Can an educational intervention improve compliance with vaginal dilator use in patients treated with radiation for a gynecological malignancy?

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Alison H BrandAnnie Stenlake

Abstract

To investigate whether an educational intervention would facilitate compliance with vaginal dilators and potentially reduce stenosis in women receiving radiotherapy as treatment for a gynecological malignancy. From 2002 to 2009, all patients undergoing pelvic radiotherapy (either external beam radiotherapy or brachytherapy) at our center for treatment of gynecological malignancies were educated about the use of vaginal dilators. Sixty patients agreed to participate in a prospective 12-month study to evaluate use. The patients had a structured educational intervention regarding dilator use. Assessment was prospectively performed via questionnaires at baseline, 3, 6, 9, and 12 months after completion of radiotherapy. Data collected included patients' demographics, treatment, incidence of stenosis, and usage of and attitudes toward dilator use. The median age of the patients was 60 years. Primary disease site was the uterus (56.6%) and cervix (40.0%). At 12 months, 52% of patients were still using the dilators, and 35% were using the dilators at least 2 to 3 times per week. Frequency of dilator use was greater in those patients older than 50 years (P = 0.005), even after adjusting for sexual frequency, and in those experiencing pa...Continue Reading

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Citations

Nov 27, 2014·The Journal of Sexual Medicine·Rinske M BakkerMoniek M Ter Kuile
Jul 15, 2015·Radiotherapy and Oncology : Journal of the European Society for Therapeutic Radiology and Oncology·Ethel LawKaryn A Goodman
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Feb 3, 2021·The Journal of Sexual Medicine·Natalia Carion HaddadMario Bernardo-Filho

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