Analysis of physiotherapy in patients with dyspareunia after gynecological cancer: integrative review
DOI:
https://doi.org/10.62827/fb.v25i4.1019Keywords:
Dyspareunia; genital neoplasms female; physical therapy.Abstract
Introduction: Dyspareunia is characterized as pain before, during or after sexual intercourse. It can be classified as primary or secondary, superficial or deep, and recurrent or conditional. This dysfunction is often found after cancer treatments, generating a negative impact on quality of life, including physical, psychological, social and sexual factors. Objective: Review the literature of the last 5 years in order to evaluate the performance of physiotherapy in the treatment of dyspareunia in patients who suffered gynecological cancer. Methods: This is an integrative review of studies that sought to evaluate the performance of physiotherapy in women with dyspareunia after gynecological cancer, in scientific articles published in digital journals between the years 2017 to 2022, in the databases PubMed, BVS, Science Direct, PEDro and SciELO. Results: Different outcomes were evaluated in this review and showed a statistically significant improvement in pelvic floor functionality, sexual function, psychosexual factors, quality of life and also the possibility of maintaining the results after one year of follow-up. Conclusion: The studies evaluated in this review suggest that physiotherapy promotes improvements for women with dyspareunia after gynecological cancer. Despite all research demonstrating good results, more studies are needed to confirm these findings.
References
Dantas DA, Damasceno GR, Fonseca KSQ, Lima STS. A importância dos exercícios de Kegel no tratamento da dispareunia. Rev Liberum Accessum.2020; 4(1):31-37. Available from: http://revista.liberumaccesum.com.br/index.php/RLA/article/view/44/46
Silva APM. Abordagem fisioterapêutica da dispareunia na mulher com Dor Pélvica Crônica: comparação entre duas técnicas. Trial clínico, randomizado.2018; Tese de Doutorado apresentada à Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo/USP. Available from: https://doi.org/10.11606/t.17.2018.tde-19072018-115253
Mesquita RL, Carbone ESM. Tratamento fisioterapêutico nas disfunções sexuais em mulheres após tratamento de câncer ginecológico e de câncer de mama: uma revisão de literatura cientifica integrativa. Rev Fisioter S Fun.2015;4(2):32-40. Available from: http://www.repositorio.ufc.br/handle/riufc/18565
Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, et al. A Prospective Single-Arm Study Evaluating the Effects of a Multimodal Physical Therapy Intervention on Psychosexual Outcomes in Women With Dyspareunia After Gynecologic Cancer. J Sex Med.2021;18(5):946-954. Available from: https://doi.org/10.1016/j.jsxm.2021.02.014
Pereira MRL, Costa HSC, Duarte NS, Dias GAS, Rodrigues CNC, Latorre GFS et al. Fisioterapia nas complicações ginecológicas decorrentes do tratamento do câncer de colo de útero. Fisioter Bras.2020;21(5):501-09. Available from: https://doi.org/10.33233/fb.v21i5.4095
Falk SJ, Dizon DS. Sexual dysfunction in women with cancer. Fertil Steril.2013; 100(4):916-21. Available from: https://doi.org/10.1016/j.fertnstert.2013.08.018
Jericó ALP, Silva Neto FS. Intervenções fisioterapêuticas no tratamento da dispareunia feminina: um estudo exploratório. Research, Society and Development.2020;9(9). Available from: http://dx.doi.org/10.33448/rsd-v9i9.6570
Sartori DVB, Oliveira C, Tanaka EZ, Ferreira L. Atuação da fisioterapia nas disfunções sexuais. Femina.2018;46(1):32-37. Available from: https://docs.bvsalud.org/biblioref/2020/02/1050092/femina-2018-461-32-37.pdf
