Severe Pelvic Floor Symptoms After Cervical Cancer Treatment Are Predominantly Associated With Mental and Physical Well-Being and Body Image

• DOI: 10.1097/igc.0b013e3182332df8
• Publication Date: 2011-11-11T18:10:12Z
• Authors: Menke H. Hazewinkel; Mirjam A.G. Spran...; Jacobus van der V...; Matthé P.M. Burger; Jan-Paul W.R. Roo...
• Keywords: Cross-sectional study

To identify associations between demographic, disease-related, and psychological variables severe distress from pelvic floor symptoms (PFSs) after cervical cancer treatment.This study was cross-sectional questionnaire based. We included patients with treated 1997 2007 in the Academic Medical Center, Amsterdam. Pelvic were assessed urogenital inventory defecatory inventory. Scores dichotomized into (>90th percentile) versus nonsevere distress. Disease-related extracted medical files. Psychological factors mental physical well-being, optimism, body image, which standardized questionnaires. Univariate multivariate logistic regression analyses performed.A total of 282 included: 148 radical hysterectomy lymph node dissection, 61 surgery adjuvant radiotherapy, 73 primary radiotherapy. Demographic: Multivariate showed no significant relation demographic symptoms. Disease-related: None these significantly associated analyses. Psychosocial: In all treatment groups, found. general, better well-being PFSs. Increased image disturbance defecation symptoms.Few found disease-related PFS treatment. However, is more Improving might reduce PFSs should be a focus future research.