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Urinary symptoms and sexual function after hysterectomy secondary to cervical cancer: A prospective, cohort study
Mariana Alves Firmeza1, Natália Maria de Vasconcelos Oliveira2, Flávio Mendes Alves2
1Nursing Department, Federal University of Ceará, St Alexandre Baraúna, n.1115 - 1° floor, room 3 - Rodolfo Teófilo district, city of Fortaleza, state of Ceará, 60430-160, Brazil.
Introduction And Hypothesis:
The estimated worldwide incidence of cervical cancer (CC) is half a million cases per year. Surgical treatment is the mainstay approach for this condition.
Objectives:
To assess the effects of hysterectomy due to cervical cancer in urinary symptoms and sexual function and the disorder related impact on the quality of patients life.
Study Design:
A cohort study was performed in Fortaleza/CE (Brazil) with 71 patients; of these, 31 were diagnosed with cervical cancer (G-CCU) and 40 with gynecological benign disease (G-PB). Sexual function (FSFI questionnaire), quality of life (SF-36 questionnaire) and urinary symptoms (KHQ instrument) were investigated in both groups at baseline (T0), one month (T1) and four months after surgery (T2).
Results:
Both groups presented at baseline, similar urinary symptoms (p > 0.05), but this frequency doubled for the G-CCU group at T1 and remained unchanged at T2 (p = 0.012). G-PB's frequency of symptoms remained the same for 4 months after surgery. At baseline G-PB had higher risk for sexual dysfunction than G-CCU (82.5 % versus 54.8 %, p = 0.011). However for G-CCU, an increase of this percentage was perceived at T2.Women from the G-CCU group presented worse general and specific quality of life results.
Conclusion:
Women underwent to hysterectomy due to cervical cancer presented higher percentages of urinary symptoms, higher risk for sexual dysfunction and worse general and specific quality of life scores.
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