Sexual function after radical hysterectomy for early-stage cervical cancer

Introduction. For early-stage cervical cancer, treatment with radical surgery appears effective with excellent survival. However, the treatment is associated with significant morbidities. Sexual dysfunction is the leading cause of symptom-induced distress after the treatments for early-stage cervica...

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Main Authors: Juntana Jongpipan, Kittipat Charoenkwan
Format: Journal
Published: 2018
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spelling th-cmuir.6653943832-613502018-09-10T04:08:58Z Sexual function after radical hysterectomy for early-stage cervical cancer Juntana Jongpipan Kittipat Charoenkwan Medicine Introduction. For early-stage cervical cancer, treatment with radical surgery appears effective with excellent survival. However, the treatment is associated with significant morbidities. Sexual dysfunction is the leading cause of symptom-induced distress after the treatments for early-stage cervical cancer. There has been no study that evaluates the effect of surgical treatments for cervical cancer on sexual function in the Eastern/Asian patients. Aim. To examine the effect of radical hysterectomy on postoperative sexual function in women with early-stage cervical cancer. Main Outcome Measures. The visual analog score on seven aspects of sexual function: overall satisfaction with sexual intercourse, sexual desire, vaginal lubrication, vaginal elasticity, orgasmic satisfaction, patient-perceived partner satisfaction, and associated anxiety. Methods. Thirty patients with International Federation of Gynecology and Obstetrics (FIGO) stage IB cervical cancer undergoing radical hysterectomy and pelvic lymphadenectomy at the Chiang Mai University Hospital were recruited. All of the patients were interviewed by questionnaire on sexual function at preoperative hospital admission and then at 3 and 6 months after surgery. Relevant clinical and pathologic data were also prospectively collected. Results. The mean age of the patients was 45.3 ± 6 years (range 28-59). Seven (23%) of the patients were postmenopausal. Almost all (97%) had FIGO stage IB1 disease. Fourteen (46.7%) patients had bilateral salpingo-oophorectomy, and one (3.3%) patient had unilateral salpingo-oophorectomy. Squamous-cell carcinoma and adenocarcinoma were diagnosed in 83% and 17%, respectively. At 3 and 6 months after operation, 63% and 93% of the patients had sexual intercourse, respectively. Considering the overall sexual satisfaction, the patient-rated visual analog score appeared comparable at preoperative and 6-month postoperative assessment (4.2 ± 2.5 vs. 3.6 ± 2.2, P > 0.05). Conclusion. Radical hysterectomy using the current technique has a minimal short-term impact on sexual function. A comparative study with long-term follow-up would provide clearer information on permanent effect of radical hysterectomy on sexual function. © 2007 International Society for Sexual Medicine. 2018-09-10T04:08:58Z 2018-09-10T04:08:58Z 2007-01-01 Journal 17436109 17436095 2-s2.0-35448931600 10.1111/j.1743-6109.2007.00454.x https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=35448931600&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/61350
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Medicine
spellingShingle Medicine
Juntana Jongpipan
Kittipat Charoenkwan
Sexual function after radical hysterectomy for early-stage cervical cancer
description Introduction. For early-stage cervical cancer, treatment with radical surgery appears effective with excellent survival. However, the treatment is associated with significant morbidities. Sexual dysfunction is the leading cause of symptom-induced distress after the treatments for early-stage cervical cancer. There has been no study that evaluates the effect of surgical treatments for cervical cancer on sexual function in the Eastern/Asian patients. Aim. To examine the effect of radical hysterectomy on postoperative sexual function in women with early-stage cervical cancer. Main Outcome Measures. The visual analog score on seven aspects of sexual function: overall satisfaction with sexual intercourse, sexual desire, vaginal lubrication, vaginal elasticity, orgasmic satisfaction, patient-perceived partner satisfaction, and associated anxiety. Methods. Thirty patients with International Federation of Gynecology and Obstetrics (FIGO) stage IB cervical cancer undergoing radical hysterectomy and pelvic lymphadenectomy at the Chiang Mai University Hospital were recruited. All of the patients were interviewed by questionnaire on sexual function at preoperative hospital admission and then at 3 and 6 months after surgery. Relevant clinical and pathologic data were also prospectively collected. Results. The mean age of the patients was 45.3 ± 6 years (range 28-59). Seven (23%) of the patients were postmenopausal. Almost all (97%) had FIGO stage IB1 disease. Fourteen (46.7%) patients had bilateral salpingo-oophorectomy, and one (3.3%) patient had unilateral salpingo-oophorectomy. Squamous-cell carcinoma and adenocarcinoma were diagnosed in 83% and 17%, respectively. At 3 and 6 months after operation, 63% and 93% of the patients had sexual intercourse, respectively. Considering the overall sexual satisfaction, the patient-rated visual analog score appeared comparable at preoperative and 6-month postoperative assessment (4.2 ± 2.5 vs. 3.6 ± 2.2, P > 0.05). Conclusion. Radical hysterectomy using the current technique has a minimal short-term impact on sexual function. A comparative study with long-term follow-up would provide clearer information on permanent effect of radical hysterectomy on sexual function. © 2007 International Society for Sexual Medicine.
format Journal
author Juntana Jongpipan
Kittipat Charoenkwan
author_facet Juntana Jongpipan
Kittipat Charoenkwan
author_sort Juntana Jongpipan
title Sexual function after radical hysterectomy for early-stage cervical cancer
title_short Sexual function after radical hysterectomy for early-stage cervical cancer
title_full Sexual function after radical hysterectomy for early-stage cervical cancer
title_fullStr Sexual function after radical hysterectomy for early-stage cervical cancer
title_full_unstemmed Sexual function after radical hysterectomy for early-stage cervical cancer
title_sort sexual function after radical hysterectomy for early-stage cervical cancer
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=35448931600&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/61350
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