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Erschienen in: International Urogynecology Journal 9/2016

01.09.2016 | Original Article

Prevalence of pelvic floor disorders in women with suspected gynecological malignancy: a survey-based study

verfasst von: C. Emi Bretschneider, Kemi M. Doll, Jeannette T. Bensen, Paola A. Gehrig, Jennifer M. Wu, Elizabeth J. Geller

Erschienen in: International Urogynecology Journal | Ausgabe 9/2016

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Abstract

Introduction and hypothesis

Understanding of pelvic floor disorders among women with gynecological cancer is limited. The objective of this study was to describe the prevalence of pelvic floor disorders in women with suspected gynecological malignancy before surgery.

Methods

A cross-sectional study was performed of women aged ≥18 with a suspected gynecological malignancy who enrolled in the University of North Carolina Health Registry/Cancer Survivorship Cohort (HR/CSC) from August 2012 to June 2013. Demographics were obtained from the HR/CSC self-reported data; clinical data were abstracted from the electronic medical record. Subjects completed validated questionnaires (Rotterdam Symptom Checklist and the International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms) to assess bladder and bowel function.

Results

Among 186 women scheduled for surgery for gynecological malignancy, 152 (82 %) completed baseline assessments before surgery. Mean age was 58.1 ± 13.3 years, and mean BMI was 33.6 ± 8.8 kg/m2. The majority of subjects had uterine cancer (61.8 %), followed by ovarian (17.1 %) and cervical (11.1 %). At baseline, the rate of urinary incontinence (UI) was 40.9 %. A third of subjects reported stress UI, and one quarter reported urge UI. The overall rate of fecal incontinence was 3.9 %, abdominal pain was 47.4 %, constipation was 37.7 %, and diarrhea was 20.1 %. When comparing cancer types, there were no differences in pelvic floor symptoms.

