Objective:

To evaluate associations between pelvic floor ultrasonography parameters and patient-reported functional impairment in survivors of cervical, endometrial, and ovarian cancer.

Approach:

Key Findings:

• Radiotherapy exposure was associated with decreased pelvic floor muscle thickness and mobility, and increased pelvic organ descent (all P < 0.05).
• Survivors receiving radiotherapy had higher PFDI-20 scores compared to those undergoing surgery without radiotherapy (P < 0.001).
• Reduced pelvic floor muscle thickness (β = −0.42, P < 0.001) and increased pelvic organ descent (β = 0.48, P < 0.001) were independently associated with greater functional impairment.

Interpretation:

Significant associations were found between ultrasound-derived pelvic floor parameters and self-reported functional impairments in gynecologic cancer survivors.

Limitations:

• The study is retrospective and exploratory, limiting the ability to establish causation.
• The sample size may not be representative of all gynecologic cancer survivors.

Conclusion:

Further prospective longitudinal studies are needed before routine clinical implementation of these findings.

Attribution Notice

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.