Sexual Dysfunction Following Vulvectomy

Green, Michael S.; Naumann, R. Wendel; Elliot, Mollie; Hall, James B.; Higgins, Robert V.; Grigsby, Jared H.

doi:10.1006/gyno.2000.5745

Cited by 142 publications

(131 citation statements)

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“…In addition, the generally positive results in relation to body image are in contrast to those from several earlier studies of women with gynaecological cancer who underwent more radical vulvar surgery (Andersen & Hacker 1983, Stellman et al 1984, Andreasson et al 1986. By contrast, as in their findings for sexual dysfunction, Green et al (2000) found that body image disturbances did not appear to correlate with the extent of the vulvar excision.…”

Section: Discussioncontrasting

confidence: 75%

Sexuality and body image following treatment for early‐stage vulvar cancer: a qualitative study

Barlow

Hacker

Hussain

et al. 2014

Journal of Advanced Nursing

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Findings from this study indicated that the majority of women experienced little to no long-term disruption to sexuality and body image following conservative treatment for early-stage vulvar cancer. Intimacy and relationship status were more closely linked to women's sexual satisfaction than physical arousal. Factors contributing to women experiencing negative emotions were radical vulvar excision, multiple vulvar procedures and/or the development of lymphoedema.

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Section: Discussioncontrasting

confidence: 75%

Sexuality and body image following treatment for early‐stage vulvar cancer: a qualitative study

Barlow

Hacker

Hussain

et al. 2014

Journal of Advanced Nursing

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“…The main focus of the studies available on vulvar cancer and psychosocial well-being/quality of life is sexual functioning; this domain of quality of life appears to be significantly reduced in vulvar cancer patients [20][21][22][23][24]. Apart from our present study the only other study on vulvar cancer and global quality of life was performed by Janda et al They developed a vulvar cancer-specific quality of life subscale to accompany the Functional Assessment of Cancer-General (FACT-G) questionnaire.…”

Section: Discussionmentioning

confidence: 99%

A comparison of quality of life between vulvar cancer patients after sentinel lymph node procedure only and inguinofemoral lymphadenectomy

Oonk

Bock

et al. 2009

Gynecologic Oncology

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A comparison of quality of life between vulvar cancer patients after sentinel lymph node procedure only and inguinofemoral lymphadenectomy Oonk, M. H. M.; van Os, M. A.; de Bock, G. H.; de Hullu, J. A.; Ansink, A. C.; van der Zee, A. G. J. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Objectives. The SLN-procedure has been introduced in vulvar cancer treatment to reduce morbidity and thereby improve quality of life. Aim of this study was to compare quality of life in vulvar cancer patients who were treated with a SLN-procedure only to those who underwent inguinofemoral lymphadenectomy. Moreover, it was evaluated what patients would advise relatives on the application of the SLN-procedure in light of possible false negative results.Methods. Patients who participated in the GROningen INternational Study on Sentinel nodes in Vulvar cancer (GROINSS-V) were invited to fill out three questionnaires: the EORTC QLQ-C30, a vulvar specific questionnaire and a questionnaire about the opinion of patients on new treatment options. Patients who only underwent SLN-procedure were compared to those who subsequently underwent inguinofemoral lymphadenectomy because of a positive SLN.Results. With a response rate of 85%, 35 patients after the SLN-procedure and 27 patients after inguinofemoral lymphadenectomy filled out the questionnaires. No difference in overall quality of life was observed between the two groups. The major difference was the increase in complaints of lymphedema of the legs after inguinofemoral lymphadenectomy. The majority of patients would advise the SLN-procedure to relatives. Patients after inguinofemoral lymphadenectomy were more reserved concerning the acceptable false negative rate of a new diagnostic procedure.Conclusions. Patients who underwent the SLN-procedure report less treatment related morbidity compared to those who underwent inguinofemoral lymphadenectomy. However, this did not influence overall quality of life. Furthermore, patients who underwent inguinofemoral lymphadenectomy are more reserved in advising the SLN-procedure to relatives.

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“…More extensive surgery often results in long-term complications, which may include chronic leg edema, dyspareunia, femoral hernia, genetal prolapse, and urinary stress incontinence for six or more weeks after surgery [6][7]24]. Quality of life is also affected by the surgical treatment of vulvar cancer as women report worsening body image and psychosexual disturbances including a decrease in sexual frequency [25][26]. Among women with stage I and II disease in our study, we noted widespread use of radical local excision, which is less disfiguring than radical vulvectomy.…”

Section: Discussionmentioning

confidence: 99%

Demographic, clinical, and treatment trends among women diagnosed with vulvar cancer in the United States

Stroup

Harlan

Trimble

2008

Gynecologic Oncology

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Objective-Describe the treatment and survival patterns among a population-based sample of vulvar cancer patients diagnosed in the U.S. in 1999.Methods-Cases were identified for the National Cancer Institute's Patterns of Care Study (POC) using Surveillance, Epidemiology, and End Results Program (SEER). A stratified random sample of non-Hispanic white, non-Hispanic black, and Hispanic women age 20 and older was selected from cases reported by eleven SEER registries. Analyses of the association between vulvar cancer and key demographic, clinical, and hospital characteristics by stage were performed. Cox proportional hazards was used to estimate the odds of death due to cancer. All estimates were weighted, and analyses were conducted with SUDAAN.Results-90% of cases were diagnosed with in situ or early stage invasive disease. Older patients were more likely to present at advanced stages. 25% of women with Stage III-IV vulvar cancer received chemotherapy plus radiation. We noted widespread use of radical local excision among women with Stage I/II cancer, but 46%-54% with invasive disease underwent a radical or total vulvectomy. Factors associated with cancer death were limited to age and stage. Women 75 years and older were at higher risk compared to women aged 20-49 and the risk of death increased with advancing stage.Conclusions-Vulvar cancer is diagnosed at early stages. Late stage disease is associated with a significant increase in mortality. Radical surgery was still commonly performed in 1999. Radiation was more common in women diagnosed at late stage, while the use of chemoradiation remained limited. KeywordsVulva; vulvar; cancer; patterns of care; treatment Correspondence: Antoinette M. Stroup, PhD, Utah Cancer Registry, University of Utah, 650 Komas Drive, Suite 106B, Salt Lake City, Utah 84108, Nan.Stroup@hsc.utah.edu, Tel: (801) 581-8407, Fax: (801) 581-4560. Article Précis Describe treatment and survival among a population-based sample of women in the US diagnosed in 1999 with vulvar cancer and treated in the community.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers

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Sexual Dysfunction Following Vulvectomy

Cited by 142 publications

References 4 publications

Sexuality and body image following treatment for early‐stage vulvar cancer: a qualitative study

Sexuality and body image following treatment for early‐stage vulvar cancer: a qualitative study

A comparison of quality of life between vulvar cancer patients after sentinel lymph node procedure only and inguinofemoral lymphadenectomy

Demographic, clinical, and treatment trends among women diagnosed with vulvar cancer in the United States

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