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Pelvic Floor Therapy and Initial Interventions for Pelvic Floor Dysfunction in Gynecologic Malignancies
Alice L Ye1, Eleanor Johnston2, Sarah Hwang3,4
1Department of Pain Medicine, FC13.3017, The University of Texas MD Anderson Texas Cancer Center, 1400 Holcombe Blvd., Houston, TX, 77030, USA. alye@mdanderson.org.
Current Oncology Reports
|January 31, 2024
Summary
Pelvic floor muscle training is effective for urinary and pelvic organ prolapse issues in gynecologic cancer survivors. Further research is needed for chronic pelvic pain and post-radiation complications.
Area of Science:
- Gynecologic Oncology
- Pelvic Floor Physical Therapy
- Cancer Rehabilitation
Background:
- Pelvic floor disorders (PFDs) are common in gynecologic cancer survivors.
- Management of PFDs is crucial for quality of life post-treatment.
Purpose of the Study:
- To provide evidence-based updates on first-line management for PFDs in patients with gynecologic malignancies.
- To highlight provider considerations for pelvic floor physical therapy referrals.
Main Methods:
- This review synthesizes current evidence on non-invasive treatments for PFDs.
- It focuses on initial management strategies and future research needs.
Main Results:
- Strong evidence supports pelvic floor muscle training (PFMT) for urinary incontinence and pelvic organ prolapse.
- Some evidence supports targeted PFMT for fecal incontinence.
- Expertise-based evidence suggests vaginal gels or estrogen for dyspareunia.
Conclusions:
- Evidence-based, non-invasive treatments exist for many PFDs in gynecologic cancer survivors.
- More research is needed for chronic pelvic pain and post-radiation complications like vaginal stenosis and cystitis.
