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Pelvic floor dysfunction survivorship needs and referrals in the gynecologic oncology population: a narrative review
  1. Ioana Marcu1,
  2. Megan Melnyk2,
  3. Silpa Nekkanti1 and
  4. Christa Nagel3
  1. 1 Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
  2. 2 School of Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
  3. 3 Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
  1. Correspondence to Dr Ioana Marcu, Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA; imarcu2000{at}gmail.com

Abstract

The population of survivors of gynecologic malignancies continues to grow. The population of gynecologic oncology survivors has a high prevalence of pelvic floor disorders. Gynecologic oncology patients identify several survivorship needs, including a need for more focused pelvic floor disorder sequelae care. The increasing focus on patient needs following cancer treatment has led to the development of survivorship care plans and other strategies for addressing post-treatment transitions and sequelae. Common themes in patient survivorship care are patient needs for flexible and integrated care, and it is unclear if survivorship care plans in their current state improve patient outcomes. Patient referrals, specifically to urogynecologists, may help address the gaps in survivorship care of pelvic floor dysfunction.

The objective of this review is to discuss the burden of pelvic floor disorders in the gynecologic population and to contextualize these needs within broader survivorship needs. The review will then discuss current strategies of survivorship care, including a discussion of whether these methods meet survivorship pelvic floor disorder needs. This review addresses several gaps in the literature by contextualizing pelvic floor disorder needs within other survivorship needs and providing a critical discussion of current survivorship care strategies with a focus on pelvic floor disorders.

  • Gynecology
  • Surgical Oncology
  • Pelvic Floor

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Footnotes

  • Contributors All authors materially contributed to the manuscript development, writing, and/or editing. IM: conception/design, data acquisition/interpretation, drafting work, editing/reviewing work, final approval of work. MM: data acquisition/interpretation, editing/reviewing work, final approval of work. SN: conception/design, editing/reviewing work, final approval of work, supervision. CN: conception/design, editing/reviewing work, final approval of work, supervision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.