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Improvements following multimodal pelvic floor physical therapy in gynecological cancer survivors suffering from pain during sexual intercourse: Results from a one-year follow-up mixed-method study

Cyr, Marie-Pierre ; Dostie, Rosalie ; Camden, Chantal ; Dumoulin, Chantale ; Bessette, Paul ; Pina, Annick ; Gotlieb, Walter Henry ; Lapointe-Milot, Korine ; Mayrand, Marie-Hélène ; Morin, Mélanie Raimondo, Diego

PloS one, 2022-01, Vol.17 (1), p.e0262844-e0262844 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Improvements following multimodal pelvic floor physical therapy in gynecological cancer survivors suffering from pain during sexual intercourse: Results from a one-year follow-up mixed-method study
Autor: Cyr, Marie-Pierre ; Dostie, Rosalie ; Camden, Chantal ; Dumoulin, Chantale ; Bessette, Paul ; Pina, Annick ; Gotlieb, Walter Henry ; Lapointe-Milot, Korine ; Mayrand, Marie-Hélène ; Morin, Mélanie
Raimondo, Diego
Assuntos: Adult ; Aged ; Anxiety ; Biological effects ; Biology and Life Sciences ; Body image ; Cancer ; Cancer survivors ; Cancer Survivors - psychology ; Cancer therapies ; Care and treatment ; Complications and side effects ; Dyspareunia ; Dyspareunia - etiology ; Dyspareunia - physiopathology ; Dyspareunia - psychology ; Dyspareunia - therapy ; Exercise Therapy ; Female ; Follow-Up Studies ; Genital cancer ; Genital Neoplasms, Female - physiopathology ; Genital Neoplasms, Female - psychology ; Genital Neoplasms, Female - therapy ; Gynecological cancer ; Gynecology ; Health aspects ; Health sciences ; Humans ; Medicine and Health Sciences ; Middle Aged ; Mixed methods research ; Muscles ; Obstetrics ; Oncology ; Pain ; Patient outcomes ; Pelvic Floor ; Pelvic Floor Disorders - etiology ; Pelvic Floor Disorders - physiopathology ; Pelvic Floor Disorders - psychology ; Pelvic Floor Disorders - therapy ; Pelvis ; Physical therapy ; Preventive medicine ; Qualitative analysis ; Rehabilitation ; Self image ; Sexual behavior ; Sexual intercourse ; Survival ; Therapeutics, Physiological ; Vagina ; Womens health
É parte de: PloS one, 2022-01, Vol.17 (1), p.e0262844-e0262844
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
content type line 23
Competing Interests: The authors have declared that no competing interests exist.
Descrição: A large proportion of gynecological cancer survivors suffer from pain during sexual intercourse, also known as dyspareunia. Following a multimodal pelvic floor physical therapy (PFPT) treatment, a reduction in pain and improvement in psychosexual outcomes were found in the short term, but no study thus far has examined whether these changes are sustained over time. To examine the improvements in pain, sexual functioning, sexual distress, body image concerns, pain anxiety, pain catastrophizing, painful intercourse self-efficacy, depressive symptoms and pelvic floor disorder symptoms in gynecological cancer survivors with dyspareunia after PFPT, and to explore women's perceptions of treatment effects at one-year follow-up. This mixed-method study included 31 gynecological cancer survivors affected by dyspareunia. The women completed a 12-week PFPT treatment comprising education, manual therapy and pelvic floor muscle exercises. Quantitative data were collected using validated questionnaires at baseline, post-treatment and one-year follow-up. As for qualitative data, semi-structured interviews were conducted at one-year follow-up to better understand women's perception and experience of treatment effects. Significant improvements were found from baseline to one-year follow-up on all quantitative outcomes (P ≤ 0.028). Moreover, no changes were found from post-treatment to one-year follow-up, supporting that the improvements were sustained at follow-up. Qualitative data highlighted that reduction in pain, improvement in sexual functioning and reduction in urinary symptoms were the most meaningful effects perceived by participants. Women expressed that these effects resulted from positive biological, psychological and social changes attributable to multimodal PFPT. Adherence was also perceived to influence treatment outcomes. Findings suggest that the short-term improvements following multimodal PFPT are sustained and meaningful for gynecological cancer survivors with dyspareunia one year after treatment.
Editor: United States: Public Library of Science
Idioma: Inglês

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Improvements following multimodal pelvic floor physical therapy in gynecological cancer survivors suffering from pain during sexual intercourse: Results from a one-year follow-up mixed-method study

Cyr, Marie-Pierre ; Dostie, Rosalie ; Camden, Chantal ; Dumoulin, Chantale ; Bessette, Paul ; Pina, Annick ; Gotlieb, Walter Henry ; Lapointe-Milot, Korine ; Mayrand, Marie-Hélène ; Morin, Mélanie Raimondo, Diego

United States: Public Library of Science

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