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Effectiveness of pelvic floor muscle and education-based therapies on bladder, bowel, vaginal, sexual, psychological function, quality of life, and pelvic floor muscle function in females treated for gynecological cancer: a systematic review

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dc.contributor.authorCyr, M.P.
dc.contributor.authorJones, T.
dc.contributor.authorBrennen, R.
dc.contributor.authorColombage, U.
dc.contributor.authorFrawley, H.C.
dc.date.issued2024
dc.descriptionData source: Supplementary data, https://doi.org/10.1007/s11912-024-01586-7
dc.description.abstractPurpose of Review: Gynecological malignancies are prevalent in females, and this population is likely to experience symptoms of pelvic floor disorders and sexual dysfunction. Non-surgical, non-pharmaceutical conservative therapies, namely pelvic floor muscle (PFM) therapies and education-based interventions, could be beneficial for this population. The purpose of this systematic review was to examine the evidence regarding their effectiveness on bladder, bowel, vaginal, sexual, psychological function, quality of life, and PFM function in gynecological cancer populations. Recent Findings: Six databases were searched to identify studies employing any interventional study design, except case studies, to investigate the effect of PFM therapies, education-based interventions, or combined therapies on any outcome of interest. The search yielded 4467 results, from which 20 studies were included. Of these, 11 (55%) were RCTs, two (10%) were non-RCTs with two groups, and seven (35%) were non-RCTs with a single group. Findings suggest that combined (multimodal) therapies, specifically PFM (active > passive) + education therapies, appear more effective for vaginal, overall pelvic floor, sexual, and PFM function. PFM therapies (active and/or electrostimulation) may improve bladder outcomes. Limited evidence suggests PFM (active) + education therapies may improve bowel function. Conservative therapies may improve psychological function, although available data do not appear to favor a particular therapy. Given the conflicting findings regarding quality of life, no clear conclusions can be made. Interpretation of findings highlighted the importance of intervention dosage, adherence, and supervision for optimal effectiveness. Despite the limitations of the included studies, this review provides new and valuable insights for future research and clinical practice.
dc.identifier.citationCurrent Oncology Reports, 2024; 26(11):1293-1320
dc.identifier.doi10.1007/s11912-024-01586-7
dc.identifier.issn1534-6269
dc.identifier.issn1534-6269
dc.identifier.urihttps://hdl.handle.net/11541.2/39932
dc.language.isoen
dc.publisherSpringer Healthcare
dc.relation.fundingThe University of Queensland
dc.relation.fundingBanting fellowship from the Canadian Institutes of Health Research (CIHR)
dc.relation.fundingVictorian Cancer Agency Fellowship
dc.relation.fundingMedical Research Future Fund
dc.rightsCopyright 2024 The Author(s). This article is licensed under a Creative Commons Attribution 4.0 International License. (http://creativecommons.org/licenses/by/4.0/)
dc.source.urihttps://doi.org/10.1007/s11912-024-01586-7
dc.subjectconservative treatment
dc.subjecteducation
dc.subjectgynecological cancer
dc.subjectpelvic floor
dc.subjectrehabilitation
dc.subjectwomen's health
dc.titleEffectiveness of pelvic floor muscle and education-based therapies on bladder, bowel, vaginal, sexual, psychological function, quality of life, and pelvic floor muscle function in females treated for gynecological cancer: a systematic review
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12291109290001831 13296024480001831 s11912-024-01586-7
ror.mmsid9916896331501831

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