Sexual rehabilitation after treatment for gynaecological cancer

Leiden Repository

Sexual rehabilitation after treatment for gynaecological cancer

Type: Doctoral Thesis
Title: Sexual rehabilitation after treatment for gynaecological cancer
Author: Bakker, R.M.
Issue Date: 2017-05-16
Keywords: Gynaecological oncology
Sexual functioning
Radiotherapy
Hysterectomy
Quality of life
Abstract: In this thesis, quantitative and qualitative evidence was gathered in an attempt to improve and extend the current sexual health care of gynaecological cancer survivors. Although surgery has a major impact on sexual functioning, vaginal changes and symptoms have been shown to be more profound after intensive radiotherapy. Therefore, the studies in this thesis were especially focused on gynaecological cancer survivors who received radiotherapy, and mainly concerned cervical cancer patients; a relatively young patient population often treated with intensive external-beam radiation therapy (EBRT) in combination concurrent chemotherapy, and intrauterine and vaginal brachytherapy (BT), although the results are equally relevant to other gynaecological cancer patients treated with EBRT with or without BT. In order to assess what type of patient education and/or support would be needed to minimise the impact of gynaecological cancer treatment on sexual functioning, and to improve the survivors’ sexual recovery we followed several approaches: assessment of survivors’ experience with sexual distress after treatment, and unmet needs for psychosexual counselling and support; it was explored how survivors and professionals could best deal with treatment-induced vaginal changes; and, partly based on the previous findings, a sexual rehabilitation intervention was developed and evaluated in a pilot study.
Promotor: Supervisor: C.L. Creutzberg, J.B.M.Z. Trimbos Co-Supervisor: M.M. ter Kuile
Faculty: Medicine
University: Leiden
Uri: urn:isbn:9789462995567
Handle: http://hdl.handle.net/1887/49750
 

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application/pdf Chapter 1 1.418Mb View/Open
application/pdf Chapter 2 1.529Mb Under embargo until 2019-05-16 Full text at publisher site
application/pdf Chapter 3 1.619Mb Under embargo until 2019-05-16 Full text at publisher site
application/pdf Chapter 4 1.305Mb Under embargo until 2019-05-16
application/pdf Chapter 5 1.257Mb Under embargo until 2019-05-16 Full text at publisher site
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application/pdf References 318.6Kb View/Open
application/pdf Summary 202.6Kb View/Open
application/pdf Summary_in Dutch 236.6Kb View/Open
application/pdf Authors_List of publications_CV_Acknowledgements 2.877Mb View/Open
application/pdf Propositions 165.7Kb View/Open

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