Female sexual function in bladder cancer: A review of the evidence

Martin, Rebecca; Renouf, Tessa; Rigby, Jeannie; Hafeez, S.; Thurairaja, Ramesh; Kumar, Pardeep; Cruickshank, Susanne; Hemelrijck, Mieke Van

doi:10.1002/bco2.186

Cited by 3 publications

(1 citation statement)

References 67 publications

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“…Dane uzyskane w przeglądzie systematycznym z 2023 r. świadczą o zbliżonej do notowanej w przypadku złośliwych nowotworów ginekologicznych znacznej częstości występowania zaburzeń seksualnych wśród kobiet z diagnozą raka pęcherza moczowego, osiągającej nawet 75% badanych [33].…”

Section: Rak Pęcherza Moczowegounclassified

Female sexual disorders in the course of genitourinary cancers

Zając,

Pokora,

Salata

et al. 2023

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Seksualność kobiet z nowotworem złośliwym zostaje upośledzona zarówno bezpośrednio wskutek choroby, jak i jej leczenia. Oba te czynniki wywierają znaczący wpływ na ciało i psychikę pacjentek, prowadząc do zaburzeń seksualnych o zróżnicowanej i złożonej etiologii. W przebiegu choroby nowotworowej i terapii onkologicznej obserwuje się między innymi zaburzenia pożądania, podniecenia i orgazmu, upośledzenie lubrykacji i atrofię pochwy, dyspareunię oraz pogorszenie postrzegania własnego ciała, których kumulatywnym efektem może być zmniejszenie częstości podejmowania aktywności seksualnej, a w skrajnych przypadkach nawet całkowite jej zaniechanie. Szczególnie dużym ryzykiem dysfunkcji seksualnych obarczone są pacjentki z nowotworami złośliwymi w lokalizacjach kluczowych dla zdrowia seksualnego, do których zalicza się nowotwory układu moczowo-płciowego. Szacuje się, że ponad 65% kobiet z nowotworem złośliwym, niezależnie od jego rodzaju, doświadcza zaburzeń seksualnych. W przypadku nowotworów ginekologicznych ten odsetek jest wyjątkowo duży (średnio 78%) i według niektórych doniesień sięga nawet 89%, a kobiety dotknięte tą chorobą są obciążone 2,7-3,5-krotnie wyższym ryzykiem wystąpienia patologii w zakresie zdrowia seksualnego niż zdrowa populacja. Na zwiększone ryzyko zaburzeń seksualnych są narażone również pacjentki poddane cystektomii z powodu raka pęcherza. Mając na uwadze skalę zjawiska, ważne jest zwiększanie świadomości pacjentek w tym obszarze oraz wdrażanie wczesnej diagnostyki i implementacja skutecznej terapii.

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Section: Rak Pęcherza Moczowegounclassified

Female sexual disorders in the course of genitourinary cancers

Zając,

Pokora,

Salata

et al. 2023

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Radical cystectomy in the female patient: The pelvic floor, sexual function, and patient/provider education

Rapp,

Zillioux

2024

Urologic Oncology: Seminars and Original Investigations

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“I think my vagina is still there?”: Women’s perspectives on sexual function and dysfunction following radical cystectomy for bladder cancer, a qualitative study

Ceasar,

Ladi-Seyedian,

Escobar

et al. 2024

The Journal of Sexual Medicine

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Background Women’s sexual health after radical cystectomy is an important but poorly understood aspect of bladder cancer survivorship. Dedicated investigation is needed to elucidate patient perceptions on sexual function and dysfunction in this setting. Aims In this study we sought to qualitatively examine women’s perceptions and experiences of sexual health following radical cystectomy for bladder cancer. Methods We conducted one-on-one qualitative telephone interviews with 40 women who underwent radical cystectomy in the past 6 months to 5 years and signed a research consent form to be contacted for future studies. We examined women’s experiences of engaging in sexual activity after surgery and their attitudes toward sex and body image. We audio recorded, transcribed, and coded the interviews using ATLAS.ti software and applied grounded theory methods for analysis. Outcomes For data that emerged during the qualitative interviews that was related to lack of knowledge about how physical and psychological sexual health would be affected after surgery, we reviewed and discussed transcripts that enabled coding of the data into emerging topic areas. Results Our analysis yielded 4 main themes. (1) Women reported receiving little to no information from providers about female sexual dysfunction prior to or after radical cystectomy. Women wished they had been provided more information about female sexual dysfunction from their clinicians, including strategies for postoperative self-pleasure and nonintercourse methods of sexual pleasure with partners. (2) Women shared that they were not sexually active following surgery due to physical and mental barriers. (3) When women did try to engage in sex, they described feeling disappointed that it did not feel the same as prior to surgery. (4) Some women found that physical therapy helped them to physically and mentally recover their strength to engage in sexual activity again. Clinical Implications Clinicians must directly address sexual health concerns with patients who undergo radical cystectomy. Strengths and Limitations This study has several key strengths. Investigation into women’s sexual function and dysfunction addresses a gap in understanding of this component of women’s health-related quality of life after radical cystectomy, which represents an unmet need. The large number of interviews conducted as well as the in-depth information obtained through one-on-one interviews are additional strengths. This study also has limitations, including possible shortcomings of telephone interviews compared with in-person interviews. However, telephone interviews were beneficial because the interviews took place during the COVID-19 pandemic and spared patients from extra visits or from having to travel long distances to the respective medical centers. Other possible limitations were that patients may have been reluctant to share all of their experiences and that patients who underwent urostomies, also termed ileal conduits, were overrepresented in this study compared with women who underwent continent urine diversions, which allow greater control over urine output. Conclusion Broadening the understanding of sexual health beyond sexual intercourse to encompass sexuality and self-pleasure can provide clinicians, patients, and their families with more effective preparation and strategies to care for an essential aspect of their wellbeing.

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Female sexual function in bladder cancer: A review of the evidence

Cited by 3 publications

References 67 publications

Female sexual disorders in the course of genitourinary cancers

Female sexual disorders in the course of genitourinary cancers

Radical cystectomy in the female patient: The pelvic floor, sexual function, and patient/provider education

“I think my vagina is still there?”: Women’s perspectives on sexual function and dysfunction following radical cystectomy for bladder cancer, a qualitative study

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