Pelvic floor disorders and sexual function in gynecologic cancer survivors: a cohort study
Identifieur interne : 003327 ( Pmc/Curation ); précédent : 003326; suivant : 003328Pelvic floor disorders and sexual function in gynecologic cancer survivors: a cohort study
Auteurs : Teresa L. Rutledge ; Seth R. Heckman ; Clifford Qualls ; Carolyn Y. Muller ; Rebecca G. RogersSource :
- American journal of obstetrics and gynecology [ 0002-9378 ] ; 2010.
Abstract
The purpose of this study was to assess the prevalence of pelvic floor disorders and sexual function in survivors of gynecologic cancer.
We surveyed survivors of gynecologic cancer (survivors) and women seeking gynecologic care (control patients) who were >30 years old. All survivors were disease- and treatment-free for ≥ 1 year. Validated questionnaires were used to evaluate pelvic floor disorders.
One hundred eight control patient and 260 survivor questionnaires were completed. A high prevalence of pelvic floor disorders was observed in both groups; 56% of control subjects and 70% of survivors reported moderate-to-severe urinary incontinence (
Fecal incontinence and sexual dysfunction are significant problems in survivors of gynecologic cancer.
Url:
DOI: 10.1016/j.ajog.2010.08.004
PubMed: 20869691
PubMed Central: 5356373
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PMC:5356373Le document en format XML
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<author><name sortKey="Rutledge, Teresa L" sort="Rutledge, Teresa L" uniqKey="Rutledge T" first="Teresa L." last="Rutledge">Teresa L. Rutledge</name>
</author>
<author><name sortKey="Heckman, Seth R" sort="Heckman, Seth R" uniqKey="Heckman S" first="Seth R." last="Heckman">Seth R. Heckman</name>
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<author><name sortKey="Qualls, Clifford" sort="Qualls, Clifford" uniqKey="Qualls C" first="Clifford" last="Qualls">Clifford Qualls</name>
</author>
<author><name sortKey="Muller, Carolyn Y" sort="Muller, Carolyn Y" uniqKey="Muller C" first="Carolyn Y." last="Muller">Carolyn Y. Muller</name>
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<author><name sortKey="Rogers, Rebecca G" sort="Rogers, Rebecca G" uniqKey="Rogers R" first="Rebecca G." last="Rogers">Rebecca G. Rogers</name>
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<author><name sortKey="Heckman, Seth R" sort="Heckman, Seth R" uniqKey="Heckman S" first="Seth R." last="Heckman">Seth R. Heckman</name>
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<author><name sortKey="Qualls, Clifford" sort="Qualls, Clifford" uniqKey="Qualls C" first="Clifford" last="Qualls">Clifford Qualls</name>
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<author><name sortKey="Muller, Carolyn Y" sort="Muller, Carolyn Y" uniqKey="Muller C" first="Carolyn Y." last="Muller">Carolyn Y. Muller</name>
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<author><name sortKey="Rogers, Rebecca G" sort="Rogers, Rebecca G" uniqKey="Rogers R" first="Rebecca G." last="Rogers">Rebecca G. Rogers</name>
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<series><title level="j">American journal of obstetrics and gynecology</title>
<idno type="ISSN">0002-9378</idno>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>OBJECTIVE</title>
<p id="P1">The purpose of this study was to assess the prevalence of pelvic floor disorders and sexual function in survivors of gynecologic cancer.</p>
</sec>
<sec id="S2"><title>STUDY DESIGN</title>
<p id="P2">We surveyed survivors of gynecologic cancer (survivors) and women seeking gynecologic care (control patients) who were >30 years old. All survivors were disease- and treatment-free for ≥ 1 year. Validated questionnaires were used to evaluate pelvic floor disorders.</p>
</sec>
<sec id="S3"><title>RESULTS</title>
<p id="P3">One hundred eight control patient and 260 survivor questionnaires were completed. A high prevalence of pelvic floor disorders was observed in both groups; 56% of control subjects and 70% of survivors reported moderate-to-severe urinary incontinence (<italic>P</italic>
> .05). Survivors were more likely to experience fecal incontinence (42% vs 32%; <italic>P</italic>
= .02). Survivors reported less sexual desire (<italic>P</italic>
