Post-radiation pelvic floor dysfunctions for the treatment of cervical cancer: an integrative review
DOI:
https://doi.org/10.33448/rsd-v10i14.22036Keywords:
Disorders; Pelvic diaphragm; Brachytherapy; Teletherapy; Cervix.Abstract
Objective: To verify the literature on pelvic floor disorders caused by radiotherapy after the treatment of cervical cancer. Methods: An integrative literature review, in which bibliographies published in Pubmed, Scielo, Portal Capes, Lilacs, Cochrane, PEDro and Medline databases were checked, from 2010 to 2021. The keywords used were “dysfunctions”, “pelvic floor”, “radiotherapy” and “neoplasms of the cervix” and their correlates in English and Spanish. Results: At the end of the analysis, seven studies were included for meeting the research criteria, in which it was found that the most reported pelvic dysfunctions in the literature after radiotherapy for the treatment of cervical cancer are dyspareunia and urinary incontinence. Final considerations: It was possible to infer that this type of intervention has numerous impacts on the pelvic floor, especially urinary incontinence and dyspareunia. It suggests the broader insertion of recovery activities through physiotherapy for changes resulting from this type of treatment, aiming at improving the functionality of the pelvic floor muscles and reducing pelvic changes, which bring complications to physical and psychological well-being of this population.
References
Aguiar, D. S., Rosa, M. D., Rosa, A., Lilio, A. C. O., Ronco, A., Mara, C., Paolini, G., Guerrero, L., Ferreira, V., Silvera, J., Terzieff, V., Alonso, I., Blanco, A. & Quarneti, A. (2015). Tratamiento con radioquimioterapia del cáncer de cuello uterino: resultados a largo plazo. Revista Médica del Uruguay. 31(4), 241-8. http://www.scielo.edu.uy/scielo.php?script=sci_arttext&pid=S1688-03902015000400003&lng=es&tlng=es.
Bae, H. & Park, H. (2016). Sexual function, depression, and quality of life in patients with cervical cancer. Support Care Cancer. 24,(24), 1277-83. https://doi.org/10.1007/s00520-015-2918-z.
Bernado, B. C., Lorenzato, F. R. B., Figueiroa, J. N. & Kitoko, P. M. (2007). Disfunção sexual em pacientes com câncer do colo uterino avançado submetidas à radioterapia exclusiva. Revista Brasileira de Ginecologia e Obstetrícia. 29(2), 85-90. https://www.scielo.br/j/rbgo/a/JvcYhBNFGr8mQzV7LqqGk9z/?format=pdf.
Castaneda, L., Bergmann, A., Castro, S. & Koifman, R. (2018). Functioning in women with cervical cancer in Brazil: the perspective of experts. Revista Brasileira de Ginecologia e Obstetrícia. 40(5), p. 260-265. https://doi.org/10.1055/s-0038-1646921.
Castaneda, L., Bergmann, A., Castro, S. & Koifman, R. (2019). Prevalência de incapacidades e aspectos associados em mulheres com câncer de colo do útero, Rio de Janeiro, Brasil. Cadernos Saúde Coletiva. 27(3), 307-15. https://doi.org/10.1590/1414-462X201900030440.
Corrêa, C. S. L., Leite, I. C. G., Andrade, A. P. S., Ferreira, A. S. S., Carvalho, S. M. & Guerra, M. R. (2016). Sexual function of women surviving cervical cancer. Archives of Gynecology and Obstetrics. 293(3), 1053-63. https://doi.org/10.1007/s00404-015-3857-0.
Correia, R. A., Bonfim, C. V., Ferreira, D. K. S., Furtado, B. M. A. S. M., Costa, H. V. V., Feitosa, K. M. A., & Santos, S. L. (2020). Quality of life after treatment for cervical cancer. Escola de Enfermagem Anna Nery – EEAN. 22(4):e20180130. https://doi.org/10.1590/S1980-220X2019029903636.
Einstein, M. H., Rash, J., Chappel, R., Swietlik, J., Hollenberg, J. & Connor, J. P. (2012). Quality of life in cervical cancer survivors: Patient and provider perspectives on common complications of cervical cancer and treatment. Gynecologic Oncology. 125(1), 163-7. https://doi.org/10.1016/j.ygyno.2011.10.033.
Ferla, L., Darski, C, Paiva, L. L., Sbruzzi, G. & Vieira, A. (2016). Synergism between abdominal and pelvic floor muscles in healthy women: a systematic review of observational studies. Fisioterapia em Movimento. 29(2), 399-410. • https://doi.org/10.1590/0103-5150.029.002.AO19.
Freire, G. M., Dias, R. S., Giordani, A. J., Ribalta, J. C. L., Segreto, H. R. C. & Segreto, R. A. (2010). Ressonância magnética para avaliação dos limites dos campos clássicos de radioterapia em pacientes portadoras de neoplasia maligna de colo uterino. Radiologia Brasileira. 43(3), 175-8. https://www.scielo.br/j/rb/a/CRwBjmYwqLPwXJywqKX659k/?lang=pt&format=pdf.
