%0 Journal Article
%T Let's talk about sex: consensus guidelines of the GINECOR working group of the Spanish Society of Radiation Oncology: clinical recommendations after pelvic radiotherapy.
%A Gil Haro B
%A Cordoba Largo S
%A Rodriguez Rodriguez I
%A Lozano Martin EM
%A Couselo Paniagua ML
%A Martinez Montesinos I
%A Belinchon Olmeda B
%A Vicente Ruiz P
%A Cerrolaza Pascual M
%A Payano Hernández S
%A Rey-Baltar Oramas D
%A Martinez Casares N
%A Barahona Orpinell M
%J Clin Transl Oncol
%V 0
%N 0
%D 2024 Jul 24
%M 39046683
%F 3.34
%R 10.1007/s12094-024-03562-w
%X <B>OBJECTIVE: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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.