Pelvic Exenteration: Effects of Surgery on Quality of Life and Body Image—A Prospective Longitudinal Study

Hawighorst-Knapstein, S; Schönefußrs, Götz; Hoffmann, Sven; Knapstein, P.

doi:10.1006/gyno.1997.4813

Cited by 54 publications

(17 citation statements)

References 15 publications

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“…Some patients who have undergone radical pelvic surgery for cervical or vaginal malignancy have excellent long-term survival and the recovery of normal sexual function can have a positive impact on their overall quality of life [21].…”

Section: Discussionmentioning

confidence: 99%

Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

et al. 2007

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We performed a historical cohort study of 62 consecutive patients who underwent abdomino-perineal vaginal re-construction with a segment of the sigmoid colon during a 25-year period. A dedicated database was reviewed for the aetiology of vaginal malformation, surgical complications and post-operative follow-up. Follow-up visits were scheduled 2, 6 and 12 months after discharge from hospital and annually thereafter. Fifty-eight (93.5%) patients were diagnosed as having Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS) and four (6.5%) had undergone previous demolitive surgery for gynaecologic malignancy. The mean operating time was 145 min (range 95 to 250 min). The mean hospital stay was 8.3 days (range 5 to 23 days). Post-operative complications requiring additional surgery occurred in 3 (4.8%) patients and were a case of necrotising fascitiis with leakage of the bowel anastomosis, a case of bowel occlusion and a case of neovaginal prolapse. The mean follow-up was 11.3 years (range 3 months to 24 years). We recorded 5 cases (8.1%) of sigmoid graft shrinkage treated successfully by dilation. The time interval between sigmoid vaginoplasty and first intercourse was 4 months (range 2 months to 4 years). During the follow-up, 32 (51.6%) women reported regular and 30 (48.4%) women reported occasional sexual intercourse; 80.6% (50/62) were "satisfied" with the surgical procedure. In this large series, laparotomic sigmoid vaginoplasty was a safe and acceptable technique to treat congenital absence of the vagina. This procedure allowed early sexual intercourse and was associated with a low incidence of shrinkage and a high rate of patients' satisfaction.

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Section: Discussionmentioning

confidence: 99%

Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

et al. 2007

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“…Similarly, investigations of body image after gynaecologic cancer [9] suggest that these women have significantly poorer perceptions than healthy women. Most studies on sexual outcomes, however, have focused on shorter-term outcomes or women with cervical cancer, or in the case of body image, have been limited to women with pelvic exenteration [9,10].…”

Section: Introductionmentioning

confidence: 99%

Long-term quality of life in Australian women previously diagnosed with gynaecologic cancer

Judd

2010

Support Care Cancer

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“…14,15 However, despite these considerations, only few experiences have evaluated the QoL of gynecological cancer patients submitted to PE. 16,17 Moreover, the reliability of available data is significantly affected by the small sample size of the investigated series and the use of heterogeneous nonstandardized types of measures.…”

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confidence: 99%

Quality of Life in Women After Pelvic Exenteration for Gynecological Malignancies

Dessole¹,

Petrillo

Lucidi

et al. 2018

International Journal of Gynecological Cancer

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Pelvic Exenteration: Effects of Surgery on Quality of Life and Body Image—A Prospective Longitudinal Study

Cited by 54 publications

References 15 publications

Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

Long-term results of sigmoid vaginoplasty in a consecutive series of 62 patients

Long-term quality of life in Australian women previously diagnosed with gynaecologic cancer

Quality of Life in Women After Pelvic Exenteration for Gynecological Malignancies

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