Advanced primary vaginal squamous cell carcinoma: A case report and literature review

Effect of integrated care model on urinary retention after radical hysterectomy for cervical cancer

Objective

To explore the impact of integrated care model on urinary retention after extensive hysterectomy for cervical cancer.

Methods

This was a retrospective study. Sixty eight patients with cervical cancer who underwent extensive hysterectomy in Tangshan People's Hospital from March 2021 to March 2023 were divided into experimental group and control group, 34 cases each. The experimental group received an integrated care model, including periurethral irrigation, pelvic floor muscle and abdominal muscle exercise, induction of urination, bladder function training, and psychological care; the control group adopted a routine care model.

Results

The incidence of complications in the experimental group was lower than that in the control group, and the difference was statistically significant (χ2=4.221, P=0.040). After nursing, the SAS, SDS and SF-36 scores of the two groups of patients were significantly improved compared with those before nursing, and the degree of laboratory improvement was higher than that of the control group. The differences were statistically significant (P<0.05). The nursing satisfaction of the experimental group was higher than that of the control group, and the difference was statistically significant (χ2=4.660, P=0.031).

Conclusion

Adopting an integrated care model for patients with cervical cancer after extensive hysterectomy can shorten the time of indwelling urinary catheter, reduce residual urine volume and urinary catheter reset rate, improve patients' bladder function, alleviate patients' negative emotions, and effectively improve patients' quality of life.

Exploring therapeutic aspects and prognosis of Moroccan patients with vaginal cancer: a retrospective cohort study at the University Hospital of Fez

Primary vaginal cancer is rare, making up 1% to 2% of all female reproductive tract cancer. In Morocco, human papillomavirus (HPV) infection is the main factor. Given its low incidence, there is no consensus on the appropriate management of this cancer. The aim of our study was to assess the global management of vaginal cancer in the Radiotherapy Department, at Hassan II University Hospital, Fez, Morocco. We conducted a retrospective study of vaginal cancer cases treated at the radiotherapy department of Hassan II University Hospital between January 2012 and December 2022. Twenty-five cases of vaginal cancer were identified during the study period. In our study series, the median age was 62 years old with a range from 34 to 81 years. The average diagnostic delay was 12 months, 88% were multiparous and the notion of risky sexual behavior has been affirmed by none of them. Out of the patients we observed, 21 had squamous cell carcinoma of the vagina, one adenocarcinoma, and 3 cases of melanoma. The primary mode of treatment for the majority of our patients was concomitant radio chemotherapy, which was administered to 21 patients. Surgery was not performed on any of the patients. In the absence of consensus in the literature on the optimal treatment, concomitant radio chemotherapy remains the standard treatment for locally advanced vaginal cancer. Currently, interests are focused on the role of HPV in the genesis of vaginal cancer and on the HPV vaccine to prevent virus-induced lesions. In fact, the emphasis should be on primary prevention with prophylactic HPV vaccination.