Impaired body image and physical and sexual limitations after surgical therapy for vulvar cancer: a qualitative study

Author:

Dongen Jessy van1,Vincent Noor J.B.1,de Munnik Suzanne1,Ezendam Nicole P.M.2,Esch Edith M.G. van1,Boll Dorry1

Affiliation:

1. Catharina Hospital

2. Netherlands Comprehensive Cancer Organisation

Abstract

Abstract Purpose Surgical treatment for vulvar cancer has impact on women’s self-esteem, body image and sexuality. Health Care Professionals experience difficulties in discussing these issues with patients. The aim of this study was to explore the experiences of patients with vulvar cancer regarding sexual changes, and their needs and expectations regarding sexual counseling. Methods Individual semi-structured interviews were conducted with patients who were surgically treated for vulvar cancer. All interviews were transcribed verbatim and thematically analyzed. Results Seven patients (mean age 54, 86% stage 1B vulvar cancer) participated. Seven themes were identified and were linked to the biopsychosocial framework: 1) the impact of physical disabilities on body image, 2) sexual dysfunction, 3) grieving the loss of sexual health, 4) ambivalence in the acceptance of sexual changes, 5) the effect of the partner on sexual experience, 6) the attitude of the Health Care Professional (HCP), and 7) discussing sexuality: the right moment Conclusion Patients who are surgically treated for vulvar cancer experience problems related to impairment on daily activities, altered body image and sexuality. Especially difficulties in reaching an orgasm or anorgasmia are hard to accept. Both the partner and HCP play an important role in how patients experience discussing and exploring sexuality after treatment. Since informational needs regarding sexuality change over time and patients start to fantasize about sex after 4–6 months, it is recommended to schedule an appointment 4–6 months after surgery to discuss patients’ needs regarding sexual information and counseling.

Publisher

Research Square Platform LLC

Reference36 articles.

1. Incidence trends of vulvar squamous cell carcinoma in Italy from 1990 to 2015;Mancini S;Gynecologic Oncology,2020

2. Management of Advanced Squamous Cell Carcinoma of the Vulva Cancer;Rogers LJ;Cancers,2022

3. IKNL. Nederlandse Kankerregistratie. 2021 [cited 2022 February 18]. Available from: iknl.nl/nkr-cijfers.

4. Primary treatment and relative survival by stage and age in vulvar squamous cell carcinoma: a population-based SweGCG study;Hellman K;Gynecologic Oncology,2020

5. Assessing patient-reported quality of life outcomes in vulva cancer patients: a systematic literature review;Froeding LP;International Journal of Gynecologic Cancer,2018

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