The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review

Abstract Objective This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer. Methods A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was...

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Main Authors: Mariana Alves Firmeza, Camila Teixeira Moreira Vasconcelos, José Ananias Vasconcelos Neto, Luiz Gustavo de Oliveira Brito, Flávio Mendes Alves, Natália Maria de Vasconcelos Oliveira
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2022-10-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000800790&tlng=en
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author Mariana Alves Firmeza
Camila Teixeira Moreira Vasconcelos
José Ananias Vasconcelos Neto
Luiz Gustavo de Oliveira Brito
Flávio Mendes Alves
Natália Maria de Vasconcelos Oliveira
author_facet Mariana Alves Firmeza
Camila Teixeira Moreira Vasconcelos
José Ananias Vasconcelos Neto
Luiz Gustavo de Oliveira Brito
Flávio Mendes Alves
Natália Maria de Vasconcelos Oliveira
author_sort Mariana Alves Firmeza
collection DOAJ
description Abstract Objective This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer. Methods A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was limited to the investigation of prevalence or occurrence of lower urinary tract symptoms (LUTS) and sexual dysfunctions in women who underwent a hysterectomy for cervical cancer. For search strategies, specific combinations of terms were used. Results A total of 8 studies, published between 2010 and 2018, were included in the sample. The average age of the participants ranged from 40 to 56 years, and the dysfunctions predominantly investigated in the articles were urinary symptoms (n= 8). The rates of urinary incontinence due to radical abdominal hysterectomy ranged from 7 to 31%. The same dysfunction related to laparoscopic radical hysterectomy varied from 25 to 35% and to laparoscopic nerve sparing radical hysterectomy varied from 25 to 47%. Nocturia ranged from 13%, before treatment, to 30%, after radical hysterectomy. The prevalence rates of dyspareunia related to laparoscopic radical hysterectomy and laparoscopic nerve sparing radical hysterectomy ranged from 5 to 16% and 7 to 19% respectively. The difficulty in having orgasm was related to laparoscopic radical hysterectomy (10 to 14%) and laparoscopic nerve sparing radical hysterectomy (9 to 19%). Conclusion Urinary and sexual dysfunctions after radical hysterectomy to treat cervical cancer are frequent events. The main reported disorders were urinary incontinence and dyspareunia.
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spelling doaj.art-5fdf29a43d93464397a82aecacf0ca8c2022-12-22T03:55:27ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032022-10-0144879079610.1055/s-0042-1748972The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic ReviewMariana Alves Firmezahttps://orcid.org/0000-0001-6028-5202Camila Teixeira Moreira Vasconceloshttps://orcid.org/0000-0002-4384-5121José Ananias Vasconcelos Netohttps://orcid.org/0000-0001-6784-5970Luiz Gustavo de Oliveira Britohttps://orcid.org/0000-0002-7364-4718Flávio Mendes Alveshttps://orcid.org/0000-0002-3377-7217Natália Maria de Vasconcelos Oliveirahttps://orcid.org/0000-0002-9425-7936Abstract Objective This systematic review aims at describing the prevalence of urinary and sexual symptoms among women who underwent a hysterectomy for cervical cancer. Methods A systematic search in six electronic databases was performed, in September 2019, by two researchers. The text search was limited to the investigation of prevalence or occurrence of lower urinary tract symptoms (LUTS) and sexual dysfunctions in women who underwent a hysterectomy for cervical cancer. For search strategies, specific combinations of terms were used. Results A total of 8 studies, published between 2010 and 2018, were included in the sample. The average age of the participants ranged from 40 to 56 years, and the dysfunctions predominantly investigated in the articles were urinary symptoms (n= 8). The rates of urinary incontinence due to radical abdominal hysterectomy ranged from 7 to 31%. The same dysfunction related to laparoscopic radical hysterectomy varied from 25 to 35% and to laparoscopic nerve sparing radical hysterectomy varied from 25 to 47%. Nocturia ranged from 13%, before treatment, to 30%, after radical hysterectomy. The prevalence rates of dyspareunia related to laparoscopic radical hysterectomy and laparoscopic nerve sparing radical hysterectomy ranged from 5 to 16% and 7 to 19% respectively. The difficulty in having orgasm was related to laparoscopic radical hysterectomy (10 to 14%) and laparoscopic nerve sparing radical hysterectomy (9 to 19%). Conclusion Urinary and sexual dysfunctions after radical hysterectomy to treat cervical cancer are frequent events. The main reported disorders were urinary incontinence and dyspareunia.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000800790&tlng=enuterine cervical neoplasmshysterectomylower urinary tract symptoms
spellingShingle Mariana Alves Firmeza
Camila Teixeira Moreira Vasconcelos
José Ananias Vasconcelos Neto
Luiz Gustavo de Oliveira Brito
Flávio Mendes Alves
Natália Maria de Vasconcelos Oliveira
The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
Revista Brasileira de Ginecologia e Obstetrícia
uterine cervical neoplasms
hysterectomy
lower urinary tract symptoms
title The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
title_full The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
title_fullStr The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
title_full_unstemmed The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
title_short The Effects of Hysterectomy on Urinary and Sexual Functions of Women with Cervical Cancer: A Systematic Review
title_sort effects of hysterectomy on urinary and sexual functions of women with cervical cancer a systematic review
topic uterine cervical neoplasms
hysterectomy
lower urinary tract symptoms
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032022000800790&tlng=en
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