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Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri

Year 2025, Volume: 10 Issue: 2, 315 - 322, 14.06.2025

Fatma Büşra Bengüboz , Şeyda Toprak Çelenay

https://doi.org/10.61399/ikcusbfd.1550413

Abstract

Jinekolojik kanserler, kadın üreme organlarında ortaya çıkan malign tümörlerden kaynaklanan kanser tipleridir. Tedavisinde sıklıkla cerrahi tedavi, pelvik radyoterapi ve/veya kemoterapiyi içeren multimodal yaklaşımlar kullanılmaktadır. Bu tedavi yaklaşımları pelvik yapılarda anatomik, fizyolojik, nöromüsküler ve vasküler hasara neden olabilmektedir. Bu yapılarda meydana gelen fonksiyonel bozukluklar ve pelvik taban disfonksiyonları üzerinde ucuz, kolay ve yan etkileri az olan tedavi yaklaşımlarının belirlenmesi oldukça önemlidir. Bu kapsamda bu derlemede jinekolojik kanserle ilişkili pelvik taban disfonksiyonlarında güncel fizyoterapi ve rehabilitasyon yaklaşımlarının etkilerini incelemek amaçlandı. Çeşitli veri tabanlarında literatür taraması yapıldı. Çalışmada “jinekolojik kanser” ile, “pelvik taban”, “pelvik taban disfonksiyonu”, “pelvik taban egzersizleri”, “stabilizasyon egzersizleri”, “solunum egzersizleri”, “aerobik egzersizler”, “manuel tedavi”, “elektroterapi” anahtar kelimeleri kullanılarak Pubmed/MEDLINE, EBSCO, Google Scholar ve DergiPark veri tabanlarında makaleler taranmıştır. Toplam 11 makale analiz edilmiştir. Çalışmalarda egzersiz eğitimi türüne göre en çok tercih edilen pelvik taban kas eğitimi ve stabilizasyon egzersizleriydi. Çalışmalarda elektroterapi ve manuel teknikler de tercih edilmesine rağmen çalışma sayıları kısıtlıydı. Sonuç olarak büyük örneklemlerde ve jinekolojik kansere bağlı görülebilecek farklı pelvik taban disfonksiyonlarında kullanılan çeşitli fizyoterapi ve rehabilitasyon yaklaşımlarının etkilerinin araştırılacağı ileriki çalışmalara ihtiyaç duyulmaktadır.

Keywords

Egzersiz fizyoterapi ve rehabilitasyon kanser pelvik taban bozuklukları üriner inkontinans

References

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Effects of Current Physiotherapy and Rehabilitation Approaches on Pelvic Floor Dysfunctions Related to Gynecological Cancer

Year 2025, Volume: 10 Issue: 2, 315 - 322, 14.06.2025

Fatma Büşra Bengüboz , Şeyda Toprak Çelenay

https://doi.org/10.61399/ikcusbfd.1550413

Abstract

Objective: Gynecologic cancers are types of cancer originating from malignant tumors in the female reproductive organs. Surgical treatment, pelvic radiotherapy, and/or chemotherapy are commonly used multimodal approaches in the treatment of gynecologic cancer. These treatment approaches can cause anatomical, physiological, neuromuscular, and vascular damage to pelvic structures. Identifying cost-effective, easily applicable treatment approaches with minimal side effects for functional impairments and pelvic floor dysfunctions in these structures is of great importance. In this context, the aim of this review is to examine the effects of current physiotherapy and rehabilitation approaches on pelvic floor dysfunctions associated with gynecological cancers. A literature review was conducted using various databases. In the study, articles were searched in PubMed/MEDLINE, EBSCO, Google Scholar, and DergiPark databases using the keywords “gynecological cancer,” “pelvic floor,” “pelvic floor dysfunction,” “pelvic floor exercises,” “stabilization exercises,” “breathing exercises,” “aerobic exercises,” “manual therapy,” and “electrotherapy.” A total of 11 articles were analyzed. According to the type of exercise training, the most preferred in the studies were pelvic floor exercises and stabilization exercises. Although electrotherapy and manual techniques were also preferred in the studies, the number of studies was limited. As a result, future studies are needed to investigate the effects of various physiotherapy and rehabilitation approaches used in large samples and on different pelvic floor dysfunctions hat may be caused by gynecological cancer.

