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- Title
Evaluation of pelvic floor muscle function (PFMF) in cervical cancer patients with Querleu–Morrow type C hysterectomy: a multicenter study.
- Authors
Wang, Shiyan; Gao, Lei; Wen, Hongwu; Gao, Yunong; Lv, Qiubo; Li, Hongyu; Wang, Sumei; Wang, Yanlong; Liu, Qing; Han, Jinsong; Wang, Haibo; Li, Yi; Yu, Na; Wang, Qing; Cao, Tingting; Wang, Sha; Sun, Huaxin; Wang, Zhiqi; Sun, Xiuli; Wang, Jianliu
- Abstract
Introduction: To evaluate the pelvic floor muscle function (PFMF) of cervical cancer patients after type QM-C hysterectomy and to explore the relationship between decreased PFMF and related factors. Methods: This was a multi-centered retrospective cohort study. 181 cervical cancer patients who underwent type QM-C hysterectomy were enrolled from 9 tertiary hospitals. Strength of PFMF were measured using neuromuscular apparatus (Phenix U8, French). Risk factors contributing to decreased PFMF were analyzed by univariate and multivariate ordinal polytomous logistic regression. Results: Totally 181 patients were investigated in this study. 0–3 level of type I muscle fibre strength (MFSI) was 52.6% (95/181), 0–3 level of type IIA muscle fibre strength (MFSIIA) was 50% (91/181). Subjective stress urinary incontinence was 46% (84/181), urinary retention was 27.3% (50/181), dyschezia was 41.5% (75/181), fecal incontinence was 9% (18/181). ① MFSI: Multivariate ordinal polytomous logistic regression shows that the follow-up time (p < 0.05), chemotherapy and radiotherapy (p = 0.038) are independent risk factors of MFSI's reduction after type QM-C hysterectomy. ② MFSIIA: multivariate ordinal polytomous logistic regression shows that the follow-up time (p < 0.05) are independent risk factors of MFSIIA's reduction after type QM-C hysterectomy. The pelvic floor muscle strength (PFMS) increased after 9 months than in 9 months after operation, which showed that the PFMS could be recovered after operation. Conclusions: We advocate for more attention and emphasis on the PFMF of Chinese female patients with cervical cancer postoperation. Peking University People's Hospital: PFMF after QM-C hysterectomy has not been analyzed by current study. The contribution is that patients with radical hysterectomy should do pelvic floor rehabilitation exercises in 3 months after operation. Clinical Trails NCT number of this study is 02492542.
- Subjects
PELVIC floor; CERVICAL cancer; HYSTERECTOMY; CANCER patients; KEGEL exercises; URINARY stress incontinence
- Publication
Archives of Gynecology & Obstetrics, 2022, Vol 305, Issue 2, p397
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-021-06290-6