Patient-Reported Mobility, Physical Activity, and Bicycle Use after Vulvar Carcinoma Surgery

N.J. van de Berg*, F.P. van Beurden, G. C. Wanda Wendel-Vos, Marjolein Duijvestijn, Heleen J. van Beekhuizen, Marianne Maliepaard, Helena C. van Doorn

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

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Patients treated for vulvar carcinoma may experience losses in mobility and physical activity. In this study, we assess the prevalence and severity of mobility problems using patient-reported outcomes of three questionnaires: EQ-5D-5L to estimate QoL and perceived health; SQUASH to estimate habitual physical activity; and a problem-specific questionnaire on bicycling. Patients treated for vulvar carcinoma between 2018 and 2021 were recruited, and 84 (62.7%) responded. The mean age was 68 ± 12 years (mean ± standard deviation). Self-reported QoL and perceived health were 0.832 ± 0.224 and 75.6 ± 20.0, respectively. Dutch physical activity guidelines were met by 34.2% of participants. Compared to baseline values, the times spent walking, bicycling, and participating in sports were all reduced. During bicycling, patients experienced moderate or severe pain in the skin of the vulva (24.5%), pain in the sit bones (23.2%), chafing (25.5%), or itching (8.9%). Overall, 40.3% experienced moderate or severe bicycling problems or could not bicycle, 34.9% felt that their vulva impeded bicycling, and 57.1% wished to make more or longer bicycling journeys. To conclude, vulvar carcinoma and its treatment reduce self-reported health, mobility, and physical activity. This motivates us to investigate ways to reduce discomfort during physical activities, and help women regain their mobility and self-reliance.
Original languageEnglish
Article number2324
Number of pages9
Issue number8
Publication statusPublished - 2023


  • vulvar carcinoma
  • patient-reported outcome
  • quality of life
  • mobility
  • physical activity
  • bicycling
  • EQ-5D-5L


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