TY - JOUR TT - RADYOTERAPi ALAN JiNEKOLOJiK KANSERLi KADINLARDA VAGiNAL DiLATASYON VE CiNSEL DANISMANLIGIN ONEMi AU - Küçük Dikencik, Uzm.hem.birsen PY - 2015 DA - February JF - Florence Nightingale Journal of Nursing PB - İstanbul Üniversitesi-Cerrahpaşa WT - DergiPark SN - 2687-6442 SP - 0 VL - 13 IS - 50 LA - en N2 - SUMMARYThe Importance Of Sexual Counselling and Vaginal Dilatation In TheGynecologic Cancer Patients Who Have Undergone Radiotherapy: Radyotherapy has a vital importance in the treatment of gyneocologic cancer. Howeverin gynecologic cancer; radiotherapy applied to pelvis and pelvic lymph node inthe form of external (ERT) or/ and brachytherapy (ICRT) cause various vaginal dysfunctions.Those dysfunctions caused by radiotherapy; explained as the shrinkage of vaginalchannels progresively by loosing elasticity and sensitivity as a result of slow down ofcirculation and spread of fibrose in submucosal walls. Maintaince of vaginal channels is absolutely necessary in order that patients can have decent life quality as well as follow up of the cancer. Because, the evaluation of localcontrol is only possible vaginal examination.Vaginal walls should be retracted after the radiotherapy in order to maintain vaginalchannels and to prevent the formation of fibrose fibres and adhesion. This can bedone in two ways. First one is; to encourage women to have sexual intercouse 3-4 timesa week, the other one is to maintain vaginal channels by teaching and supporting vaginaldilatation to women until sexual intercourse is reaching to normal level.Vaginal dilatation minimized dsyfunction in the vagina after the radiotherapy. Vaginaldilatation can combined with sexual intercourse and facilitates an active role ofwomen in maintaining vaginal channels and protecting her own health.Key words: Vaginal dilatation, Sexual counselling, Radiotion therapy, Gynecologiccancer UR - https://dergipark.org.tr/tr/pub/fnjn/issue//112529 L1 - https://dergipark.org.tr/tr/download/article-file/95277 ER -