ArticleInternational urogynecology journal2015
Clustering of pelvic floor disorders 20 years after one vaginal or one cesarean birth.
Article in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 6 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 6 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Artificial Intelligence Supported Analysis of Anal Sphincter and Levator Ani Muscle Using Medical Imaging Techniques: A Systematic Review.International urogynecology journal · 2026Pooled it
- Prevalence and associated factors affecting pelvic floor disorder among women in Ethiopia: A systematic review and meta-analysis.PloS one · 2025Pooled it
- Does perinatal period pelvic floor muscle exercises affect sexuality and pelvic muscle strength? A systematic review and meta-analysis of randomized controlled trials.Revista da Associacao Medica Brasileira (1992) · 2022Pooled it
- Pessaries (mechanical devices) for managing pelvic organ prolapse in women.The Cochrane database of systematic reviews · 2020Pooled it
- A systematic review of non-invasive modalities used to identify women with anal incontinence symptoms after childbirth.International urogynecology journal · 2019Pooled it
- Long-term risks and benefits associated with cesarean delivery for mother, baby, and subsequent pregnancies: Systematic review and meta-analysis.PLoS medicine · 2018Pooled it
- Clinical and cost-effectiveness of pessary self-management versus clinic-based care for pelvic organ prolapse in women: the TOPSY RCT with process evaluation.Health technology assessment (Winchester, England) · 2024Trial
- Obstetric Factors Associated with Pelvic Floor Disorders and Surgery 30 Years After Childbirth: A Prospective Cohort Study.International urogynecology journal · 2026Article
- Postpartum Sexual Function in Women with Intrapartum Pelvic Floor Muscle Trauma.International urogynecology journal · 2026Article
- Relationship between pregnancy, delivery, and ileal pouch-anal anastomosis for inflammatory bowel disease: a retrospective chart review.Crohn's & colitis 360 · 2026Article
- From Mesh to Modern Therapies: An Updated Narrative Review on Urogenital Prolapse.Journal of clinical medicine · 2025Review
- Dutch Translation, Cultural Adaption, and Validation of the German Pelvic Floor Questionnaire for Pregnant and Postpartum Women.International urogynecology journal · 2025Article
- Symptomatic Pelvic Floor Disorders in Community-Dwelling Women in Central Gondar Zone, Northwest Ethiopia.International urogynecology journal · 2025Article
- Do We Have the Evidence to Produce Tools to Enable the Identification and Personalization of Management of Women's Pelvic Floor Health Disorders Through the Perinatal and Perimenopausal Periods? ICI-RS 2024.Neurourology and urodynamics · 2025Review
- Article
- Parenting stress after perineal tear during childbirth: the role of physical health and depressive symptoms.Frontiers in psychology · 2025Article
- Neurodevelopment of Children Born with Forceps Delivery-A Single Tertiary Clinic Study.Medicina (Kaunas, Lithuania) · 2024Article
- Prevalence and associated factors of symptomatic pelvic floor disorders among women living in Debre Tabor Town, Northwest Amhara, Ethiopia.BMC women's health · 2024Article
- Article
- Investigation on prevalence and risk factors associated with genitourinary syndrome of menopause in middle-aged and older women in Beijing community: a cross sectional study.BMC women's health · 2022Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe objective was to assess the prevalence and risk factors for co-occurring pelvic floor disorders (PFDs): urinary incontinence (UI), symptomatic pelvic organ prolapse (sPOP), and fecal incontinence (FI), 20 years after one vaginal (VD) or one cesarean (CS) delivery.
methodsWe carried out a registry-based national cohort study of primiparae who delivered during the period 1985-1988 and had no further deliveries. Medical Birth Registry data were linked to data from postal questionnaires distributed 20 years post-partum (response rate 65.2%, n = 5,236). Main outcome measures were prevalence and risk factors for combined and isolated PFDs.
resultsThe prevalence of any PFD was 46.5; 31.7% had one symptom and 14.8% had two or more. Co-occurring symptoms doubled after VD (17.1%) compared with CS (8.4%) (adjOR 2.26; 95% CI 1.84-2.79). The strongest association was observed between VD and having all three symptoms (adjOR 5.20; 95% CI 2.73-9.91), followed by the combination of sPOP and UI (adjOR 3.38; 95% CI 2.24-5.10). The degree of frustration perceived by the women because of pelvic floor dysfunction increased with each additional co-occurring PFD (p < 0.001). The strongest risk factors for clustering of PFDs were: VD (OR 2.19; 95% CI 1.75-2.73), family history (OR 2.03; 95% CI 1.73-2.34), and ≥2 degree tear (OR 1.78; 95% CI 1.24-2.55). Vacuum extraction and episiotomy were not risk factors.
conclusionsThe prevalence of co-occurring PFDs was high and was doubled in women after VD compared with CS. Women with UI most likely had it as an isolated symptom, whereas FI and sPOP more often occurred in combination.
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