Fonseca, A. J. da, Ferreira, L. P., Dalla-benetta, A. C., Roldan, C. N. & Ferreira, M. L. S. (2010). Epidemiologia e impacto econômico do câncer de colo de útero no Estado de Roraima: a perspectiva do SUS. Revista Brasileira de Ginecologia e Obstetrícia. 32(8), 386–92. https://doi.org/10.1590/S0100-72032010000800005.
Hazewinkel, M. H., Sprangers, M. A. G., Velden, J. V.D., Burger, M. P. M. & Roovers, J. P. W. R. (2012). Severe Pelvic Floor Symptoms After Cervical Cancer Treatment Are Predominantly Associated With Mental and Physical Well-Being and Body Image: A Cross-Sectional Study. International Journal of Gynecological Cancer. 22(1), 154-60 . https://doi.org/10.1097/IGC.0b013e3182332df8.
Instituto Nacional do Câncer José Alencar Gomes da Silva (INCA). (2021). Câncer de colo de útero. https://www.inca.gov.br/tipos-de-cancer/cancer-do-colo-do-utero.
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA). (2019). Estimativa 2020: incidência de câncer no Brasil. https://www.inca.gov.br/sites/ufu.sti.inca.local/files/media/document/estimativa-2020-incidencia-de-cancer-no-brasil.pdf.
Mattos, R. C., Guimarães, I. S., Souza, L. T. & Melo, A. C. (2021). Evaluation of HIF-1α and VEGF-A expression in radiation induced cystitis: A case-control study. International Brazilian Journal of Urology. 47(2) 295-305. https://doi.org/10.1590/S1677-5538.IBJU.2020.0054.
Menezes, E. T. T., Rodrigues, R. D. S., Pontes, L. S., Dias, G. A. S., Latorre, G. F. S. & Nunes, E. F. C. (2017). Avaliação fisioterapêutica nas disfunções do assoalho pélvico consequente ao tratamento de câncer do colo do útero. Fisioterapia Brasil. 18(2), 189-196. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-884406.
Miguel, T. P., Laurienzo, C. E., Faria, E. F., Sarri, A. J., Castro, I. Q., Affonso-Júnior, R. J., Andrade, C. E. M. C., Vieira, M. A. & Reis, R. (2020). Chemoradiation for cervical cancer treatment portends high risk of pelvic floor dysfunction. Plos One. 15(6), 1-12. https://doi.org/10.1371/journal.pone.0234389.
Oliveira, A. C. Z., Esteves, S. C. B., Feijó, L. F. A., Tagawa, E. K. & Cunha, M. O. (2005). Interstitial high-dose rate brachytherapy for recurrent cervical cancer after radiation therapy. Radiologia Brasileira. 38(2), 117-120. https://www.researchgate.net/publication/262652359_Interstitial_high-dose_rate_brachytherapy_for_recurrent_cervical_cancer_after_radiation_therapy.
Osann, K., Hsieh, S.; Nelson E. L., Monk, B. J., Chase, D., Cella, D. & Wenzel, L. (2014). Factors associated with poor quality of life among cervical cancer survivors: implications for clinical care and clinical trials. Gynecologic Oncology, 135(2):266-72. https://doi.org/10.1016/j.ygyno.2014.08.036.
Pfaendler, K. S., Wenzel, L., Mechanic, M. B. & Penner, K. R.(2015). Cervical cancer survivorship: long-term quality of life and social support. Clinical Therapeutics. 37(1), p.39-48. http://dx.doi.org/10.1016/j.clinthera.2014.11.013.
Ros, C. & Espuna, M. (2013). Impacto del tratamiento del cáncer de cérvix sobre la función miccional y sexual. Actas Urológicas Espanholas. 37(1) 40-6. https://doi.org/10.1016/j.acuro.2012.03.008.
Sacomori, C., Virtuoso, J. F., Kruger, A. P. & Cardoso, F. L. (2015). Pelvic floor muscle strength and sexual function in women. Fisioterapia em Movimento. 28(4), 657-65. https://doi.org/10.1590/0103-5150.028.004.AO02.
Santos, L. N., Castaneda, L., Aguiar, S. S., Thuler, L. C. S., Koifman, R. J. & Bergmann, A. (2019). Health-related Quality of Life in Women with Cervical Cancer. Revista Brasileira de Ginecologia e Obstetrícia. 41 (4), 242-8. https://doi.org/10.1055/s-0039-1683355.
Souza, L. M., Pegorare, A. B. G., Christofoletti, G. & Barbosa, S. R. M. (2017). Influence of a protocol of Pilates exercises on the contractility of the pelvic floor muscles of non-institutionalized elderly persons. Revista Brasileira de Geriatria e Gerontologia. 20(4), 485-93. https://doi.org/10.1590/1981-22562017020.160191.
Souza, M. T., Silva M. D. & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. Einstein. 8(1), 102-6. https://journal.einstein.br/wp-content/uploads/articles_xml/1679-4508-eins-S1679-45082010000100102/1679-4508-eins-S1679-45082010000100102-pt.pdf?x56956.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Laís Cabral de Lima; Thaynan Santos da Silva; Amanda Santos Vidal de Negreiros; Ana Carolina Queiroz Vieira; Samuel Cabral de Lima; Silvana Maria de Macêdo Uchôa; Érica Patrícia Borba Lira Uchôa; Valéria Conceição Passos de Carvalho
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