Keywords

Exercise physiotherapy and rehabilitation cancer pelvic floor disorders urinary incontinence

References

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  • Monteiro MGCT, de Morais Gouveia GP. Physiotherapy in the management of gynecological cancer patient: A systematic review. J Bodyw Mov Ther. 2021 Oct;28:354-361. doi: 10.1016/j.jbmt.2021.06.027.
  • Schüssler B. [Postoperative disorder of bladder emptying in gynecology: pathophysiology and possibilities for treatment]. Geburtshilfe Frauenheilkd. 1988 Aug;48(8):551-8. German. doi: 10.1055/s-2008-1026537.
  • Bernard S, Ouellet MP, Moffet H, Roy JS, Dumoulin C. Effects of radiation therapy on the structure and function of the pelvic floor muscles of patients with cancer in the pelvic area: a systematic review. J Cancer Surviv. 2016 Apr;10(2):351-62. doi: 10.1007/s11764-015-0481-8.
  • Nosti P, McDermott C, Schilder J, Stehman F, Woodman P. Symptoms of pelvic floor disorders and quality of life measures in postoperative patients with endometrial cancer. Clinical Ovarian and Other Gynecologic Cancer. 2012;5(1):27–30. doi: 10.1016/j.cogc.2012.04.002.
  • Tim S, Mazur-Bialy AI. Physiotherapy interventions in the treatment of pelvic floor dysfunctions after gynaecological oncology procedures: A systematic review. J Gynecol Obstet Hum Reprod. 2024; 53(1):102688. doi: https://doi.org/10.1016/j.jogoh.2023.102688.
  • Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660.
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  • Ramaseshan AS, Felton J, Roque D, Rao G, Shipper AG, Sanses TVD. Pelvic floor disorders in women with gynecologic malignancies: a systematic review. Int Urogynecol J. 2018 Apr;29(4):459-476. doi: 10.1007/s00192-017-3467-4.
  • Sankaranarayanan R, Ferlay J. Worldwide burden of gynaecological cancer: the size of the problem. Best Pract Res Clin Obstet Gynaecol. 2006 Apr;20(2):207-25. doi: 10.1016/j.bpobgyn.2005.10.007.
  • Lin KY, Frawley HC, Denehy L, Feil D, Granger CL. Exercise interventions for patients with gynaecological cancer: a systematic review and meta-analysis. Physiotherapy. 2016 Dec;102(4):309-319. doi: 10.1016/j.physio.2016.02.006.
  • Beesley VL, Eakin EG, Janda M, Battistutta D. Gynecological cancer survivors' health behaviors and their associations with quality of life. Cancer Causes Control. 2008 Sep;19(7):775-82. doi: 10.1007/s10552-008-9140-y.
  • Sapsford R. Rehabilitation of pelvic floor muscles utilizing trunk stabilization. Man Ther. 2004 Feb;9(1):3-12. doi: 10.1016/s1356-689x(03)00131-0.
  • Arnouk A, De E, Rehfuss A, Cappadocia C, Dickson S, Lian F. Physical, complementary, and alternative medicine in the treatment of pelvic floor disorders. Curr Urol Rep. 2017 Jun;18(6):47. doi: 10.1007/s11934-017-0694-7.
  • Frawley H, Shelly B, Morin M, Bernard S, Bø K, Digesu GA, et al. An International Continence Society (ICS) report on the terminology for pelvic floor muscle assessment. Neurourol Urodyn. 2021 Jun;40(5):1217-1260. doi: 10.1002/nau.24658.
  • Hilde G, Stær-Jensen J, Siafarikas F, Ellström Engh M, Bø K. Postpartum pelvic floor muscle training and urinary incontinence: a randomized controlled trial. Obstet Gynecol. 2013 Dec;122(6):1231-8. doi: 10.1097/AOG.0000000000000012.
  • Kaya H, Sezik M, Ozbasar D, Ozkaya O, Sahiner H. Intrafascial versus extrafascial abdominal hysterectomy: effects on urinary urge incontinence. J Pelvic Floor Dysfunct. 2004 May-Jun;15(3):171-4. doi: 10.1007/s00192-004-1136-x.
  • Slack M, Quinn M. Intrafascial hysterectomy: the third way? BJOG. 2003 Jan;110(1):83. doi: 10.1046/j.1471-0528.2003.01001.x.
  • Bernard S, Ouellet MP, Moffet H, Roy JS, Dumoulin C. Effects of radiation therapy on the structure and function of the pelvic floor muscles of patients with cancer in the pelvic area: a systematic review. J Cancer Surviv. 2016 Apr;10(2):351-62. doi: 10.1007/s11764-015-0481-8. Epub 2015 Aug 28. PMID: 26314412.
  • Cyr MP, Dumoulin C, Bessette P, Pina A, Gotlieb WH, Lapointe-Milot K, et al. Characterizing pelvic floor muscle function and morphometry in survivors of gynecological cancer who have dyspareunia: a comparative cross-sectional study. phys Ther. 2021 Apr 4;101(4):pzab042. doi: 10.1093/ptj/pzab042.
  • Jones RF 3rd, Horan DL. The american college of obstetricians and gynecologists: responding to violence against women. Int J Gynaecol Obstet. 2002 Sep;78 Suppl 1:S75-7. doi: 10.1016/S0020-7292(02)00048-6.
  • Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association; International Continence Society. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29(1):4-20. doi: 10.1002/nau.20798.
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There are 60 citations in total.

