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. 2017 Jan;25(1):157-166.
doi: 10.1007/s00520-016-3394-9. Epub 2016 Sep 5.

Experiences of incontinence and pelvic floor muscle training after gynaecologic cancer treatment

Anna Lindgren  1 , G Dunberger  2 , A Enblom  3   4
Affiliations

Experiences of incontinence and pelvic floor muscle training after gynaecologic cancer treatment

Anna Lindgren et al. Support Care Cancer. 2017 Jan.

Abstract

Purpose: The purpose of the present study is to describe how gynaecological cancer survivors (GCS) experience incontinence in relation to quality of life, their possibilities for physical activity and exercise and their perceptions and experiences of pelvic floor muscle training.

Method: This qualitative interview content analysis study included 13 women (48-82 age) with urinary (n = 10) or faecal (n = 3) incontinence after radiation therapy (n = 2), surgery (n = 5) and surgery and radiation therapy (n = 6) for gynaecological cancer, 0.5-21 years ago.

Result: Symptoms related to incontinence and restrictions in daily activities reduced physical quality of life. Emotions related to incontinence reduced psychological quality of life and social and existential quality of life, due to restrictions in activity and feelings of exclusion. Practical and mental strategies for maintaining quality of life were described, such as always bringing a change of clothes and accepting the situation. Possibilities for sexual and physical activity as well as exercise were also restricted by incontinence. The women had little or no experience of pelvic floor muscle training but have a positive attitude towards trying it. They also described a lack of information about the risk of incontinence. The women were willing to spend both money and time on an effective treatment for their incontinence. Nine out of 10 were willing to spend at least 7 h a week.

Conclusion: GCS experienced that incontinence reduced quality of life and limited possibilities for sexual and physical activity as well as exercise. Coping strategies, both practical and emotional, facilitated living with incontinence. The women had a positive attitude towards pelvic floor muscle training. Lack of information had a negative impact on their way of dealing with the situation.

Keywords: Gynaecologic cancer; Incontinence; Pelvic floor muscle training; Physical activity; Physiotherapy; Quality of life.

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References

    1. Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JW, Comber H, Forman D, Bray F. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer (Oxford, England: 1990) 2013;49(6):1374–1403. doi: 10.1016/j.ejca.2012.12.027. - DOI - PubMed
    1. Lind H, Waldenstrom AC, Dunberger G, al-Abany M, Alevronta E, Johansson KA, Olsson C, Nyberg T, Wilderang U, Steineck G, Avall-Lundqvist E. Late symptoms in long-term gynaecological cancer survivors after radiation therapy: a population-based cohort study. Br J Cancer. 2011;105(6):737–745. doi: 10.1038/bjc.2011.315. - DOI - PMC - PubMed
    1. Dunbrger G (2010) Self-reported fecal incontinence and quality of life among gynecological cancer survivors [dissertation]. 2010-05-28, Department of Oncology-Pathology, - Karolinska Institutet
    1. Waldenström A-CA (2013) Towards eliminating pelvic bone pain after radiation therapy among long-term gynecological cancer survivors [dissertation]. 2013, Department of Oncology Sahlgrenska Academy at University of Gothenburg
    1. Klint A, Tryggvadottir L, Bray F, Gislum M, Hakulinen T, Storm HH, Engholm G. Trends in the survival of patients diagnosed with cancer in female genital organs in the Nordic countries 1964-2003 followed up to the end of 2006. Acta Oncol (Stockholm, Sweden) 2010;49(5):632–643. doi: 10.3109/02841861003691945. - DOI - PubMed