Quality of Life and Sexual Functioning After Vulvar Reconstruction With the Lotus Petal Flap

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Joke HellingaMartin W Stenekes

Abstract

Resection of (pre) malignant lesions in the vulvoperineal area may result in large defects that cannot be closed primarily. The lotus petal flap technique is widely used for reconstruction. The aim of this study was to evaluate both quality of life (QoL) and sexual functioning of patients who underwent the lotus petal flap procedure, because no data are available on this topic. A cross-sectional study was performed on all eligible patients (N = 38) who underwent the lotus petal flap procedure between 2005 and 2016. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30, Female Sexual Function Index, and Body Image Scale were used to evaluate QoL and sexual functioning. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire C30 and Female Sexual Function Index scores were compared with scores of age-matched healthy women. Twenty-six patients (68%) responded. The mean (SD) age was 65.5 (16.3) years, and the median follow-up time was 38.5 months (range 16-141 months). Quality of life scores were lower compared with healthy women in the domains physical, role, and social functioning. Sexual activity rates were comparable with healthy women; however, sex...Continue Reading

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Citations

May 21, 2020·Archives of Gynecology and Obstetrics·Sophia TrottBenjamin Wolf
Jun 15, 2021·Plastic and Reconstructive Surgery. Global Open·Joke HellingaMartin W Stenekes
Aug 30, 2021·International Journal of Surgery Case Reports·Ramzi ArfaouiKhaled Neji

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