Evaluation of Gynecological and Sexual Sequelae in Patients Treated for Rectal Cancer
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- To assess the prevalence of sexual dysfunctions and gynecological sequelae in women after treatment for rectal cancer.
研究概览
简要总结
Rectal cancer accounts for approximately 40% of colorectal cancers. In France, there are 15,000 new cases per year, and the 5-year survival rate is 55% across all stages. Treatment involves surgical resection of the rectum, often combined with preoperative chemoradiotherapy and sometimes immunotherapy, depending on the tumor's immunohistochemical status.
This treatment strategy has improved recurrence-free survival but is associated with long-term functional complications affecting the digestive, urological, gynecological, and sexual systems. Surgery causes anatomical changes and damage to the autonomic nervous system plexuses. Radiotherapy, for its part, causes pelvic inflammation with the development of fibrosis and potential vascular and nerve damage.
Various disorders can arise as a result of these anatomical changes, such as erectile dysfunction in men; dyspareunia and vaginal dryness in women; urinary incontinence and impaired sexual quality of life in both sexes.
详细描述
In women, there is a significant link between gynecological clinical abnormalities and the onset of sexual dysfunction. Gynecological anatomical sequelae are a major determinant of female sexual health. However, their assessment in clinical practice in the context of rectal cancer remains inconsistent, incomplete, or delayed. The repercussions of impaired sexual quality of life are also significant from a public health perspective. Good sexual quality of life is directly linked to a better overall quality of life in women over 40. These results could therefore be extrapolated to patients experiencing sexual dysfunction after treatment for rectal cancer. Finally, impaired overall quality of life leads to increased healthcare utilization and disability, with significant socioeconomic repercussions.
Gynecological and sexual sequelae following treatment for rectal cancer are therefore frequent but insufficiently assessed and managed in clinical practice, despite their impact on patients' overall quality of life and on public health. This work would allow for a better understanding of these disorders in order to prevent, assess, and manage them more effectively and thus optimize patients' future quality of life.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Women aged 18 to 60 at the time of diagnosis
- •Having been treated for rectal cancer between 2020 and 2025
- •Cancer in remission
- •Having been sexually active before receiving treatment for their rectal cancer
- •Having completed the various questionnaires during their treatment
排除标准
- •Inability to complete questionnaires (cognitive impairment, language barrier)
- •Pregnant women
- •Women with active cancer and/or undergoing chemotherapy
- •Women with a history of extensive gynecological surgery
- •Individuals deprived of their liberty by an administrative or judicial decision, or individuals under legal protection/guardianship or curatorship
- •Individuals without social security coverage
研究组 & 干预措施
Prevalence of gynecological and sexual sequelae in women after treatment for rectal cancer
The prevalence and characterization of gynecological and sexual sequelae in women after treatment for rectal cancer will be carried out on the basis of questionnaires under study (FSFI, QLQ-CR29, QLQ-C30 and the GynéRect questionnaire) completed during the single follow-up visit.
结局指标
主要结局
To assess the prevalence of sexual dysfunctions and gynecological sequelae in women after treatment for rectal cancer.
时间窗: 1 day
Evaluation of the prevalence of sexual dysfunctions and gynecological sequelae after treatment in women for rectal cancer, assessed using a standardized questionnaire combining validated questionnaires (FSFI, QLQ-C30, QLQ-CR29) and a specific GynéRect module for phenotyping disorders
To assess the characteristics of sexual dysfunctions and gynecological sequelae in women after treatment for rectal cancer.
时间窗: 1 day
Evaluation of the description of sexual dysfunctions and gynecological sequelae after treatment in women for rectal cancer, assessed using a standardized questionnaire combining validated questionnaires (FSFI, QLQ-C30, QLQ-CR29) and a specific GynéRect module for phenotyping disorders
次要结局
- Identify the main risk factors for gynecological and sexual sequelae in patients(1 day)
- Evaluate the relevance of the GynéRect questionnaire for assessing the gynecological and sexual sequelae of patients(1 day)
- Évaluer l'impact des séquelles gynécologiques et sexuelles des patientes sur leur qualité de vie globale(1 day)