Prevalence of Urogynaecological Symptoms in Survivors of Cervical Cancer in a Tertiary Care Gynaecologic Oncology Clinic of a Developing Country
Journal Title: Women's Health – Open Journal - Year 2015, Vol 1, Issue 1
Abstract
Background: A lot of research has focussed on bowel symptoms but data is relatively scarce on exact burden of urinary subset of urogynaecological symptoms in survivors of cervical cancer. Aims and objectives: To find out the prevalence of urinary subset of urogynaecological symptoms, in women with advanced cervical carcinoma treated with surgery and/or radiotherapy and comparing same with a control group. Methods: A questionnaire incorporating demographic and urogynaecological (urinary) symptoms (IUGA terminology) was prepared and used to interview over 400 women between October 2008 and June 2010 in a case control observational design; 200 patients (study group) with history of treated cervical cancer, attending gynaecological cancer clinic and 200 patients (control group) with benign conditions attending Gynaecology outpatient clinic were interviewed. The frequency of various urinary problems was correlated with the demographic data and cystoscopic findings wherever appropriate and available. Results: Increased daytime frequency of urination (25% vs. 6%, p=0.0001), dysuria (25% vs. 3%, p= 0.0001) and hematuria (26% vs. 2%, p= 0.0001) were seen more in cervical cancer patients compared to the controls. Nocturia (30% vs. 6%, p=0.6) and urinary hesitancy (7% vs. 2%, p=0.09) did not show any statistically significant difference. Among urinary incontinence, ‘any’ urinary incontinence (38% vs. 3%, p=0.0001), urge incontinence was seen in 1% vs. 3 %, stress incontinence in 28% vs. 8%, p=0.0001, “continuous (extra urethral origin)” incontinence was seen in 8% vs. 0% and “mixed” incontinence in 1% vs. 2% (all cancer versus control group). Conclusions: There is a high burden of urogynaecological problems in women with carcinoma cervix treated with surgery and/or chemo-radiotherapy as compared to controls.
Authors and Affiliations
K. Pushpalatha
Keywords
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- EP ID EP554369
- DOI 10.17140/WHOJ-1- 102
- Views 158
- Downloads 0
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