Onco-Urogynecology: Female Pelvic Floor Disorders in Cancer Survivors_OnDemand-Onco-Urogynecology: Female Pelvic Floor Disorders in Cancer Survivors

Video Transcription

Video Summary

Dr. Christopher Chung’s webinar on OncoUrogynecology addresses female pelvic floor disorders (PFD) in cancer survivors, emphasizing the integration of urogynecology within cancer care. At City of Hope Cancer Center, Dr. Chung specializes in diagnosing and treating PFD in cancer patients, often performing minimally invasive, mesh-free reconstructive pelvic surgeries concurrently with gynecologic oncology procedures to improve recovery and outcomes. His research highlights increased incidence of urinary incontinence and pelvic floor dysfunction among survivors of breast, colorectal, and lung cancers, with systemic therapies exacerbating symptoms. Vaginal graft-versus-host disease (GVHD) post-bone marrow transplant leads to vaginal stenosis, presenting unique challenges as current treatments are largely ineffective. Dr. Chung advocates for concurrent prolapse repair during initial cancer surgery to avoid complications from subsequent treatments like radiation, showcasing robotic and vaginal surgical techniques, including reconstruction after anterior pelvic exenteration. He stresses multidisciplinary collaboration among urogynecologists, oncologists, and urologists. For stress incontinence, he recommends caution with synthetic slings in breast cancer survivors due to high mesh exposure risk and prefers native tissue repairs or autologous sling options in radiated patients. Pelvic floor physical therapy is highlighted as beneficial post-treatment. Dr. Chung concludes by emphasizing holistic cancer patient care, offering hope and personalized management even when curative options are limited.

Keywords

OncoUrogynecology

Pelvic Floor Disorders

Cancer Survivors

Urogynecology Integration

Minimally Invasive Surgery

Urinary Incontinence

Vaginal Graft-versus-Host Disease

Multidisciplinary Collaboration

Pelvic Floor Physical Therapy