Evidence map›Paper›PMID 39903234›Full record

ArticleInternational urogynecology journal2025

Symptomatic Pelvic Floor Disorders in Community-Dwelling Women in Central Gondar Zone, Northwest Ethiopia.

Zelalem Ayichew Workineh, Zelalem Mengistu Gashaw, Tamiru Minwuye Andargie, Tibeb Zena Debele, Solomon Gedlu Nigatu, Wagaye Fentahun Chanie, Tadesse Belayneh Melkie

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Article 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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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

4 citing papers in PubMed.

  1. Female pelvic floor protection-Where do we have to go?Acta obstetricia et gynecologica Scandinavica · 2026
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zelalem Ayichew Workineh *Department of Obstetrics and Gynecology, School of Medicine, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Zelalem Mengistu GashawDepartment of Obstetrics and Gynecology, University of Global Health Equity, Kigali, Rwanda.
Tamiru Minwuye AndargieDepartment of Obstetrics and Gynecology, School of Medicine, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Berhan, Ethiopia.
Tibeb Zena DebeleDepartment of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Solomon Gedlu NigatuDepartment of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Wagaye Fentahun ChanieUNFPA Supported Maternal Health Project, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Tadesse Belayneh Melkie *Department of Anesthesia, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia. tadbel20@gmail.com.ORCID 0000-0003-2578-4203

Funding

College of Medicine and Health Sciences, University of Gondar O/VP/RCS/214/025/2022
6 · The paper itself

Abstract

introduction and hypothesisThis study was aimed at assessing the prevalence and factors contributing to pelvic floor disorder (PFD) symptoms.

methodsA community-based cross-sectional study was employed among 737 women in the central Gondar Zone of Northwest Ethiopia from September to December 2022. Participants were selected using a multi-stage cluster sampling. The Amharic version of the Pelvic Floor Disorder Inventory 20 (PFDI-20) tool was employed to evaluate the occurrence of PFDs. Bi-variable and multivariable logistic regression models were fitted to identify associated factors of PFDs.

resultsThe prevalence of at least one form of PFD was 26.9% (95% CI 23.3 to 30.0%). Pelvic organ prolapse symptoms, urinary incontinence, and fecal incontinence were reported at rates of 19.9%, 19.7%, and 12.8% respectively. Factors associated with PFDs included increasing age (AOR = 3.61, 95% CI 1.01 to 6.91), residing in a rural area (AOR = 2.12, 95% CI 1.63 to 3.66), a history of difficult labor (AOR = 1.83, 95% CI 1.26 to 2.66), multiple vaginal deliveries (AOR = 2.41, 95% CI 2.18 to 3.92), home delivery (AOR = 1.29, 95% CI 1.86 to 2.93), and being postmenopausal (AOR = 1.62, 95% CI 1.55 to 2.89).

conclusionsCurrently, more than 25% of women are experiencing distressing symptoms associated with PFDs. Contributing factors include older age, rural residence, having multiple vaginal deliveries, and postmenopausal status. Therefore, it is essential to focus on the early identification of PFD symptoms, raise awareness within the community and among women regarding the connections between advanced age, menopause, and multiparity, and advocate for family planning initiatives.

Indexed as

Pelvic Floor DisordersAdolescentAdultAgedCross-Sectional StudiesEthiopiaFecal IncontinenceFemaleHumansIndependent LivingMiddle AgedPrevalenceRisk FactorsRural PopulationUrinary IncontinenceYoung AdultAmhara peopleCommunity medicineEthiopiaPelvic floor disorderWomen’s health

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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.