Table 4.
Summary of retrospective studies of sexual outcome (percentage of sample with significant sexual behavior changes or sexual difficulties) following in situ or invasive vulvar cancer
| Extent of disease and reference |
Sexual behavior |
Sexual dysfunction |
|||||||
|---|---|---|---|---|---|---|---|---|---|
| Country | Year | N | Not active | Decreased frequencies |
Desire | Excitement | Orgasm | Dyspareunia | |
| In situ | |||||||||
| 2 | USA | 1988 | 42 | 33% | — | 15 | 36 | 28 | 8 |
| 42* | (21) | (12) | (10) | (0) | |||||
| 48 | USA | 199 | 127 | 46 | — | 35 | 14 | 17 | 0 |
| 57* | (27) | (12) | (10) | (0) | |||||
| Invasive | |||||||||
| 40 | USA | 1983 | 15 | 60 | 100 | ||||
| Stellman | USA | 1984 | 9 | 100 | 100 | — | — | — | — |
| 7 | UK | 1993 | 9 | 44% | — | — | — | — | — |
| 4 | Denmark | 1983 | 15 | 47 | — | 70 | 62 | 67 | 70 |
| Andreasson | Denmark | 1986 | 25 | 40 | — | 68 | 63 | 57 | 41 |
| 59 | The Netherlands | 1986 | 10 | 30 | 30 | — | — | 44 | — |
| 61 | Italy | 1986 | 21 | 52 | 76 | — | — | — | — |
*
Denotes inclusion of data for age-matched comparison group of healthy counterparts.