= .04) and less ability to climax (<italic>P</italic>
= .04), despite no difference in dyspareunia.</p>
</sec>
<sec id="S4"><title>CONCLUSION</title>
<p id="P4">Fecal incontinence and sexual dysfunction are significant problems in survivors of gynecologic cancer.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">0370476</journal-id>
<journal-id journal-id-type="pubmed-jr-id">439</journal-id>
<journal-id journal-id-type="nlm-ta">Am J Obstet Gynecol</journal-id>
<journal-id journal-id-type="iso-abbrev">Am. J. Obstet. Gynecol.</journal-id>
<journal-title-group><journal-title>American journal of obstetrics and gynecology</journal-title>
</journal-title-group>
<issn pub-type="ppub">0002-9378</issn>
<issn pub-type="epub">1097-6868</issn>
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<article-meta><article-id pub-id-type="pmid">20869691</article-id>
<article-id pub-id-type="pmc">5356373</article-id>
<article-id pub-id-type="doi">10.1016/j.ajog.2010.08.004</article-id>
<article-id pub-id-type="manuscript">NIHMS852254</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Pelvic floor disorders and sexual function in gynecologic cancer survivors: a cohort study</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Rutledge</surname>
<given-names>Teresa L.</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Heckman</surname>
<given-names>Seth R.</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Qualls</surname>
<given-names>Clifford</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Muller</surname>
<given-names>Carolyn Y.</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Rogers</surname>
<given-names>Rebecca G.</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<aff id="A1">Department of Obstetrics and Gynecology (Drs Rutledge, Heckman, Muller, and Rogers), School of Medicine, and the Department of Statistics (Dr Qualls), University of New Mexico Health Sciences Center, Albuquerque, NM</aff>
</contrib-group>
<author-notes><corresp id="FN1">Reprints: Teresa Rutledge, MD, University of New Mexico, Department of Obstetrics and Gynecology, UNM 1UNM MSC 105580 Albuquerque, NM 87131. <email>trutledge@salud.unm.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>17</day>
<month>2</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub"><day>24</day>
<month>9</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><month>11</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>17</day>
<month>3</month>
<year>2017</year>
</pub-date>
<volume>203</volume>
<issue>5</issue>
<fpage>514.e1</fpage>
<lpage>514.e7</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.ajog.2010.08.004</pmc-comment>
<abstract><sec id="S1"><title>OBJECTIVE</title>
<p id="P1">The purpose of this study was to assess the prevalence of pelvic floor disorders and sexual function in survivors of gynecologic cancer.</p>
</sec>
<sec id="S2"><title>STUDY DESIGN</title>
<p id="P2">We surveyed survivors of gynecologic cancer (survivors) and women seeking gynecologic care (control patients) who were >30 years old. All survivors were disease- and treatment-free for ≥ 1 year. Validated questionnaires were used to evaluate pelvic floor disorders.</p>
</sec>
<sec id="S3"><title>RESULTS</title>
<p id="P3">One hundred eight control patient and 260 survivor questionnaires were completed. A high prevalence of pelvic floor disorders was observed in both groups; 56% of control subjects and 70% of survivors reported moderate-to-severe urinary incontinence (<italic>P</italic>
> .05). Survivors were more likely to experience fecal incontinence (42% vs 32%; <italic>P</italic>
= .02). Survivors reported less sexual desire (<italic>P</italic>
= .04) and less ability to climax (<italic>P</italic>
= .04), despite no difference in dyspareunia.</p>
</sec>
<sec id="S4"><title>CONCLUSION</title>
<p id="P4">Fecal incontinence and sexual dysfunction are significant problems in survivors of gynecologic cancer.</p>
</sec>
</abstract>
<kwd-group><kwd>incontinence</kwd>
<kwd>pelvic floor disorder</kwd>
<kwd>sexual dysfunction</kwd>
<kwd>survivor of cancer</kwd>
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</front>
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