Genitourinary Symptoms in Breast Cancer Survivors: Prevalence, Correlates, and Relationship With Sexual Functioning

To evaluate (a) the prevalence of genitourinary symptoms, (b) which demographic and clinical factors predict genitourinary symptoms, and (c) the association between genitourinary symptoms and sexual functioning in breast cancer survivors. A secondary analysis of cross-sectional, patient-reported out...

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Published inOncology nursing forum Vol. 48; no. 2; pp. 229 - 241
Main Authors Sheng, Ying, Carpenter, Janet S, Cohee, Andrea A, Storey, Susan, Stump, Timothy E, Monahan, Patrick O, Cella, David, Champion, Victoria L
Format Journal Article
LanguageEnglish
Published United States Oncology Nursing Society 01.03.2021
Subjects
Age
Breast cancer
Cancer survivors
Cancer therapies
Care and treatment
Chemotherapy
Complications and side effects
Endocrine therapy
Estrogens
Infections
Menopause
Nursing
Observations
Orgasm
Pain
Quality of life
Reproductive health
Sexual health
Urogenital system
Vagina
Womens health
United States
sexual functioning
vaginal atrophy
breast cancer survivors
genitourinary symptoms
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Summary:To evaluate (a) the prevalence of genitourinary symptoms, (b) which demographic and clinical factors predict genitourinary symptoms, and (c) the association between genitourinary symptoms and sexual functioning in breast cancer survivors. A secondary analysis of cross-sectional, patient-reported outcomes data from 1,085 breast cancer survivors was conducted. Prevalence and correlations with demographics, clinical factors, and sexual functioning were identified using descriptive analysis, multivariable logistic regression analysis, chi-square tests, t tests, and Pearson correlation coefficients. Symptoms included vaginal/vulvar irritation, pelvic discomfort, problems with urinary control, vaginal infection, and vaginal bleeding. Younger age, more comorbidities, and taking treatment for menopausal symptoms were significantly related to reporting genitourinary symptoms. Experiencing more symptoms was associated with lower sexual functioning. The prevalence, correlates, and relationship of genitourinary symptoms with sexual functioning supports the assessment and treatment of these symptoms as part of routine care for breast cancer survivors.
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ISSN:0190-535X
1538-0688
DOI:10.1188/21.ONF.229-241