Cerrahi Operasyon Geçirmemiş Jinekolojik Onkoloji Hastalarında Üriner İnkontinans Değerlendirmesi

Yıl 2019, , 293 - 298, 01.06.2019

Pınar Atak Çakır , Esra Atılgan , Sakine Yılmaz

https://doi.org/10.17681/hsp.453427

Öz

DOI: 10.17681/hsp.453427

Amaç: Jinekolojik kanser hastalarının tedavi
dönemlerinde üriner inkontinans görüldüğü literatürde belirtilmesine rağmen,
tedavi öncesi dönemde üriner inkontinansı inceleyen çalışmalar sınırlı
sayıdadır. Çalışmanın amacı jinekolojik kanser hastalarında tanı aldıkları
dönemde üriner inkontinansın değerlendirilmesiydi.

Gereç
ve Yöntemler: Çalışmaya Dr.
Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesinde
jinekolojik onkoloji servisinde yatan 30 jinekolojik kanser hastası ve 30
sağlıklı kadın dahil edildi. Katılımcıların demografik bilgileri kaydedildi.
Üriner inkontinans; işeme günlüğü, İnkontinans Şiddet İndeksi (İŞİ) ve
Uluslararası İnkontinans Konsültasyon Sorgulama Anketi-Kısa Form ile
değerlendirildi.

Bulgular:
Çalışmaya katılan
jinekolojik kanserli kadınların ortalama yaşı 50,88±10,54 yıl, sağlıklı
kadınların 48,80±8,69 yıl olarak bulundu (p=0,411). Gruplar arasında
Uluslararası İnkontinans Konsültasyon Sorgulama Anketi-Kısa Form skoru
açısından (p=0,008) istatistiksel olarak anlamlı fark vardı. İki grup arasında
İŞİ skoru ve işeme günlüğü parametreleri arasında istatistiksel olarak anlamlı
fark saptanmadı (p>0,05).

Sonuç:
Jinekolojik kanser grubunda
sağlıklı gruba göre üriner inkontinansın daha yaygın olduğu tespit edildi.
Sonuç olarak, jinekolojik kanser hastalarına tanı aldıkları dönemden itibaren
ürolojik rehabilitasyonun uygulanması gerektiğini düşünmekteyiz.

Anahtar Kelimeler

Jinekoloji, Kadın, Kanser, Üriner İnkontinans

Evaluation of Urinary Incontinence in Patients with Gynecological Oncology Who Have Not Undergone Surgical Operation

Öz

DOI: 10.17681/hsp.453427

Purpose:
Despite the fact that
urinary incontinence is reported in the treatment periods of gynecologic cancer
patients, there are only a limited number of studies that did not detect
urinary incontinence in the pre-treatment period. The aim of the study was to
evaluate urinary incontinence in the period when they were diagnosed with
gynecological cancer patients.

Materials
and Methods: The study
included 30 cancer patients and 30 healthy women in the gynecological oncology
service in Dr. Abdurrahman Yurtaslan Ankara Oncology Education and Research
Hospital. Participants' demographic information was recorded. Urinary
incontinence was assessed with voiding diary, Incontinence Severity Index (ISI),
International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF).

Results: The mean age of participated in the study were found that women with
gynecologic cancer was 50,88 ± 10.54 years and that of healthy women was 48.80
± 8.69 years (p=0.411). There was a statistically significant difference
between the groups in terms of ICIQ-SF score (p = 0.008). There was no
statistically significant difference between the two groups in terms of ISI
score and voiding diary parameters (p> 0.05).

Conclusion:
In the gynecological cancer
group, it was found that urinary incontinence was more common than healthy
group. As a result, we think that urological rehabilitation should be performed
the period they are diagnosed on gynecologic cancer patients.

