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GuidelineClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2025

Let's talk about sex: consensus guidelines of the GINECOR working group of the Spanish Society of Radiation Oncology: clinical recommendations after pelvic radiotherapy.

Beatriz Gil Haro, Sofía Cordoba Largo, Isabel Rodriguez Rodriguez, Eva Maria Lozano Martin, Maria Luz Couselo Paniagua, Irene Martinez Montesinos, Belen Belinchon Olmeda, Paula Vicente Ruiz, Maria Cerrolaza Pascual, Stephanyie Payano Hernández and 3 more

Abstract readPractice GuidelineConsensus StatementReview
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Guideline in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Beatriz Gil HaroDepartment of Radiation Oncology, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain.ORCID http://orcid.org/0009-0001-8109-4373
Sofía Cordoba LargoDepartment of Radiation Oncology, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain. sofia.cordoba@salud.madrid.org.ORCID http://orcid.org/0000-0001-7036-2160
Isabel Rodriguez RodriguezRadiation Oncology Department, La Paz University Hospital, Madrid, Spain.ORCID http://orcid.org/0000-0002-4376-070X
Eva Maria Lozano MartinRadiation Oncology Department, University Hospital, Toledo, Spain.ORCID http://orcid.org/0000-0003-4682-8703
Maria Luz Couselo PaniaguaDepartment of Radiation Oncology, University Hospital Clinico de Santiago, Santiago de Compostela, Spain.
Irene Martinez MontesinosDepartment of Radiation Oncology, Navarra University Hospital, Pamplona, Spain.
Belen Belinchon OlmedaDepartment of Radiation Oncology, La Paz University Hospital, Madrid, Spain.ORCID http://orcid.org/0000-0002-7726-2338
Paula Vicente RuizDepartment of Radiation Oncology, Virgen Macarena University Hospital, Seville, Spain.
Maria Cerrolaza PascualDepartment of Radiation Oncology, Miguel Servet University Hospital, Zaragoza, Spain.
Stephanyie Payano HernándezDepartment of Radiation Oncology, Rey Juan Carlos University Hospital, Madrid, Spain.
Dolores Rey-Baltar OramasDepartment of Radiation Oncology, Gran Canaria Doctor Negrin University Hospital, Gran Canaria, Spain.
Nieves Martinez CasaresDepartment of Radiation Oncology, Puerta de Hierro University Hospital, Majadahonda, Madrid, Spain.
Manel Barahona OrpinellDepartment of Gynaecology, Puerto Real University Hospital, Cadiz, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe 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.

methodsA 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.

resultsThe 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.

conclusionThis 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.

Indexed as

Genital Neoplasms, FemaleRadiation OncologySexual Dysfunction, PhysiologicalSexual HealthDelphi TechniqueFemaleHumansPatient Reported Outcome MeasuresPelvisQuality of LifeRadiotherapySocieties, MedicalSpainBrachytherapyGynecological cancerRadiotherapySexual health

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.