Vaginal dilator therapy for women receiving pelvic radiotherapy

Miles, Tracie; Johnson, Nick

doi:10.1002/14651858.cd007291.pub2

Cited by 81 publications

(47 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, the specific sexual impact of this situation is variable according to the patient and her partner [3]. It seems especially problematic after radiation therapy and is inconsistently prevented by the use of dilators [4].…”

Section: Discussionmentioning

confidence: 99%

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

Leblanc

Bresson

Merlot

et al. 2016

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

Colpohysterectomy is sometimes associated with a large upper colpectomy resulting in a shortened vagina, potentially impacting sexual function. We report on a preliminary experience of a laparoscopic colpoplasty to restore a normal vaginal length. Patients with shortened vaginas after a laparoscopic colpohysterectomy were considered for a laparoscopic modified Davydov's procedure to create a new vaginal vault using the peritoneum of the rectum and bladder. From 2010 to 2014, 8 patients were offered this procedure, after informed preoperative consent. Indications were 2 extensive recurrent vaginal intraepithelial neoplasias grade 3 and 6 radical hysterectomies for cervical cancer. Mean vaginal length before surgery was 3.8 cm (standard deviation, 1.6). Median operative time was 50 minutes (range, 45-90). Blood loss was minimal (50-100 mL). No perioperative complications occurred. Median vaginal length at discharge was 11.3 cm (range, 9-13). Sexual intercourse could be resumed around 10 weeks after surgery. At a median follow-up of 33.8 months (range, 2.4-51.3), 6 patients remained sexually active but 2 had stopped. Although this experience is small, this laparoscopic modified Davydov's procedure seems to be an effective procedure, adaptable to each patient's anatomy. If the initial postoperative regular self-dilatation is carefully observed, vaginal patency is durably restored and enables normal sexual function.

show abstract

Section: Discussionmentioning

confidence: 99%

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

Leblanc

Bresson

Merlot

et al. 2016

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

show abstract

“…This procedure may reduce the incidence of vaginal stricture in our study. Unfortunately, Miles et al reported that no reliable evidence to suggest that routine dilatation prevented vaginal toxicity [22].…”

Section: Discussionmentioning

confidence: 99%

The Associations for Vaginal Point Doses of Vaginal Stenosis in Image-Guided Brachytherapy

Tharavichitkul¹,

Jayavasti²,

Galalae³

et al. 2014

JCT

View full text Add to dashboard Cite

“…The current evidence does not support a specific psychosocial counselling intervention to improve sexual functioning and satisfaction. The evidence base for this recommendation consists of sixteen publications of moderate quality [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46] and four systematic reviews [14][15][16][17] . …”

Section: Overall Sexual Function and Satisfactionmentioning

confidence: 99%

“…A handful of systematic reviews have been published [12][13][14][15][16][17][18][19] , but they tend to focus on a single cancer or intervention type. No guidelines have comprehensively addressed sexual issues in people with cancer.…”

Section: Introductionmentioning

confidence: 99%