Conclusion

Pelvic floor disorders are common in women with suspected gynecological malignancy at baseline before surgery. Recognizing pelvic floor disorders in the preoperative setting will allow for more individualized, comprehensive care for these women.
Literatur
1.
Zurück zum Zitat Doll KM, Snavely AC, Kalinowski A, Irwin DE, Bensen JT, Bae-Jump V, Boggess JF, Soper JT, Brewster WR, Gehrig PA (2014) Preoperative quality of life and surgical outcomes in gynecologic oncology patients: a new predictor of operative risk? Gynecol Oncol 133(3):546–551CrossRefPubMedPubMedCentral Doll KM, Snavely AC, Kalinowski A, Irwin DE, Bensen JT, Bae-Jump V, Boggess JF, Soper JT, Brewster WR, Gehrig PA (2014) Preoperative quality of life and surgical outcomes in gynecologic oncology patients: a new predictor of operative risk? Gynecol Oncol 133(3):546–551CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Chase DM, Watanabe T, Monk BJ (2010) Assessment and significance of quality of life in women with gynecologic cancer. Future Oncol 6(8):1279–1287CrossRefPubMed Chase DM, Watanabe T, Monk BJ (2010) Assessment and significance of quality of life in women with gynecologic cancer. Future Oncol 6(8):1279–1287CrossRefPubMed
3.
Zurück zum Zitat Penson RT, Wenzel LB, Vergote I, Cella D (2006) Quality of life considerations in gynecologic cancer. FIGO 26th Annual Report on the Results of Treatment in Gynecological Cancer. Int J Gynaecol Obstet 95 [Suppl 1]:S247–S257 Penson RT, Wenzel LB, Vergote I, Cella D (2006) Quality of life considerations in gynecologic cancer. FIGO 26th Annual Report on the Results of Treatment in Gynecological Cancer. Int J Gynaecol Obstet 95 [Suppl 1]:S247–S257
4.
Zurück zum Zitat Herzog AR, Diokno AC, Brown MB, Fultz NH, Goldstein NE (1994) Urinary incontinence as a risk factor for mortality. J Am Geriatr Soc 42(3):264–268CrossRefPubMed Herzog AR, Diokno AC, Brown MB, Fultz NH, Goldstein NE (1994) Urinary incontinence as a risk factor for mortality. J Am Geriatr Soc 42(3):264–268CrossRefPubMed
5.
Zurück zum Zitat DeLancey JO (2005) The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obstet Gynecol 192(5):1488–1495CrossRefPubMed DeLancey JO (2005) The hidden epidemic of pelvic floor dysfunction: achievable goals for improved prevention and treatment. Am J Obstet Gynecol 192(5):1488–1495CrossRefPubMed
6.
Zurück zum Zitat Hatchett L, Hebert-Beirne J, Tenfelde S, Lavender MD, Brubaker L (2011) Knowledge and perceptions of pelvic floor disorders among African American and Latina women. Female Pelvic Med Reconstr Surg 17(4):190–194CrossRefPubMed Hatchett L, Hebert-Beirne J, Tenfelde S, Lavender MD, Brubaker L (2011) Knowledge and perceptions of pelvic floor disorders among African American and Latina women. Female Pelvic Med Reconstr Surg 17(4):190–194CrossRefPubMed
7.
Zurück zum Zitat Altman D, Falconer C, Cnattingius S, Granath F (2008) Pelvic organ prolapse surgery following hysterectomy on benign indications. Am J Obstet Gynecol 198(5):572.e1–e6CrossRef Altman D, Falconer C, Cnattingius S, Granath F (2008) Pelvic organ prolapse surgery following hysterectomy on benign indications. Am J Obstet Gynecol 198(5):572.e1–e6CrossRef
8.
Zurück zum Zitat Jackson KS, Naik R (2006) Pelvic floor dysfunction and radical hysterectomy. Int J Gynecol Cancer 16(1):354–363CrossRefPubMed Jackson KS, Naik R (2006) Pelvic floor dysfunction and radical hysterectomy. Int J Gynecol Cancer 16(1):354–363CrossRefPubMed
10.
Zurück zum Zitat Brooks RA, Wright JD, Powell MA, Rader JS, Gao F, Mutch DG, Wall LL (2009) Long-term assessment of bladder and bowel dysfunction after radical hysterectomy. Gynecol Oncol 114(1):75–79CrossRefPubMed Brooks RA, Wright JD, Powell MA, Rader JS, Gao F, Mutch DG, Wall LL (2009) Long-term assessment of bladder and bowel dysfunction after radical hysterectomy. Gynecol Oncol 114(1):75–79CrossRefPubMed
11.
Zurück zum Zitat Rutledge TL, Heckman SR, Qualls C, Muller CY, Rogers RG (2010) Pelvic floor disorders and sexual function in gynecologic cancer survivors: a cohort study. Am J Obstet Gynecol 203(5):514.e1–e7CrossRef Rutledge TL, Heckman SR, Qualls C, Muller CY, Rogers RG (2010) Pelvic floor disorders and sexual function in gynecologic cancer survivors: a cohort study. Am J Obstet Gynecol 203(5):514.e1–e7CrossRef
