Sexual Dysfunction in Carcinoma Cervix: Assessment in Post Treated Cases by LENTSOMA Scale
Autor: | Sachidanand Jee Bharti, Veronika Bentrad, Anil Luther, Deepak Abrol, Deepak Saini, Jaineet Patil, Anusha Dubey, Ram Pukar Bharat, Abhishek Shankar, Kavita Mandrelle, Abhijit Chakraborty |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male 0301 basic medicine medicine.medical_specialty medicine.medical_treatment India Uterine Cervical Neoplasms Disease 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires Internal medicine medicine Humans Prospective Studies Sexual Dysfunctions Psychological Cervical cancer Hysterectomy business.industry Incidence Cancer General Medicine Prognosis medicine.disease Combined Modality Therapy Radiation therapy Sexual Dysfunction Physiological 030104 developmental biology Sexual dysfunction 030220 oncology & carcinogenesis Quality of Life Cervical Cancer- sexual dysfunction- LENTSOMA scales Female Self Report medicine.symptom business Sexual function Follow-Up Studies Research Article |
Zdroj: | Asian Pacific Journal of Cancer Prevention : APJCP |
ISSN: | 2476-762X |
DOI: | 10.31557/apjcp.2020.21.2.349 |
Popis: | Treatment for cervical cancer consists of hysterectomy, radiotherapy, chemotherapy and targeted therapy in different combination based on stage at presentation. However, late consequences of such radical treatments are known but not many Indian studies have reported it. Quality of life and impact on sexual health has become an important issue in view of long survival of cervical cancer patients. LENTSOMA scale is one such scale validated for scoring radiotherapy related morbidity. However, there is need for a comprehensive scale covering all aspects of physical and psychological disruptions to provide complete recovery and rehabilitation. The study was prospective and patients who were treated for cervical cancer on follow up were included in this study. A total of 85 patients, who were treated with surgery, radiotherapy, chemotherapy alone or in combination, comprising of stage I to stage IV disease, participated in this study. Findings of this study showed that pain during intercourse and altered sexual life were reported by 32.9% and 25.9% patients respectively whereas 24.7% found it problematic and in 22.3% patients, alteration in interest in sex were reported. Vaginal stenosis was seen in 75.29% of patients after treatment with decreased frequency of intercourse after treatment was seen in 16.4 % of patients. Combination of surgery and radiotherapy in cervical cancer patients caused more sexual dysfunction and dissatisfaction, especially in lower age group. Treatment morbidity in term of sexual function was more with advanced stage disease and with the patients on longer follow up. Sexual function is an important aspect of quality of life but there is no single self-report measure in routine clinical follow up use which is brief, easy to complete and incorporates all (physical, psychological, emotional) aspects of sexual health for people affected by cancer.br /. |
Databáze: | OpenAIRE |
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