Evidence map›Paper›PMID 39738854›Full record

SynthesisInternational urogynecology journal2025

A Systematic Review of the Prevalence of Overactive Bladder in Women with Non-Urinary Tract Endometriosis and the Effect of Endometriosis Surgery on Symptoms of Overactive Bladder.

Francis G Muriithi, Monika Vij, Siddhartha Mukherjee, Simon Emery

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

4 authors.

Francis G MuriithiDepartment of Urogynaecology, Singleton Hospital, Swansea Bay University Health Board, Swansea, UK. francis.muriithi@wales.nhs.uk.
Monika VijDepartment of Urogynaecology, Singleton Hospital, Swansea Bay University Health Board, Swansea, UK.
Siddhartha MukherjeeDepartment of Urogynaecology, Singleton Hospital, Swansea Bay University Health Board, Swansea, UK.
Simon EmeryDepartment of Urogynaecology, Singleton Hospital, Swansea Bay University Health Board, Swansea, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisOveractive bladder (OAB) is characterised by urinary urgency, with or without incontinence, often accompanied by daytime frequency and nocturia, in the absence of urinary tract infection or other identifiable causes. Population studies estimate the prevalence of OAB at 12.8% (EPIC study), increasing with age, reaching up to 43% after age 40. Endometriosis affects about 10% of women of reproductive age. Both OAB and endometriosis are chronic and negatively impact women's quality of life. They appear to share a common pathophysiology related to central sensitisation. We hypothesised that OAB and endometriosis might co-exist, and surgical excision of endometriosis could alleviate OAB symptoms. We aimed to assess the prevalence of OAB in patients with endometriosis and examine the effect of endometriosis surgery on OAB symptoms.

methodsA systematic search of MEDLINE, PubMed, Embase, and CINAHL-Plus identified studies reporting on endometriosis and OAB or overlapping conditions such as interstitial cystitis. Studies on bladder or ureteric endometriosis were excluded.

resultsSix studies (772 participants) were included. The prevalence of OAB in endometriosis patients ranged from 9.4% (Brazil) to 32% (France). OAB diagnosis varied, with tools such as International Consultation of Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms, Core Lower Urinary Tract Symptom Score, Bristol Female Lower Urinary Tract Symptoms, and urodynamics. Surgical outcomes were inconsistent, with no improvement in three studies, equivocal in one, and worsened in another.

conclusionOveractive bladder and non-urinary tract endometriosis may co-occur in 20.5% of patients, with surgery showing variable effects on OAB symptoms. Further standardised global research is warranted to fill in evidence gaps such as whether pre-operative desensitisation could improve surgical and quality-of-life outcomes.

Indexed as

EndometriosisUrinary Bladder, OveractiveFemaleHumansPrevalenceQuality of LifeCentral sensitization syndromeEndometriosisOutcomeOveractive bladderPrevalence

Identifiers

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Read underepoch 390

Registered trials

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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.