Treatments for invasive carcinoma of the cervix: What are their impacts on the pelvic floor functions?

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dc.contributor.authorde Noronha, Alessandra Ferreira [UNESP]
dc.contributor.authorde Figueiredo, Elyonara Mello
dc.contributor.authorde Figueiredo Franco, Telma Maria Rossi
dc.contributor.authorCândido, Eduardo Batista
dc.contributor.authorSilva-Filho, Agnaldo L. [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal de Minas Gerais (UFMG)
dc.contributor.institutionMario Penna Hospital
dc.date.accessioned2014-05-27T11:27:33Z
dc.date.available2014-05-27T11:27:33Z
dc.date.issued2013-01-01
dc.description.abstractAims: Describe the impact of surgery, radiotherapy and chemoradiation in the pelvic floor functions in cervical cancer patients. Materials and Methods: A prospective study with women submitted to radical hysterectomy (RH) (n = 20),exclusive radiotherapy (RT) (n= 20)or chemoradiation (CT/RT)(n = 20)for invasive cervical cancer. Urinary, intestinal and sexual function, as well as vaginal length and pelvic floor musclecontraction were evaluated. Comparisons between groups were performed by Kruskal-Wallis and Chi-square tests (p < 0.05). Results: The groups were similar in stress urinary incontinence incidence (p = 0.56), urinary urgency (p = 0.44),urge incontinence (p = 0.54),nocturia(p = 0.53), incomplete bowel emptying (p = 0.76),bowel urgency(p = 0.12)and soilage(p = 0.43). The CT/ RT group presented a higher urinary frequency(p < 0.001)and diarrhea(p = 0.025). Patients in the RH group were more sexually active(p = 0.01) and experienced less dyspareunia (p = 0.021). Vaginal length was shorter in RT group (5.5 ± 1.9 cm) and CT/ RT(.3 ± 1.5 cm) than in the RH group (7.4 ± 1.1 cm) (p < 0.001). Pelvic floor muscle contraction was similar (p = 0.302). Conclusions: RT and CT/RT treatment for cervical carcinoma are more associated to sexual and intestinal dysfunctions.en
dc.description.affiliationDepartment of Obstetrics, Gynecology and Mastology Botucatu Medical School State University of São Paulo (UNESP), Botucatu, SP
dc.description.affiliationDepartment of Physical Therapy Federal University of Minas Gerais (UFMG), Belo Horizonte, Belo Horizonte, MG
dc.description.affiliationGynecologic Oncologic Unit Mario Penna Hospital, Belo Horizonte, MG
dc.description.affiliationDepartment of Obstetrics and Gynecology Federal University of Minas Gerais (UFMG), Belo Horizonte, MG
dc.description.affiliationUnespDepartment of Obstetrics, Gynecology and Mastology Botucatu Medical School State University of São Paulo (UNESP), Botucatu, SP
dc.format.extent46-54
dc.identifierhttp://www.scielo.br/scielo.php?pid=S1677-55382013000100046&script=sci_arttext
dc.identifier.citationInternational Braz J Urol, v. 39, n. 1, p. 46-54, 2013.
dc.identifier.file2-s2.0-84878444304.pdf
dc.identifier.issn1677-5538
dc.identifier.issn1677-6119
dc.identifier.scieloS1677-55382013000100046
dc.identifier.scopus2-s2.0-84878444304
dc.identifier.urihttp://hdl.handle.net/11449/74329
dc.identifier.wosWOS:000323495800008
dc.language.isoeng
dc.relation.ispartofInternational Braz J Urol
dc.relation.ispartofjcr0.976
dc.relation.ispartofsjr0,367
dc.relation.ispartofsjr0,367
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectChemoradiotherapy
dc.subjectHysterectomy
dc.subjectPelvic Floor
dc.subjectRadiation
dc.subjectUterine Cervical Neoplasms
dc.titleTreatments for invasive carcinoma of the cervix: What are their impacts on the pelvic floor functions?en
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/ibju/iaboutj.htm
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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