Cindy Neville
Pelvic PT Distance Journal Club, April 8,
2015
Background:
Same authors previously reports high rates of
UI (67% of 200) and sexual dysfunction among gynecological cancer survivors
Rutledge TL, Heckman SR, Qualls C,
Muller CY, Rogers RG. Pelvic floor disorders and sexual function in gynecologic
cancer survivors: a cohort study. Am J Obstet Gynecol 2010;203(5):514e1–7 [Epub
2010/09/28].
·
effectiveness of PFMT and behavioral therapy, has not been evaluated in
gynecologic cancer survivors.
·
effectiveness of these interventions may differ in cancer survivors since
radiation, chemotherapy and radical pel-vic surgery can result in significant
anatomical functional changes in the pelvis and lower urinary tract, including
damage of nerve fibers and compromise of vascular supply with resultant
fibrosis.