[Impact of cervical cancer treatment on micturition and sexual function].

Abstract:

CONTEXT:Cervical cancer is the second most common tumor in women worldwide and due to diagnostic and therapeutic advances, the overall survival rates at 5 years is approaching 70%. Disorders in micturition, defecation, sexuality and quality of life have been described, frequently caused by different treatments. Addressing these comorbidities in the medical follow-up is often limited or nonexistent. METHODS:A systematic review of studies to identify the articles related with urogynecological sequels from cervical cancer treatment was carried out. SUMMARY OF EVIDENCE:During radical hysterectomy, disruption of the autonomic nerve fibers which innervate the bladder appears to be the main cause of voiding dysfunction. Up to 36% of women report voiding dysfunction; from 10 to 80%, stress urinary incontinence (SUI), due to the decrease in urethral closure pressure. After radical hysterectomy and/or radiotherapy, vaginal shortening and stenosis after is often observed. Sexual function is altered in these women and those who are sexually active women after the surgery frequently report sexual dysfunction due to lack of lubrication and pain. CONCLUSIONS:Voiding dysfunction and urinary incontinence are the most frequent urinary problems that occur in patients treated for cervical cancer. Systemic urogynecologic assessment of the symptoms suggestive of micturition dysfunctions during oncologic follow-up may be useful to detect the cases that can be evaluated and treated in an Urogynecology Unit.

journal_name

Actas Urol Esp

authors

Ros C,Espuña M

doi

10.1016/j.acuro.2012.03.008

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

40-6

issue

1

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(12)00112-X

journal_volume

37

pub_type

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