Observational studyInternational urogynecology journal2018
Vaginal laxity: what does this symptom mean?
Observational study in International urogynecology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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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.
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Who cites it
24 citing papers in PubMed, 68 citations in OpenAlex.
- Evaluating the Effectiveness of Radiofrequency Therapy and Manual Pelvic Fascial Release in Treating Myofascial Pelvic Pain.International urogynecology journal · 2024Trial
- Vaginal high-intensity focused ultrasound in women with genitourinary syndrome of menopause: a prospective exploratory study.Sexual medicine · 2026Article
- Comparative Effectiveness of Conservative and Surgical Interventions for Vaginal Laxity: A Systematic Review and Pairwise Meta-Analysis.International urogynecology journal · 2026Review
- Discriminative Performance and Preliminary Psychometric Evaluation of the Study-Specific Composite Questionnaire Including Vaginal Laxity Questionnaire.International urogynecology journal · 2026Article
- Chronic Maternal Pelvic Morbidity: A Neglected Tragedy: Where is Pelvic Maternal Morbidity in Maternal and Child Health? : Advocating for a Public Health Approach to Pelvic Floor Disorders Resulting from Pregnancy and Childbirth Trauma.International urogynecology journal · 2026Article
- Female Sexual Function Index Outcome After Posterior Vaginal Tightening Approach and Anterior Cervical Ring Repair when Indicated.Aesthetic plastic surgery · 2025Article
- International Urogynecological Consultation Chapter 2.2: Imaging in the Diagnosis of Pelvic Organ Prolapse.International urogynecology journal · 2025Review
- Prevalence of vaginal laxity in primiparous women six months after birth.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025Article
- Is Vaginal Laxity Associated with Vaginal Parity and Mode of Delivery?International urogynecology journal · 2024Observational
- Experiences of women with symptoms of vaginal laxity - a qualitative study.BMC women's health · 2024Article
- Ultrasound imaging of core muscles activity in multiparous women with vaginal laxity: a cross-sectional study.Scientific reports · 2024Observational
- Treatment of Vulvovaginal Laxity by Electroporation: The Jett Plasma Medical for Her II Study.Journal of clinical medicine · 2023Article
- Current Perspectives in Vaginal Laxity Measurement: A Scoping Review.Archives of plastic surgery · 2023Article
- The 50 most cited articles and science mapping analysis of vaginal tightening.International urogynecology journal · 2023Article
- Experimental Analysis of Vaginal Laxity in Rats Treated With a Combination of Er:YAG Fractional Lasers and AMSC-MP.Journal of lasers in medical sciences · 2023Article
- Measurement of the vaginal wall thickness by transabdominal and transvaginal ultrasound of women with vaginal laxity: a cross-sectional study.International urogynecology journal · 2022Article
- Cross-cultural adaptation and validation of the Brazilian Portuguese version of the Female Sexual Distress Scale-Revised questionnaire for women with vaginal laxity.International urogynecology journal · 2022Article
- Joint Report on Terminology for Cosmetic Gynecology.International urogynecology journal · 2022Article
- The relationship between pelvic floor functions and vaginal microbiota in 6-8 weeks postpartum women.Frontiers in microbiology · 2022Article
- Description of Vaginal Laxity and Prolapse and Correlation With Sexual Function (DeVeLoPS).Sexual medicine · 2021Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisVaginal laxity is a poorly understood symptom of pelvic floor dysfunction. The purpose of this study was to investigate associations between the symptom of vaginal laxity and its bother on the one hand, and demographic data, other symptoms, and findings on examination on the other hand.
methodsThis was a retrospective observational study at a tertiary urogynecological unit. A total of 337 patients were seen for a standardized interview, clinical examination (ICS POP-Q) and 4D translabial ultrasonography. Stored imaging data were analyzed offline to evaluate functional pelvic floor anatomy and investigate associations with symptoms and other findings.
resultsOf the 337 women seen during the study period, 13 were excluded due to missing data, leaving 324. Vaginal laxity was reported by 24% with a mean bother of 5.7. In a univariate analysis, this symptom was associated with younger age, vaginal parity, POP symptoms and bother, clinically and sonographically determined POP and hiatal area on Valsalva maneuver.
conclusionsVaginal laxity or 'looseness' is common in our urogynecology service at a prevalence of 24%. The associated bother is almost as high as the bother associated with conventional prolapse symptoms. It is associated with younger age, vaginal parity, symptoms of prolapse, prolapse bother and objective prolapse on POP-Q examination and imaging, suggesting that vaginal laxity may be considered a symptom of prolapse. The strongest associations were found with gh + pb and hiatal area on Valsalva maneuver, suggesting that vaginal laxity is a manifestation of levator ani hyperdistensibility.
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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.