for stage IB cancer of the cervix

Sexual functioning in patients following radical hysterectomy for stage IB cancer of the cervix

Informational needs about the effects of gynaecological cancer on sexuality: a review of the literature

Psychosexual distress in women with gynecologic cancer: a feasibility study of an online support group

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