Facultad de Medicina Clinica Alemana, Universidad del Desarrollo, Santiago, Chile.
Health Sciences Faculty, Universidad San Sebastián, Santiago, Chile.
J Sex Marital Ther. 2020;46(6):513-527. doi: 10.1080/0092623X.2020.1760981. Epub 2020 May 2.
This clinical report aimed to evaluate the effectiveness of the combination of vaginal dilator (VD) and pelvic floor muscle exercises (PFME) on vaginal stenosis, sexual health and quality of life among women undergoing radiotherapy treatment for cervical cancer; PFME were instructed prior to radiotherapy with six-month follow-up. An intention-to-treat analysis was performed for the 28 women. At four-months after radiotherapy, most of the women (90.9%) maintained/increased one size of the VD and were sexually active (81.8%). Adherence to VD was high. Regarding quality of life, there was more limitation in emotional functioning. VD and PFME were effective at preventing stenosis.
本临床报告旨在评估阴道扩张器（VD）与骨盆底肌肉运动（PFME）联合应用于宫颈癌放疗患者阴道狭窄、性健康和生活质量的效果；PFME 在放疗前进行指导，并进行为期六个月的随访。对 28 名女性进行意向治疗分析。在放疗后四个月时，大多数女性（90.9%）维持/增加了一个 VD 尺寸，并保持了性生活（81.8%）。VD 的依从性较高。关于生活质量，情绪功能受限更为明显。VD 和 PFME 对预防狭窄有效。
