ESTRO 2021 Abstract Book
difference in volume diminished (Table 1). For the seminal vesicles DSC was the lowest of all structures. Since the seminal vesicles often had a small volume (10.07 ± 4.78 cm³), a small deviation resulted in a lower DSC.
Conclusion The organs contoured by the advanced adapters and the radiation oncologists were shown to be in excellent (bladder and rectum) or good (prostate and seminal vesicles) agreement. This study demonstrates that transition of this work from radiation oncologist to RTT is qualitatively feasible. Furthermore it facilitates a more efficient distribution of the workload in the department. PH-0160 An evaluation of a therapeutic radiographer led “Sexual Care after Radiotherapy” clinic. H. Nisbet 1 , L. Caulfield 2 , E. Holloway 3 1 Oxford University Hospitals NHS FT, Radiotherapy , Oxford, United Kingdom; 2 Oxford University Hospitals NHS FT, Radiotherapy, Oxford, United Kingdom; 3 Oxford University Hospitals NHS FT, Department of Sexual Health, Oxford, United Kingdom Purpose or Objective By 2034, 3 in 4 patients in England diagnosed with cancer will survive at least 10 years and need support with the late, adverse effects of treatment. Patients having received radiotherapy treatment have a high level of unmet sexuality needs that can affect sexual self-concept as well as sexual functioning. Difficulties with sexual functioning and body image have been reported in over 50% of those treated for pelvic malignancies or breast cancer. The provision of sexual care support after radiotherapy is not adequately addressed by oncology professionals yet patients who have the opportunity to discuss sexual issues experience reduced sexual morbidity. This is an evaluation of the patient satisfaction of a novel and innovative clinic led by therapeutic radiographers for the management of sexual dysfunction. Materials and Methods Quantitative data was collected from NHS Friends and Family Test (FFT) patient questionnaires to assess how patients rated the service on a scale from not likely to extremely likely to recommend the service. A qualitative, thematic analysis of the comments provided insight into patient satisfaction and experience. Results Overall, 33 patients attended the clinic from 2019 to 2020. An 82% return rate of FFT questionnaire’s showed 94% of patients were extremely likely and 6% were likely to recommend the service. Three emergent themes were the quality of information provision, the conduct of the staff member and the consultation experience. Patients stated that they were given a range of solutions and many cited a better understanding of their sexual issues. Conclusion Sexual function is an important component of quality of life and sexual dysfunction can cause on-going distress, interfering with recovery. This clinic offers an opportunity to discuss issues and provides an important mechanism of support for patients to live with and beyond their cancer diagnosis. Oncology professionals should receive training and education to raise sexual issues with their patients and ensure relevant services are provided. PH-0161 Virtual reality distraction during uterovaginal brachytherapy applicators’ removal: a pilot study R. Varnier 1 , O. Brière 2 , T. Brouillard 2 , I. Martel-Lafay 1 , A. Serre 1 , A. Couillet 3 , G. Chvetzoff 3 , C. Freulet 2 , P. Pommier 1 1 Centre Léon Bérard, Department of Radiation Oncology, Lyon, France; 2 Centre Léon Bérard, Brachytherapy Unit, Lyon, France; 3 Centre Léon Bérard, Department of Supportive Care, Lyon, France Purpose or Objective To assess the relevance of virtual reality distraction (VR) during uterovaginal brachytherapy applicators’ removal, as an alternative to nitrous oxide (N2O) conscious sedation, to decrease anxiety and pain perception. Materials and Methods We prospectively evaluated thirty-five patients treated with cervical brachytherapy for locally or locally advanced cervical cancer. Brachytherapy applicators were removed in the patient’s room at the end of the treatment. Patients were assigned to N2O conscious sedation (reference group) or VR (experimental group). Anxiety and pain were evaluated with the STAI-E score and with Visual Analogical Scales (VAS). Results Fourteen patients were treated with VR and twenty-one with N2O. STAI-E baselines scores were 35 in the VR group and 38 in the reference group and declined to 30 and 28 respectively after procedure. The mean VAS- anxiety was 2.9 before and 2.7 at the peak in the VR group versus 4.1 and 1.6 respectively in the reference group. The mean VAS-pain was 1.0 before, 3.1 at the peak and 0.4 after the procedure in the experimental
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