A função muscular do assoalho pélvico e a função sexual de mulheres pós-tratamento de câncer de colo do útero

Abstract

Introduction: Cervical Cancer (CCU) is one of the most prevalent diseases in Brazil. It is estimated the emergence of 16,370 new cases for the year 2018. Treatments for CCU negatively impact the quality of life of women, especially as regards sexual function, resulting in sexual dysfunction (SD). Purpose: The aim of this study was to verify the muscular and sexual function of women victims of CCU and the influence of muscular strength on sexual function. Methodology: This is a crosssectional observational study conducted with women who underwent CCU treatment. It happened in the period from December 2016 to March 2017, with sampling for convenience. We included women aged 25 to 60 years, diagnosed with CCU, who underwent pelvic radiotherapy by teletherapy, associated or not with brachytherapy, hysterectomy and chemotherapy. Results: The survey got 40 participants. These presented: vulvar hyperchromia and morphology of atrophic vaginal mucosa with decreased standard length, characterizing vaginal stenosis. Muscle function was altered for strength, endurance and power, revealing a low functionality of pelvic floor muscles (MAPs). In addition, the sexual function of the majority was compromised, mainly in the excitation, lubrication and orgasm domains, and the domain with less impairment was that of sexual satisfaction. No correlation was found between sexual function and muscle function. Conclusion: The alteration of the strength, endurance and potency of the MAPs and impairment of arousal, lubrication, orgasm and sexual satisfaction were verified.