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    Urological Complications And Impact On Quality Of Life Among Patients With Cervical Cancer At Kenyatta National Hospital

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    Date
    2013-06
    Author
    Nassir, Faiza
    Wanjala, Samson
    Kagema, Frank
    Njeru, Erastus
    Type
    Presentation
    Language
    en
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    Abstract
    Cervical cancer whose main etiology is HPV remains a major health issue globally especially in the developing world. About 270,000 women die annually due to cervical cancer; 88% of them in low income settings. In Kenya, it is the second common cancer after breast cancer in women, with an estimated incidence of 2,454 per 100,000 and a leading cause of death due to gynecological malignancy. Urologic complications— which include urinary tract infections, VVF, ureteric obstruction, stress and urge incontinence, hydronephrosis, and renal failure are very common in cervical cancer patients. They increase the morbidity and mortality in women and negatively impact their quality of life. Materials and Methods: A descriptive, cross sectional study involving 239 cervical cancer patients was conducted at Kenyatta National Hospital (KNH) between May and August 2012. A structured questionnaire aimed at understanding the burden of the urological complications, its associated factors and impact on quality of life was administered. Results: A total of 239 participants were interviewed. The prevalence of urologicalcomplications was 78%. The urological conditions included; UTI (55.1%), Urge incontinence (42.7%), Cystitis (37.2%), Hydronephrosis (37%) stress incontinence (26.8%), urinary retention (20.1%), hematuria (12.6%)and VVF (10%). There was a strong association between cancer staging and UTI (p=0.002). High parity (>3) was associated with development of stressincontinence (p=0.06).The median for the urinary distress inventory and incontinenceimpact questionnaire was 21.875 and 4.17 respectively. Conclusion: There is a highprevalence of urological complications Clinicians should routinely ask the patients on urological symptoms.
    URI
    http://hdl.handle.net/11295/61115
    Citation
    Nassir, Faiza,Wanjala, Samson,Kagema, Frank,Njeru, Erastus,;Urological Complications And Impact On Quality Of Life Among Patients With Cervical Cancer At Kenyatta National Hospital,presented at the 2nd International Scientific Conference, Chs And Knh, 19th - 21st June 2013.
    Publisher
    University of Nairobi
     
    College of Health Sciences
     
    Subject
    Cervical Cancer, Urological complications; Quality of Life
    Description
    Urological Complications And Impact On Quality Of Life Among Patients With Cervical Cancer At Kenyatta National Hospital,presented at the 2nd International Scientific Conference, Chs And Knh, 19th - 21st June 2013.
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    • Faculty of Health Sciences (FHS) [852]
    • Theses & Dissertations [241]

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