12.
Zurück zum Zitat Nosti PA, Sokol AI (2012) Unusual findings on cystoscopy in a patient with detrusor overactivity. Female Pelvic Med Reconstr Surg 18(3):186–187CrossRef Nosti PA, Sokol AI (2012) Unusual findings on cystoscopy in a patient with detrusor overactivity. Female Pelvic Med Reconstr Surg 18(3):186–187CrossRef
13.
Zurück zum Zitat Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D (2003) Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. Int J Radiat Oncol Biol Phys 56(4):937–949CrossRefPubMed Jensen PT, Groenvold M, Klee MC, Thranov I, Petersen MA, Machin D (2003) Longitudinal study of sexual function and vaginal changes after radiotherapy for cervical cancer. Int J Radiat Oncol Biol Phys 56(4):937–949CrossRefPubMed
14.
Zurück zum Zitat Hazewinkel MH, Sprangers MA, van der Velden J, van der Vaart CH, Stalpers LJ, Burger MP, Roovers JP (2010) Long-term cervical cancer survivors suffer from pelvic floor symptoms: a cross-sectional matched cohort study. Gynecol Oncol 117(2):281–286CrossRefPubMed Hazewinkel MH, Sprangers MA, van der Velden J, van der Vaart CH, Stalpers LJ, Burger MP, Roovers JP (2010) Long-term cervical cancer survivors suffer from pelvic floor symptoms: a cross-sectional matched cohort study. Gynecol Oncol 117(2):281–286CrossRefPubMed
15.
Zurück zum Zitat Thomas SG, Sato HR, Glantz JC, Doyle PJ, Buchsbaum GM (2013) Prevalence of symptomatic pelvic floor disorders among gynecologic oncology patients. Obstet Gynecol 122(5):976–980CrossRefPubMed Thomas SG, Sato HR, Glantz JC, Doyle PJ, Buchsbaum GM (2013) Prevalence of symptomatic pelvic floor disorders among gynecologic oncology patients. Obstet Gynecol 122(5):976–980CrossRefPubMed
16.
Zurück zum Zitat De Haes JC, van Knippenberg FC, Neijt JP (1990) Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist. Br J Cancer 62(6):1034–1038 De Haes JC, van Knippenberg FC, Neijt JP (1990) Measuring psychological and physical distress in cancer patients: structure and application of the Rotterdam Symptom Checklist. Br J Cancer 62(6):1034–1038
17.
Zurück zum Zitat Brookes ST, Donovan JL, Wright M, Jackson S, Abrams P (2004) A scored form of the Bristol Female Lower Urinary Tract Symptoms questionnaire: data from a randomized controlled trial of surgery for women with stress incontinence. Am J Obstet Gynecol 191(1):73–82CrossRefPubMed Brookes ST, Donovan JL, Wright M, Jackson S, Abrams P (2004) A scored form of the Bristol Female Lower Urinary Tract Symptoms questionnaire: data from a randomized controlled trial of surgery for women with stress incontinence. Am J Obstet Gynecol 191(1):73–82CrossRefPubMed
19.
Zurück zum Zitat Wu JM, Vaughan CP, Goode PS, Redden DT, Burgio KL, Richter HE, Markland AD (2014) Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol 123(1):141–148CrossRefPubMedPubMedCentral Wu JM, Vaughan CP, Goode PS, Redden DT, Burgio KL, Richter HE, Markland AD (2014) Prevalence and trends of symptomatic pelvic floor disorders in U.S. women. Obstet Gynecol 123(1):141–148CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Lawrence JM, Lukacz ES, Nager CW, Hsu JW, Luber KM (2008) Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol 111(3):678–685CrossRefPubMed Lawrence JM, Lukacz ES, Nager CW, Hsu JW, Luber KM (2008) Prevalence and co-occurrence of pelvic floor disorders in community-dwelling women. Obstet Gynecol 111(3):678–685CrossRefPubMed
21.
Zurück zum Zitat Del Priore G, Taylor SY, Esdaile BA, Masch R, Martas Y, Wirth J (2005) Urinary incontinence in gynecological oncology patients. Int J Gynecol Cancer 15(5):911–914CrossRefPubMed Del Priore G, Taylor SY, Esdaile BA, Masch R, Martas Y, Wirth J (2005) Urinary incontinence in gynecological oncology patients. Int J Gynecol Cancer 15(5):911–914CrossRefPubMed
Metadaten
Titel
Prevalence of pelvic floor disorders in women with suspected gynecological malignancy: a survey-based study
verfasst von
C. Emi Bretschneider
Kemi M. Doll
Jeannette T. Bensen
Paola A. Gehrig
Jennifer M. Wu
Elizabeth J. Geller
Publikationsdatum
01.09.2016
Verlag
Springer London
Erschienen in
International Urogynecology Journal / Ausgabe 9/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-016-2962-3

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