ReviewDeutsches Arzteblatt international2015
The investigation and treatment of female pelvic floor dysfunction.
Review in Deutsches Arzteblatt international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Technologies for Evaluation of Pelvic Floor Functionality: A Systematic Review.Sensors (Basel, Switzerland) · 2024Pooled it
- Current Status and Role of Artificial Intelligence in Anorectal Diseases and Pelvic Floor Disorders.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- [Pelvic floor reconstruction-An interdisciplinary overview].Chirurgie (Heidelberg, Germany) · 2026Article
- Identification of risk factors for postpartum pelvic floor dysfunction in a Chinese population: a retrospective study.BMC pregnancy and childbirth · 2026Article
- Psychometric Assessment of a New Pain-Specific Patient-Reported Outcome Measure for Pelvic Floor Surgery Using Exploratory Factor Analysis.International urogynecology journal · 2026Article
- Influence of a Structured Teaching on Targeted Pelvic Floor Muscle Contraction Ability in Pregnant Women: The pelviTrust Trial.Healthcare (Basel, Switzerland) · 2026Article
- Clinical effects of integrated Chinese medicine therapy for postpartum pelvic floor dysfunction: a prospective patient-preference cohort study.Frontiers in medicine · 2026Article
- Pregnancy and postpartum experiences of elite para athletes: a cross-sectional survey.Frontiers in sports and active living · 2026Article
- Pregnant Women's Knowledge of Pelvic Floor and Related Dysfunctions: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
- Development and validation of a risk prediction model for postpartum urinary incontinence in primiparas using clinical and pelvic floor ultrasound characteristics.Frontiers in medicine · 2025Article
- Pelvic Floor Dysfunction among Reproductive-Age Women in Israel: Prevalence and Attitudes-A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Article
- Examining the Health-Related Needs of Females during Menopause: A Systematic Review Study.Journal of menopausal medicine · 2023Review
- Resection rectopexy as part of the multidisciplinary approach in the management of complex pelvic floor disorders.Innovative surgical sciences · 2023Article
- Biofeedback Treatment Can Improve Clinical Condition and Quality of Life in Patients with Pelvic Floor Dyssynergy with Irritable Bowel Syndrome: A Prospective Cohort Study.Middle East journal of digestive diseases · 2023Article
- Knowledge, Attitude, and Practice of Pregnant Women in Jazan, Saudi Arabia Concerning Pelvic Floor Muscle Exercises.Cureus · 2022Article
- Effects of Pelvic Floor Muscle Training Combined with Estriol on Pelvic Floor Dysfunction after Total Hysterectomy Applied in Perimenopause.Applied bionics and biomechanics · 2022Article
- Validation of the Sinhala translations of the Pelvic Floor Distress Inventory and the Pelvic Floor Impact Questionnaire in a Sri Lankan population.International urogynecology journal · 2021Article
- A Comparative Study on the Effects of High-Intensity Focused Electromagnetic Technology and Electrostimulation for the Treatment of Pelvic Floor Muscles and Urinary Incontinence in Parous Women: Analysis of Posttreatment Data.Female pelvic medicine & reconstructive surgery · 2021Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background25% of all women report involuntary loss of urine, and 7% may require treatment.
methodsThis review is based on a selection of pertinent literature, including guidelines and Cochrane reviews.
resultsThe assessment of pelvic floor dysfunction in women begins with a basic evaluation that is followed by special diagnostic tests if indicated. The physician taking the clinical history should inquire about the patient's behavior, personality, social and other stressors, and eating and drinking habits, as well as any mental disorders that may be present, including anxiety disorders, depression, somatization disorders, and disorders of adaptation. Conservative treatment consists mainly of lifestyle changes, physiotherapy, and medication. Stress incontinence is most commonly treated with pelvic floor exercises, with a documented success rate of 56.1% vs. 6% without such treatment (relative risk 8.38, 95% confidence interval 3.67-19.07). If incontinence persists, surgery may be indicated ( implantation of suburethral tension-free slings, or colposuspension). Feedback and biofeedback training can be used to treat an overactive bladder. If these techniques and drug therapy are unsuccessful, botulinum toxin injections can be considered.
conclusionWell-validated treatments for pelvic floor dysfunction are available. Psychosomatic factors must be taken into account and can have a major effect on treatment outcomes.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.