Evidence map›Paper›PMID 40751846›Full record

ArticleInternational urogynecology journal2026

Impact of a Urogynecology Telehealth Consultation on Genital Self-Image and Sexual Function After Obstetric Anal Sphincter Injury.

Kyra Bonasia, Susan Luong, Jocelyn Stairs, Aisling Clancy

Abstract read
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. 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.

Kyra BonasiaDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada. kbonasia@toh.ca.ORCID 0000-0002-2972-581X
Susan LuongDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.
Jocelyn StairsDepartment of Obstetrics and Gynecology, Dalhousie University, Halifax, Canada.
Aisling ClancyDepartment of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.

Funding

Physicians' Services Incorporated Foundation R23-08
6 · The paper itself

Abstract

introduction and hypothesisObstetric anal sphincter injuries (OASIs) are associated with increased risk of postpartum complications, including short- and long-term dyspareunia and sexual dysfunction. The primary aim of this analysis is to evaluate whether engagement in a telehealth urogynecology consultation was associated with decreased sexual health concerns after OASIs.

methodsThis is an analysis of sexual health data, secondary outcomes from a prospective study comparing standard postpartum care versus standard postpartum care plus a telehealth urogynecology consultation. The analyzed outcomes were Female Genital Self-Image Scale (FGSI) and Female Sexual Function Index (FSFI-6) scores at 16 weeks postpartum. Chi-squared and t tests were used to compare groups.

resultsA total of 119 participants with OASIs completed the study (control group n = 62, intervention group n = 57). The intervention group had significantly improved FGSI scores (18.9 vs 20.4, p = 0.02). There was no significant difference on the FSFI-6 (12.0 vs 12.1, p = 0.90), with 77% of the control group and 81% of the intervention group (p = 0.66) classified as having female sexual dysfunction by the FSFI-6. In the telehealth consult group, only 28% of participants (n = 16) had resumed sexual activity, with 88% of those participants endorsing dyspareunia. Interventions reviewed during the telehealth consult included vaginal estrogen, use of lubricants, and pelvic floor physiotherapy.

conclusionsA postpartum telehealth urogynecology consultation was associated with improved genital self-image but did not reduce sexual dysfunction as measured on the FSFI. These results highlight the significant impact that OASIs can have on sexual function, and the importance of postpartum evaluation and care to support patients after severe obstetric perineal trauma.

Indexed as

Anal CanalBody ImageSelf ConceptSexual Dysfunction, PhysiologicalAdultDelivery, ObstetricDyspareuniaFemaleGynecologyHumansPregnancyProspective StudiesReferral and ConsultationSexual HealthTelemedicineYoung AdultFemale sexual dysfunctionObstetric anal sphincter injuryPeripartum perineal lacerationPostpartum sexual healthTelehealth

Identifiers

What OpenQuestion holds

Textmetadata
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.