Abstract：
OBJECTIVE: The present consensus statement was developed by the GINECOR working group on behalf of the Spanish Society of Radiation Oncology (SEOR). This document addresses sexual health management in patients with gynaecological cancer after pelvic radiotherapy.
METHODS: A modified two-round online Delphi study was conducted, where GINECOR members were surveyed on the diagnosis, treatment, and follow-up of sexual health problems. An expert panel of radiation oncologists, nurses and a gynaecologist participated in the Delphi study to reach a consensus, applying GRADE criteria to establish the level of agreement.
RESULTS: The consensus recommendations cover both diagnosis and treatment, with an emphasis on patient-reported outcome measures (PROMs). They highlight recommendations such as the systematic assessment of genitourinary, gastrointestinal, and sexual symptoms, and the use of several treatments after radiotherapy. Recommendations include pharmacological options like vaginal lubricants and hormone therapy, and mechanical interventions such as vaginal dilators and vibrators. These suggestions stem from both scientific evidence and clinical expertise.
CONCLUSIONS: This consensus statement describes a comprehensive, multidisciplinary approach developed to address the sexual needs and enhance the quality of life of patients with gynaecological tumours after pelvic radiotherapy. It offers specific recommendations for managing sexual issues, emphasizing the importance of specialized care and regular assessment. The document underscores the significance of proactive, patient-centered sexual health management in gynaecological cancer patients.
METHODS: A modified two-round online Delphi study was conducted, where GINECOR members were surveyed on the diagnosis, treatment, and follow-up of sexual health problems. An expert panel of radiation oncologists, nurses and a gynaecologist participated in the Delphi study to reach a consensus, applying GRADE criteria to establish the level of agreement.
RESULTS: The consensus recommendations cover both diagnosis and treatment, with an emphasis on patient-reported outcome measures (PROMs). They highlight recommendations such as the systematic assessment of genitourinary, gastrointestinal, and sexual symptoms, and the use of several treatments after radiotherapy. Recommendations include pharmacological options like vaginal lubricants and hormone therapy, and mechanical interventions such as vaginal dilators and vibrators. These suggestions stem from both scientific evidence and clinical expertise.
CONCLUSIONS: This consensus statement describes a comprehensive, multidisciplinary approach developed to address the sexual needs and enhance the quality of life of patients with gynaecological tumours after pelvic radiotherapy. It offers specific recommendations for managing sexual issues, emphasizing the importance of specialized care and regular assessment. The document underscores the significance of proactive, patient-centered sexual health management in gynaecological cancer patients.
摘要：
目的：本共识声明由GINECOR工作组代表西班牙放射肿瘤学会（SEOR）制定。本文件涉及盆腔放疗后妇科癌症患者的性健康管理。
方法：进行了改良的两轮在线Delphi研究，对GINECOR成员的诊断进行了调查，治疗,以及性健康问题的后续行动。放射肿瘤学家专家小组,护士和妇科医生参加了德尔菲研究，达成了共识，应用等级标准来建立协议等级。
结果：共识建议涵盖诊断和治疗，重点是患者报告的结果测量（PROM）。他们强调了诸如对泌尿生殖系统进行系统评估等建议，胃肠,和性症状，以及放疗后几种治疗方法的使用。建议包括药理学选择，如阴道润滑剂和激素治疗，和机械干预措施，如阴道扩张器和振动器。这些建议来自科学证据和临床专业知识。
结论：这份共识声明描述了一个全面的，开发了多学科方法，以解决盆腔放疗后妇科肿瘤患者的性需求并提高生活质量。它为管理性问题提供了具体建议，强调专业护理和定期评估的重要性。该文件强调了积极主动的重要性，以患者为中心的妇科癌症患者性健康管理.
方法：进行了改良的两轮在线Delphi研究，对GINECOR成员的诊断进行了调查，治疗,以及性健康问题的后续行动。放射肿瘤学家专家小组,护士和妇科医生参加了德尔菲研究，达成了共识，应用等级标准来建立协议等级。
结果：共识建议涵盖诊断和治疗，重点是患者报告的结果测量（PROM）。他们强调了诸如对泌尿生殖系统进行系统评估等建议，胃肠,和性症状，以及放疗后几种治疗方法的使用。建议包括药理学选择，如阴道润滑剂和激素治疗，和机械干预措施，如阴道扩张器和振动器。这些建议来自科学证据和临床专业知识。
结论：这份共识声明描述了一个全面的，开发了多学科方法，以解决盆腔放疗后妇科肿瘤患者的性需求并提高生活质量。它为管理性问题提供了具体建议，强调专业护理和定期评估的重要性。该文件强调了积极主动的重要性，以患者为中心的妇科癌症患者性健康管理.