Details

Primary Language Turkish
Subjects Physiotherapy
Journal Section Review
Authors

Fatma Büşra Bengüboz 0000-0002-3190-3734

Şeyda Toprak Çelenay 0000-0001-6720-4452

Publication Date June 14, 2025
Submission Date September 15, 2024
Acceptance Date April 16, 2025
Published in Issue Year 2025 Volume: 10 Issue: 2

Cite

APA Bengüboz, F. B., & Toprak Çelenay, Ş. (2025). Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 10(2), 315-322. https://doi.org/10.61399/ikcusbfd.1550413
AMA Bengüboz FB, Toprak Çelenay Ş. Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İKÇÜSBFD. June 2025;10(2):315-322. doi:10.61399/ikcusbfd.1550413
Chicago Bengüboz, Fatma Büşra, and Şeyda Toprak Çelenay. “Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi Ve Rehabilitasyon Yaklaşımlarının Etkileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 10, no. 2 (June 2025): 315-22. https://doi.org/10.61399/ikcusbfd.1550413.
EndNote Bengüboz FB, Toprak Çelenay Ş (June 1, 2025) Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 10 2 315–322.
IEEE F. B. Bengüboz and Ş. Toprak Çelenay, “Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri”, İKÇÜSBFD, vol. 10, no. 2, pp. 315–322, 2025, doi: 10.61399/ikcusbfd.1550413.
ISNAD Bengüboz, Fatma Büşra - Toprak Çelenay, Şeyda. “Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi Ve Rehabilitasyon Yaklaşımlarının Etkileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 10/2 (June 2025), 315-322. https://doi.org/10.61399/ikcusbfd.1550413.
JAMA Bengüboz FB, Toprak Çelenay Ş. Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İKÇÜSBFD. 2025;10:315–322.
MLA Bengüboz, Fatma Büşra and Şeyda Toprak Çelenay. “Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi Ve Rehabilitasyon Yaklaşımlarının Etkileri”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 10, no. 2, 2025, pp. 315-22, doi:10.61399/ikcusbfd.1550413.
Vancouver Bengüboz FB, Toprak Çelenay Ş. Jinekolojik Kanserle İlişkili Pelvik Taban Disfonksiyonlarında Güncel Fizyoterapi ve Rehabilitasyon Yaklaşımlarının Etkileri. İKÇÜSBFD. 2025;10(2):315-22.
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