Evidence map›Paper›PMID 33581732›Full record

ArticleReproductive health2021

A cross-sectional study on pelvic floor symptoms in women living with Female Genital Mutilation/Cutting.

Alzbeta Binkova, Marion Uebelhart, Patrick Dällenbach, Michel Boulvain, Angèle Gayet-Ageron, Jasmine Abdulcadir

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Alzbeta BinkovaFaculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1211, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-3360-1219
Marion UebelhartFaculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1211, Geneva, Switzerland.
Patrick DällenbachDivision of Gynaecology, Department of Paediatrics, Gynaecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1211, Geneva, Switzerland.
Michel BoulvainFaculty of Medicine, University of Geneva, Rue Michel-Servet 1, 1211, Geneva, Switzerland.
Angèle Gayet-AgeronClinical Research Center & Division of Clinical Epidemiology, Department of Health and Community Medicine, University of Geneva & Geneva University Hospitals, Geneva, Switzerland.
Jasmine AbdulcadirDivision of Gynaecology, Department of Paediatrics, Gynaecology and Obstetrics, Geneva University Hospitals, Boulevard de la Cluse 30, 1211, Geneva, Switzerland. jasmine.abdulcadir@hcuge.ch.
University of Geneva · CHUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFemale Genital Mutilation/Cutting (FGM/C) concerns over 200 million women and girls worldwide and is associated with obstetric trauma and long-term urogynaecological and psychosexual complications that are often under-investigated and undertreated. The aim of this study was to assess the pelvic floor distress and the impact of pelvic floor and psychosexual symptoms among migrant women with different types of FGM/C.

methodsThis cross-sectional study was conducted between April 2016 and January 2019 at the Division of Gynaecology of the Geneva University Hospitals. The participants were interviewed on socio-demographic and background information, underwent a systematic gynaecological examination to assess the presence and type of FGM/C and eventual Pelvic Organ Prolapse (POP), and completed six validated questionnaires on pelvic floor and psychosexual symptoms (PFDI-20 and PFIQ7 on pelvic floor distress and impact, FISI and WCS on faecal incontinence and constipation, PISQ-IR and FGSIS on sexual function and genital self-image). The participants' scores were compared with scores of uncut women available from the literature. The association between selected variables and higher scores for distress and impact of pelvic floor symptoms was assessed using univariate and multivariable linear regression models.

results124 women with a mean age of 31.5 (± 7.5), mostly with a normal BMI, and with no significant POP were included. PFDI-20 and PFIQ-7 mean (± SD) scores were of 49.5 (± 52.0) and 40.7 (± 53.6) respectively. In comparison with the available literature, the participants' scores were lower than those of uncut women with pelvic floor dysfunction but higher than those of uncut women without such disorders. Past violent events other than FGM/C and forced or arranged marriage, age at FGM/C of more than 10, a period of staying in Switzerland of less than 6 months, and nulliparity were significantly associated with higher scores for distress and impact of pelvic floor symptoms, independently of known risk factors such as age, weight, ongoing pregnancy and history of episiotomy.

conclusionsWomen with various types of FGM/C, without POP, can suffer from pelvic floor symptoms responsible for distress and impact on their daily life.

trial registrationThe study protocol was approved by the Swiss Ethics Committee on research involving humans (protocol n°15-224).

Indexed as

Quality of LifeAdultCircumcision, FemaleCross-Sectional StudiesEmigrants and ImmigrantsFemaleHumansMiddle AgedPelvic FloorPelvic Organ ProlapsePregnancySurveys and QuestionnairesSwitzerlandUterine ProlapseFemale genital mutilation/cutting (FGM/C)InfibulationPast violent eventsPelvic floor symptomsPFDI-20PFIQ-7Urogynaecological and psychosexual complications

Identifiers

PMID33581732
PMCPMC7881631
OpenAlexW3130826927

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.