Vaginal Repair in the Radical Operation for Cervical Carcinoma

Saito, Motoi; Kumasaka, T; Kato, Kohei; Yazawa, Keijiro

doi:10.1097/00006254-197611000-00023

Cited by 3 publications

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“…To combat this problem, a vaginal extension procedure (VX) has been proposed over half a century ago [14], and VX with posterior peritoneal flap sutured to posterior vaginal wall also has been proposed for patients with cervical cancer after RH [15].…”

Section: Introductionmentioning

confidence: 99%

Vaginal extension improves sexual function in patients receiving laparoscopic radical hysterectomy

Jiang¹,

Zhu²,

Guo³

et al. 2016

Gynecologic Oncology

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Section: Introductionmentioning

confidence: 99%

Vaginal extension improves sexual function in patients receiving laparoscopic radical hysterectomy

Jiang¹,

Zhu²,

Guo³

et al. 2016

Gynecologic Oncology

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“…A shortened vagina following RH seems to be a quite prominent issue in CCSs. Symmonds and Pratt first reported the surgical technique of vaginal extension following RH, which creates a neo‐vagina using the edges of peritoneum (peritoneovaginoplasty) to elongate the vagina for the purpose of a better postoperative sexual function [12,13]. However, it is unknown whether this kind of reconstruction actually improves the quality of sexual life as it may worsen pelvic floor problems (voiding dysfunction and colorectal motility disorder).…”

Section: Introductionmentioning

confidence: 99%

Quality of Life and Sexual Function of Patients Following Radical Hysterectomy and Vaginal Extension

Yang

Cao

et al. 2014

The Journal of Sexual Medicine

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Introduction Radical hysterectomy (RH) has negative consequences on sexual function due to a shortened vagina, vaginal dryness, and dyspareunia. Peritoneovaginoplasty aims to extend vagina by vesical peritoneum and anterior rectal wall to improve postoperative sexual function. Aim The aim of this study was to investigate whether vaginal extension can improve sexual function and quality of life and the problem of sexual dysfunction in early-stage cervical cancer survivors (CCSs) in China. Methods Case-control and questionnaire-based methods were employed. Thirty-one patients who had undergone vaginal extension following RH and 28 patients with matching factors after RH alone were enrolled in the study. Main Outcome Measures Both groups were assessed retrospectively by questionnaires at least 6 months after treatment. The European Organization for Research and Treatment of Cancer Quality-of-Life questionnaire cervical cancer module and the Sexual Function Vaginal Changes Questionnaire are validated measurements for disease- and treatment-specific issues. Results Vaginal length was 10.03 ± 1.26 cm and 5.92 ± 1.05 cm in study and control group, respectively (P< 0.05). In the study group, 67.7% patients and 64.3% of control group resumed sexual activity at the time of interview, averaging 6 months between treatment and sexual activity. While difficulty emptying bladder, incomplete emptying, and constipation were the most commonly reported symptoms, no significant difference was observed regarding pelvic floor symptoms. Reduced vagina size and shortened vagina was significantly more prominent in the control group, whereas both group presented with hypoactive sexual desire (88.1%), orgasm dysfunction (71.8%), and low enjoyment or relaxation after sex (51.3%). Conclusion Shortened vagina was significantly less reported in study group, while no difference was observed in other sex-related dimensions. Vaginal extension does not worsen pelvic floor symptoms. Sexual rehabilitation interventions are of significance and should be paid more attention to the CCSs in China.

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Effect of substitution of SnO2 for TiO2 on the surface and electrocatalytic properties of RuO2+TiO2 electrodes

Onuchukwu

Trasatti

1991

J Appl Electrochem

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Vaginal Repair in the Radical Operation for Cervical Carcinoma

Cited by 3 publications

References 0 publications

Vaginal extension improves sexual function in patients receiving laparoscopic radical hysterectomy

Vaginal extension improves sexual function in patients receiving laparoscopic radical hysterectomy

Quality of Life and Sexual Function of Patients Following Radical Hysterectomy and Vaginal Extension

Effect of substitution of SnO2 for TiO2 on the surface and electrocatalytic properties of RuO2+TiO2 electrodes

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