Anahtar Kelimeler

Cancer, Gynecology, Urinary Incontinence, Women

Kaynakça

• 1. Howlader N EA. Seer Cancer Statistics Review 1975-2011 National Cancer Institute. Seer Cancer Stat Rev; 2011.
• 2. Jemal A, Siegel R, Xu J, Ward E. Cancer Statistics, 2010. CA Cancer J Clin. 2010;60(5):277–300.
• 3. Jones RF, Horan DL. The American College of Obstetricians and Gynecologists: a decade of responding to violence against women. Int J Gynaecol Obstet. 1997;58(1):43–50.
• 4. Schussler B. [Postoperative disorder of bladder emptying in gynecology: pathophysiology and possibilities for treatment]. Geburtshilfe Frauenheilkd. 1988;48(8):551–8.
• 5. Benedetti-Panici P, Zullo MA, Plotti F, Manci N, Muzii L, Angioli R. Long-term bladder function in patients with locally advanced cervical carcinoma treated with neoadjuvant chemotherapy and type 3-4 radical hysterectomy. Cancer. 2004;100(10):2110–7.
• 6. Rutledge TL, Rogers R, Lee S-J, Muller CY. A pilot randomized control trial to evaluate pelvic floor muscle training for urinary incontinence among gynecologic cancer survivors. Gynecol Oncol. 2014;132(1):154–8.
• 7. Sandvik H, Hunskaar S, Seim A, Hermstad R, Vanvik A, Bratt H. Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey. J Epidemiol Community Health. 1993;47(6):497–9.
• 8. Cetinel B, Demirkesen O, Tarcan T, Yalcin O, Kocak T, Senocak M, et al. Hidden female urinary incontinence in urology and obstetrics and gynecology outpatient clinics in Turkey: What are the determinants of bothersome urinary incontinence and help-seeking behavior? Int Urogynecol J. 2007;18(6):659–64.
• 9. Soisson S, Ganz PA, Gaffney D, Rowe K, Snyder J, Wan Y, et al. Long-term, adverse genitourinary outcomes among endometrial cancer survivors in a large, population-based cohort study. Gynecol Oncol. 2018;148(3):499–506.
• 10. Gılbaz E. The short and long term effects of gynecologic cancer treatment on the lower urinary tract function. İstanbul Üniversitesi; 2008. 11. Zopf EM, Braun M, Machtens S, Zumbé J, Bloch W, Baumann FT. Implementation and scientific evaluation of rehabilitative sports groups for prostate cancer patients: study protocol of the ProRehab Study. BMC Cancer. 2012;12.
• 11. Zopf EM, Braun M, Machtens S, Zumbé J, Bloch W, Baumann FT. Implementation and scientific evaluation of rehabilitative sports groups for prostate cancer patients: study protocol of the ProRehab Study. BMC Cancer. 2012;12.
• 12. Serda B-CF, Marcos-Gragera R. Urinary incontinence and prostate cancer: a progressive rehabilitation program design. Rehabil Nurs. 2014;39(6):271–80.
• 13. Segal S, John G, Sammel M, Andy UU, Chu C, Arya LA, et al. Urinary incontinence and other pelvic floor disorders after radiation therapy in endometrial cancer survivors. Maturitas. 2017;105:83–8.
• 14. Ramaseshan AS, Felton J, Roque D, Rao G, Shipper AG, Sanses T V.D. Pelvic floor disorders in women with gynecologic malignancies: a systematic review. International Urogynecology Journal. 2017;1–18.
• 15. Bretschneider CE, Doll KM, Bensen JT, Gehrig PA, Wu JM, Geller EJ. Prevalence of pelvic floor disorders in women with suspected gynecological malignancy: a survey-based study. Int Urogynecol J. 2016;27(9):1409–14.
• 16. Kaya S, Akbayrak T, Gursen C, Beksac S. Short-term effect of adding pelvic floor muscle training to bladder training for female urinary incontinence: a randomized controlled trial. Int Urogynecol J. 2015;26(2):285–93.