Nascimento FC, Deitos J, Luz CM. Comparação da disfunção do assoalho pélvico com função sexual e qualidade de vida em sobreviventes ao câncer ginecológico. Cad. Bras. Ter. Ocup.2019;27(3):628-637. Available from: https://doi.org/10.4322/2526-8910.ctoAO1640
Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health.1998;52(6):377. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1756728/pdf/v052p00377.pdf
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ.2021;372(71). Available from: https://doi.org/10.1136/bmj.n71
Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, et al. Feasibility, acceptability and effects of multimodal pelvic floor physical therapy for gynecological cancer survivors suffering from painful sexual intercourse: A multicenter prospective interventional study. Gynecol Oncol.2020;159(3):778-784. Available from: https://doi.org/10.1016/j.ygyno.2020.09.001
Cyr MP, Dostie R, Camden C, Dumoulin C, Bessette P, Pina A, et al. Improvements following multimodal pelvic floor physical therapy in gynecological cancer survivors suffering from pain during sexual intercourse: Results from a one-year follow-up mixed-method study. PLoS One.2022; 17(1):1-20. Available from: https://doi.org/10.1371/journal.pone.0262844
Delgado AM, Ferreira ISV, Sousa MA. Recursos fisioterapêuticos utilizados no tratamento das disfunções sexuais femininas. Rev Científica da Escola da Saúde.2014; 4(1):47-56. Available from: file:///Users/yasminpodlasinski/Downloads/Admin,+Artigo+5.pdf
Martin SL, Kerr KL, Bartley EJ, Kuhn BL, Palit S, Terry EL, et al. Respiration-induced hypoalgesia: exploration of potential mechanisms. J Pain.2012;13(8):755-63. Available from: https://doi.org/10.1016/j.jpain.2012.05.001
Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing--an experimental study. Pain Med. 2012;13(2):215-28. Available from: https://doi.org/10.1111/j.1526-4637.2011.01243.x
Wolpe RE, Toriy AM, Silva FP, Zomkowski K, Sperandio FF. Physical therapy in sexually dysfunctional women: a systematic review. Acta fisiátrica.2015;22(2):87-92. Available from: https://doi.org/10.5935/0104-7795.20150017
Franceschini J, Scarlato A, Cisi MC. Fisioterapia nas Principais Disfunções Sexuais Pós-Tratamento do Câncer do Colo do Útero: Revisão Bibliográfica. Rev. Bras. Cancerol.2010; 56(4):501-6. Available from: https://doi.org/10.32635/2176-9745.rbc.2010v56n4.1472
Tomen A, Fracaro G, Nunes EFC, Latorre GFS. A fisioterapia pélvica no tratamento de mulheres portadoras de vaginismo. Rev. Ciênc. Méd.2016;24(3):121-30. Available from: https://doi.org/10.24220/2318-0897v24n3a3147
Batista NMTL, Oliveira AN, Nunes EFC, Latorre GFS. Força e coordenação motora da musculatura do assoalho pélvico e a função sexual feminina. Interdisciplinary Journal of Health Education.2017; 2(1):10-15. Available from: https://doi.org/10.4322/ijhe.2016.013
Moraleida FRJ, Nunes ACL. Cuidado em saúde mental: Perspectiva de atuação da fisioterapêutica. Fisioterapia & Saúde funcional.2013;2(1). Available from:http://periodicos.ufc.br/fisioterapiaesaudefuncional/article/view/20551
Olivetto MMS, Lima BES, Alencar I. A intervenção da fisioterapia no tratamento da incontinência urinária de esforço. Research, Society and Development.2021;10(12):1-12. Available from: http://dx.doi.org/10.33448/rsd-v10i12.20568
Fitz FF, Santos ACC, Stupp L, Bernardes APMR, Marx AG. Impacto do tratamento do câncer de colo uterino no assoalho pélvico. Femina.2011;39(8):387-393. Available from:http://files.bvs.br/upload/S/0100-7254/2011/v39n8/a2699.pdf
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Débora Campos de Lima, Yasmin Podlasinski da Silva, Michele Pinto Farias, Magda Patrícia Furlanetto (Autor)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
Autores têm autorização para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.