Treatment complications among long-term survivors of cervical cancer: treated by surgery or radiotherapy

Elghamrawi, Kamal A.; Haggag, Mamdouh H.; Habib, Emmad E.

doi:10.4081/41

Cited by 3 publications

(4 citation statements)

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“…Other studies have reported lower rates for any‐grade radiation proctitis (17% ), urinary incontinence (20% ), vesicovaginal fistulae (13% ), noninfective cystitis (20% ), and suprapubic fibrosis (24% ) than the respective 31%, 23%, 18%, 44%, and 41% from our study sample. Vaginal strictures appear to be associated with higher age and treatment with ICBT .…”

Section: Discussioncontrasting

confidence: 61%

Cervical Cancer in Ethiopia: The Effect of Adherence to Radiotherapy on Survival

et al. 2018

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This study presents the effect of adherence on survival of 788 patients with cervical cancer receiving external beam radiotherapy without brachytherapy in Ethiopia. Discontinuation of planned radiotherapy according to local guidelines considerably reduced survival for all International Federation of Gynecology and Obstetrics (FIGO) stages treated (hazard ratios were 1.3, 3.1, and 7.3 for FIGO stages IIA-IIIA and IIIB-IVA and the palliative approach, respectively). Early toxicity (5% grade 3) should be treated to improve adherence. Economic difficulties and machine breakdown should also be addressed to reduce discontinuation and improve survival.

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Section: Discussioncontrasting

confidence: 61%

Cervical Cancer in Ethiopia: The Effect of Adherence to Radiotherapy on Survival

et al. 2018

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“…25 Many studies in this review pointed out that any type of hysterectomy can result in more pelvic floor symptoms. 9,21,26 Although the literature mentions hysterectomy as a risk factor for the development of urinary dysfunctions, these symptoms are frequently related to other factors, such as pregnancy, childbirth, and climacteric period. Chen et al 39 reported bladder dysfunction in oncological patients related to pathological changes in the detrusor muscle and injuries to bladder autonomic innervation by vaginal, paravaginal, and parametrial resection.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review

Firmeza

Vasconcelos

Neto

et al. 2022

Rev Bras Ginecol Obstet

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Objective This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer. Methods A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was limited to the investigation of prevalence or occurrence of lower urinary tract symptoms (LUTS) and sexual dysfunctions in women who underwent a hysterectomy for cervical cancer. For search strategies, specific combinations of terms were used. Results A total of 8 studies, published between 2010 and 2018, were included in the sample. The average age of the participants ranged from 40 to 56 years, and the dysfunctions predominantly investigated in the articles were urinary symptoms (n = 8). The rates of urinary incontinence due to radical abdominal hysterectomy ranged from 7 to 31%. The same dysfunction related to laparoscopic radical hysterectomy varied from 25 to 35% and to laparoscopic nerve sparing radical hysterectomy varied from 25 to 47%. Nocturia ranged from 13%, before treatment, to 30%, after radical hysterectomy. The prevalence rates of dyspareunia related to laparoscopic radical hysterectomy and laparoscopic nerve sparing radical hysterectomy ranged from 5 to 16% and 7 to 19% respectively. The difficulty in having orgasm was related to laparoscopic radical hysterectomy (10 to 14%) and laparoscopic nerve sparing radical hysterectomy (9 to 19%). Conclusion Urinary and sexual dysfunctions after radical hysterectomy to treat cervical cancer are frequent events. The main reported disorders were urinary incontinence and dyspareunia.

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“…8 It can also lead to permanent physical changes, vaginal shortening/stenosis and reduced clitoral sensitivity, thereby physically limiting the ability to have and enjoy intercourse. 9 Chronic fatigue and pelvic insufficiency fractures are also frequently reported following radiotherapy treatment for cervical cancer, the symptoms of which may not diminish with time, 10 and can have a negative impact on daily functions and social quality of life. 11 Strengths and limitations of this study ► The integration of behaviour change theory and insight from the target population to inform the development of practical strategies ensures an appropriate and user-friendly intervention.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

ACCEPTANCE: protocol for a feasibility study of a multicomponent physical activity intervention following treatment for cervical cancer

et al. 2022

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IntroductionCervical cancer treatment can have life changing sequelae and be associated with poor short-term and long-term quality of life. Physical activity (PA; that is, bodily movement) is known to improve health outcomes and quality of life for cancer survivors, both physically and psychologically. To date, no interventions to increase PA following cervical cancer have been evaluated. This study aims to (1) determine the feasibility of conducting a PA intervention after cervical cancer and (2) to explore the acceptability of the programme and evaluation measures.Methods and analysisThe design is a pre study and post study design. Thirty participants aged between 18 and 60 years from the Midlands region, UK, who have completed primary treatment for cervical cancer at least 6 months previously and do not meet the national PA guidelines will be recruited. Identification of potential participants will take place through the University Hospitals of Leicester National Health Service (NHS) Trust. Participants will receive an intervention focused on increasing PA through the provision of education, action planning, goal setting, problem solving and self-monitoring of PA behaviour, particularly steps per day. Device assessed PA and questionnaires will be completed at baseline, week 6, week 12 and week 24. Feasibility will be assessed in terms of recruitment, retention, attrition, completion of measures and intervention compliance, for which specific feasibility criteria have been established. The process evaluation will explore the experiences and acceptability of the intervention components and evaluation measures.Ethics and disseminationEthical approval has been granted by the West of Scotland Research Ethics Committee 1 for this study. Results will inform intervention refinement for the design of a definitive pilot trial. These results will be disseminated via peer-reviewed publications and international conferences while input from a patient and public involvement (PPI) group will inform effective ways to circulate results among the wider community.Trial registration numberISRCTN16349793, Registered 30 September 2020.

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Treatment complications among long-term survivors of cervical cancer: treated by surgery or radiotherapy

Cited by 3 publications

References 0 publications

Cervical Cancer in Ethiopia: The Effect of Adherence to Radiotherapy on Survival

Cervical Cancer in Ethiopia: The Effect of Adherence to Radiotherapy on Survival

The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review

ACCEPTANCE: protocol for a feasibility study of a multicomponent physical activity intervention following treatment for cervical cancer

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