Sexual Function after Modified Radical Hysterectomy (Piver II/Type B) vs. Classic Radical Hysterectomy (Piver III/Type C2) for Early Stage Cervical Cancer. A Prospective Study |
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| Authors: | Francesco Plotti Ermal Nelaj Milena Sansone Elena Antonelli Tiziana Altavilla Roberto Angioli Pierluigi Benedetti Panici |
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| Institution: | 2. Campus Biomedico Department of Obstetrics and Gynecology, University of Rome Via Longoni, Rome, Italy;2. Department of Pharmacology, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden;2. Department of Psychology, University of Michigan, Ann Arbor, MI, USA;3. Department of Psychology, California State University, Long Beach, Long Beach, CA, USA;4. Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA;2. Department of Urology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;3. Graduate Institute of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan;4. Pingtung Hospital, Department of Health, Executive Yuan, Pingtung, Taiwan;5. School of Pharmacy, Kaohsiung Medical University, Kaohsiung, Taiwan;11. Department of Urology, Kaohsiung Municipal Ta‐Tung Hospital, Kaohsiung, Taiwan;12. Department of Urology, Kaohsiung Municipal Hsiao‐Kang Hospital, Kaohsiung, Taiwan;8. Institute of Biochemistry, Kaohsiung Medical University, Kaohsiung, Taiwan;9. Institute of Biomedical Engineering, National Taiwan University, Taipei, Taiwan;2. Urology Department, Mãe de Deus Center Hospital, Porto Alegre, Brazil;3. Urodynamics Unit, Santa Casa Hospital, Porto Alegre, Brazil;4. Ultrasound Unit, Dom Vicente Scherer Hospital, Porto Alegre, Brazil;5. Residency in Urology, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil;11. Department of Urology, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil;2. Department of Urology, University of Florence, Florence, Italy;3. Endocrinology Unit, Department of Clinical Physiopathology, University of Florence, Florence, Italy;4. Endocrinology Unit, Medical Department, Azienda Usl Bologna Maggiore‐Bellaria Hospital, Bologna, Italy |
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| Abstract: | IntroductionWhen cervical cancer is detected at an early stage (International Federation of Gynecology and Obstetrics FIGO] IA2‐IB1), it can be successfully treated by radical surgery alone. Considering that most patients are young and sexually active at the moment of diagnosis and the long life expectancy of survivors after the treatment, quality of life (QoL) and sexual function are important issues for cancer survivors and caregivers. However, only a few studies have examined the QoL and sexual function in disease‐free cervical cancer survivors, and there are no studies in the literature comparing prospectively sexual function after different types of radical hysterectomy.AimTo compare sexual function in two groups of early stage cervical cancer survivors treated by radical surgery alone, undergoing two different types of radical hysterectomy.MethodsPatients treated by radical hysterectomy with systematic lymphadenectomy for early stage cervical cancer (FIGO IA2‐IB1) have been enrolled and divided in two groups with regard to type of radical hysterectomy performed; S1: modified radical hysterectomy (Piver II/Type B), S2: classic radical hysterectomy (Piver III/ Type C2).Main Outcome MeasureTwenty‐four months after surgery we assessed the sexual function using the European Organization for Research and Treatment of Cancer Cervix Cancer Module Questionnaire, which is a validated system for the assessment of disease‐ and treatment‐specific issues that affect the QoL and sexual functioning of women who are treated for cervical cancer.ResultsOf the 31 patients enrolled in the S1 group and 46 in the S2 group, 23 and 33 patients have been included, respectively. We observed significant differences between the two groups in terms of symptom experience, sexual/vaginal functioning, sexual activity, and sexual enjoyment. There was not any significant difference regarding lymphedema, peripheral neuropathy, and sexual worry.ConclusionSurvivors of early stage cervical cancer treated by modified radical hysterectomy (Piver II/ Type B) have a better sexual function than those operated by classic radical hysterectomy (Piver III/ Type C2). Plotti F, Nelaj E, Sansone M, Antonelli E, Altavilla T, Angioli R, and Benedetti Panici P. Sexual function after modified radical hysterectomy (Piver II/Type B) vs. classic radical hysterectomy (Piver III/Type C2) for early stage cervical cancer: A prospective study. J Sex Med 2012;9:909–917. |
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