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Association between bladder cancer treatment and female sexual function
Yakui Li1, Ming Zheng2, Lei Na3
1China Medical University, Shenyang, China.
Sexual Medicine Reviews
|July 26, 2024
Summary
Female sexual dysfunction (FSD) is a growing concern after bladder cancer treatment. This review highlights innovative surgical techniques and postoperative therapies to preserve sexual function and improve quality of life for women.
Area of Science:
- Oncology
- Urology
- Sexual Medicine
Background:
- Bladder cancer incidence is rising among women, with radical cystectomy (RC) increasing the risk of female sexual dysfunction (FSD).
- Preserving female sexual function (FSF) after RC is crucial for enhancing patients' quality of life.
Purpose of the Study:
- To emphasize the importance of FSF in bladder cancer treatment.
- To stimulate research for effective FSD solutions post-RC.
- To improve overall quality of life for female bladder cancer survivors.
Main Methods:
- A narrative review approach was employed.
- Included comprehensive analysis of all available FSD treatments and comparative experimental data.
- Examined nerve- and organ-sparing RC, robot-assisted RC, radiotherapy, and their impact on FSD.
Main Results:
- Robot-assisted nerve- and organ-sparing RC shows promise.
- Orthotopic neobladder and vaginal reconstruction can aid body image and function.
- Postoperative measures like vaginal laser, hormone therapy, dilators, and lubricants significantly alleviate FSD distress.
Conclusions:
- Multifaceted interventions are necessary to support FSF post-RC.
- Urologists should prioritize patient recovery while minimizing FSF impact.
- Further research is needed to optimize FSD management in female bladder cancer patients.
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