Gil Haro Beatriz, Cordoba Largo Sofía, Rodriguez Rodriguez Isabel, Lozano Martin Eva Maria, Couselo Paniagua Maria Luz, Martinez Montesinos Irene, Belinchon Olmeda Belen, Vicente Ruiz Paula, Cerrolaza Pascual Maria, Payano Hernández Stephanyie, Rey-Baltar Oramas Dolores, Martinez Casares Nieves, Barahona Orpinell Manel
Department of Radiation Oncology, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain.
Radiation Oncology Department, La Paz University Hospital, Madrid, Spain.
Clin Transl Oncol. 2025 Feb;27(2):425-438. doi: 10.1007/s12094-024-03562-w. Epub 2024 Jul 24.
The present consensus statement was developed by the GINECOR working group on behalf of the Spanish Society of Radiation Oncology (SEOR). This document addresses sexual health management in patients with gynaecological cancer after pelvic radiotherapy.
A modified two-round online Delphi study was conducted, where GINECOR members were surveyed on the diagnosis, treatment, and follow-up of sexual health problems. An expert panel of radiation oncologists, nurses and a gynaecologist participated in the Delphi study to reach a consensus, applying GRADE criteria to establish the level of agreement.
The consensus recommendations cover both diagnosis and treatment, with an emphasis on patient-reported outcome measures (PROMs). They highlight recommendations such as the systematic assessment of genitourinary, gastrointestinal, and sexual symptoms, and the use of several treatments after radiotherapy. Recommendations include pharmacological options like vaginal lubricants and hormone therapy, and mechanical interventions such as vaginal dilators and vibrators. These suggestions stem from both scientific evidence and clinical expertise.
This consensus statement describes a comprehensive, multidisciplinary approach developed to address the sexual needs and enhance the quality of life of patients with gynaecological tumours after pelvic radiotherapy. It offers specific recommendations for managing sexual issues, emphasizing the importance of specialized care and regular assessment. The document underscores the significance of proactive, patient-centered sexual health management in gynaecological cancer patients.
本共识声明由GINECOR工作组代表西班牙放射肿瘤学会（SEOR）制定。本文档涉及盆腔放疗后妇科癌症患者的性健康管理。
开展了一项经过改进的两轮在线德尔菲研究，对GINECOR成员就性健康问题的诊断、治疗和随访进行了调查。放射肿瘤学家、护士和妇科医生组成的专家小组参与了德尔菲研究以达成共识，应用GRADE标准确定一致程度。
共识建议涵盖诊断和治疗，重点是患者报告的结局指标（PROMs）。它们强调了诸如对泌尿生殖系统、胃肠道和性症状进行系统评估，以及放疗后采用多种治疗方法等建议。建议包括使用阴道润滑剂和激素疗法等药物选择，以及阴道扩张器和振动器等机械干预措施。这些建议源于科学证据和临床专业知识。
本共识声明描述了一种全面的多学科方法，旨在满足盆腔放疗后妇科肿瘤患者的性需求并提高其生活质量。它为管理性问题提供了具体建议，强调了专科护理和定期评估的重要性。该文件强调了对妇科癌症患者进行积极主动、以患者为中心的性健康管理的重要性。
