Vaginal dilator therapy for women receiving pelvic radiotherapy

Miles, Tracie; Johnson, Nick

doi:10.1002/14651858.cd007291.pub2

Cited by 83 publications

(47 citation statements)

References 48 publications

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“…However, the specific sexual impact of this situation is variable according to the patient and her partner [3]. It seems especially problematic after radiation therapy and is inconsistently prevented by the use of dilators [4].…”

Section: Discussionmentioning

confidence: 99%

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

Leblanc

Bresson

Merlot

et al. 2016

Journal of Minimally Invasive Gynecology

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Colpohysterectomy is sometimes associated with a large upper colpectomy resulting in a shortened vagina, potentially impacting sexual function. We report on a preliminary experience of a laparoscopic colpoplasty to restore a normal vaginal length. Patients with shortened vaginas after a laparoscopic colpohysterectomy were considered for a laparoscopic modified Davydov's procedure to create a new vaginal vault using the peritoneum of the rectum and bladder. From 2010 to 2014, 8 patients were offered this procedure, after informed preoperative consent. Indications were 2 extensive recurrent vaginal intraepithelial neoplasias grade 3 and 6 radical hysterectomies for cervical cancer. Mean vaginal length before surgery was 3.8 cm (standard deviation, 1.6). Median operative time was 50 minutes (range, 45-90). Blood loss was minimal (50-100 mL). No perioperative complications occurred. Median vaginal length at discharge was 11.3 cm (range, 9-13). Sexual intercourse could be resumed around 10 weeks after surgery. At a median follow-up of 33.8 months (range, 2.4-51.3), 6 patients remained sexually active but 2 had stopped. Although this experience is small, this laparoscopic modified Davydov's procedure seems to be an effective procedure, adaptable to each patient's anatomy. If the initial postoperative regular self-dilatation is carefully observed, vaginal patency is durably restored and enables normal sexual function.

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Section: Discussionmentioning

confidence: 99%

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

Leblanc

Bresson

Merlot

et al. 2016

Journal of Minimally Invasive Gynecology

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“…This procedure may reduce the incidence of vaginal stricture in our study. Unfortunately, Miles et al reported that no reliable evidence to suggest that routine dilatation prevented vaginal toxicity [22].…”

Section: Discussionmentioning

confidence: 99%

The Associations for Vaginal Point Doses of Vaginal Stenosis in Image-Guided Brachytherapy

Tharavichitkul¹,

Jayavasti²,

Galalae³

et al. 2014

JCT

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“…The current evidence does not support a specific psychosocial counselling intervention to improve sexual functioning and satisfaction. The evidence base for this recommendation consists of sixteen publications of moderate quality [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] and four systematic reviews [14][15][16][17] . …”

Section: Overall Sexual Function and Satisfactionmentioning

confidence: 99%

“…A handful of systematic reviews have been published [12][13][14][15][16][17][18][19] , but they tend to focus on a single cancer or intervention type. No guidelines have comprehensively addressed sexual issues in people with cancer.…”

Section: Introductionmentioning

confidence: 99%