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Am J Obstet Gynecol. 2010 Nov;203(5):514.e1-7. doi: 10.1016/j.ajog.2010.08.004. Epub 2010 Sep 24.

Pelvic floor disorders and sexual function in gynecologic cancer survivors: a cohort study.

Author information

1
Department of Obstetrics and Gynecology, School of Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA. trutledge@salud.unm.edu

Abstract

OBJECTIVE:

The purpose of this study was to assess the prevalence of pelvic floor disorders and sexual function in survivors of gynecologic cancer.

STUDY DESIGN:

We surveyed survivors of gynecologic cancer (survivors) and women seeking gynecologic care (control patients) who were >30 years old. All survivors were disease- and treatment-free for ≥1 year. Validated questionnaires were used to evaluate pelvic floor disorders.

RESULTS:

One hundred eight control patient and 260 survivor questionnaires were completed. A high prevalence of pelvic floor disorders was observed in both groups; 56% of control subjects and 70% of survivors reported moderate to severe urinary incontinence (P > .05). Survivors were more likely to experience fecal incontinence (42% vs 32%; P = .02). Survivors reported less sexual desire (P = .04) and less ability to climax (P = .04), despite no difference in dyspareunia.

CONCLUSION:

Fecal incontinence and sexual dysfunction are significant problems in survivors of gynecologic cancer.

PMID:
20869691
PMCID:
PMC5356373
DOI:
10.1016/j.ajog.2010.08.004
[Indexed for MEDLINE]
Free PMC Article

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