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dc.contributor.authorButler-Manuel, SAen_US
dc.contributor.authorSummerville, Ken_US
dc.contributor.authorFord, Aen_US
dc.contributor.authorBlake, Pen_US
dc.contributor.authorRiley, AJen_US
dc.contributor.authorSultan, AHen_US
dc.contributor.authorMonga, AKen_US
dc.contributor.authorStanton, SLen_US
dc.contributor.authorShepherd, JHen_US
dc.contributor.authorBarton, DPen_US
dc.date.accessioned2018-02-14T09:55:35Z
dc.date.issued1999-03en_US
dc.identifier.citationJournal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology, 1999, 19 (2), pp. 180 - 183en_US
dc.identifier.issn0144-3615en_US
dc.identifier.urihttps://repository.icr.ac.uk/handle/internal/1063
dc.identifier.eissn1364-6893en_US
dc.identifier.doi10.1080/01443619965552en_US
dc.description.abstractThe aim of this study was to assess the magnitude of the morbidity following radical surgery for early stage cervical cancer. We performed a retrospective survey of all women who had undergone a radical hysterectomy and lymphadenectomy between the months of July 1995 and December 1996 inclusive at either the Royal Marsden or St George's Hospital (n =38), using a detailed questionnaire on bladder, ano-rectal and sexual function, both before and after treatment. Sixteen women (44.4%) received adjuvant radiotherapy. The mean interval between surgery and inquiry was 16.4% months (range 8-25 months). The mean age at the time of surgery was 40.5 years. Thirty-six out of 38 women contacted responded (94.7%). Overall 33 women (91.7%) reported new bladder, ano-rectal or sexual symptoms. Complaints of urinary incontinence, particularly of urge incontinence, and of voiding difficulties increased significantly after surgery (P <0.05). However, only 5.3% of women had sought treatment. Tenesmus increased significantly (P <0.05), while increases in diarrhoea and faecal incontinence were not statistically significant (P =0.051). Although 12.9% of women stated an improvement in their sex lives, 54.8% thought that their sex life was worse after treatment, and 12.9% of women had ceased sexual activity altogether. Of women of childbearing age 53.8% felt adversely affected by their loss of fertility. Bladder, ano-rectal and sexual symptoms are very common following radical hysterectomy for cervical cancer, with adverse effect on quality of life, and persist into the second year after treatment.en_US
dc.formatPrinten_US
dc.format.extent180 - 183en_US
dc.languageengen_US
dc.language.isoengen_US
dc.titleSelf-assessment of morbidity following radical hysterectomy for cervical cancer.en_US
dc.typeJournal Article
rioxxterms.versionofrecord10.1080/01443619965552en_US
rioxxterms.licenseref.startdate1999-03en_US
rioxxterms.typeJournal Article/Reviewen_US
dc.relation.isPartOfJournal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecologyen_US
pubs.issue2en_US
pubs.notesNot knownen_US
pubs.organisational-group/ICR
pubs.organisational-group/ICR/Primary Group
pubs.organisational-group/ICR/Primary Group/Royal Marsden Clinical Units
pubs.publication-statusPublisheden_US
pubs.volume19en_US
pubs.embargo.termsNot knownen_US
dc.contributor.icrauthorMarsden,en_US


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