11.15 |
Medical-oncological rehabilitation serves the specific treatment of disease and therapy sequelae. All patients with endometrial carcinoma shall be informed and advised about the
legal options for applying for and receiving rehabilitation services. |
EC |
11.16 |
Therapy-related disorders, such as abdominal wall and adhesion discomfort, sexual dysfunction, pain during intercourse, vaginal dryness, urinary bladder and bowel dysfunction
shall be inquired about and treated not only during primary therapy but also during rehabilitation and follow-up. |
EC |
11.17 |
Endometrial cancer patients should be informed about tumor-associated fatigue and screened systematically and repeatedly during the different treatment phases. Screening
according to NCCN is recommended. |
EC |
11.18 |
If there is a value > 3 in the screening, there should be a diagnostic assessment for further clarification and specific advice on fatigue management and treatment if
needed. |
EC |
11.19 |
For moderate or severe fatigue, moderate strength and endurance training should be provided based on physical performance level. |
B |
2 |
85
|
11.20 |
Psychoeducation or cognitive behavioral therapy should be offered for moderate or severe fatigue. |
B |
2 |
85
|
11.21 |
For moderate or severe fatigue, mindfulness-based stress reduction (MBSR) and yoga can be offered. |
B |
1 |
86
|
11.22 |
Yoga should be recommended to reduce fatigue in these patients. |
B |
1 |
86
|
11.23 |
Patients with stress urinary incontinence and/or fecal incontinence should be offered pelvic floor muscle training after endometrial cancer. |
EC |
11.24 |
If lymphedema is manifest, patients should be offered therapy after endometrial cancer according to the “S2k Guideline Diagnostics and Therapy of Lymphedema (AWMF Reg. No.
058-001) May 2017”. |
EC |