Evidence map›Paper›PMID 41081816›Full record

ArticleInternational urogynecology journal2026

The Effect of Pelvic Floor Health Education on Knowledge and Awareness Levels in Patients with Urinary Incontinence.

Keziban Koçyiğit, Özgür Ortancıl, Nihal Tezel, Selver Özge Şefik, Fatmagül Sarıkaya, Tuğba Kolomuç Gayretli

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

Keziban KoçyiğitPhysical Therapy and Rehabilitation Clinic, Etlik City Hospital, Varlık Mahallesi, Halil Sezai Erkut Caddesi Yenimahalle, Ankara, 06170, Turkey. kezibankocyigit@yahoo.com.ORCID 0009-0002-9255-0458
Özgür OrtancılPhysical Therapy and Rehabilitation Clinic, Etlik City Hospital, Varlık Mahallesi, Halil Sezai Erkut Caddesi Yenimahalle, Ankara, 06170, Turkey.ORCID 0009-0002-0858-8091
Nihal TezelPhysical Therapy and Rehabilitation Clinic, Etlik City Hospital, Varlık Mahallesi, Halil Sezai Erkut Caddesi Yenimahalle, Ankara, 06170, Turkey.ORCID 0000-0002-7623-7827
Selver Özge ŞefikObstetrics and Gynecology Clinic, Etlik City Hospital, Ankara, Turkey.ORCID 0009-0003-4288-0077
Fatmagül SarıkayaPhysical Therapy and Rehabilitation Clinic, Etlik City Hospital, Varlık Mahallesi, Halil Sezai Erkut Caddesi Yenimahalle, Ankara, 06170, Turkey.ORCID 0000-0003-1829-5348
Tuğba Kolomuç GayretliObstetrics and Gynecology Clinic, Etlik City Hospital, Ankara, Turkey.ORCID 0000-0001-8860-3671

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisUrinary incontinence (UI) is a prevalent public health issue that significantly affects women's quality of life, leading to social, hygienic, and psychological challenges. Despite the effectiveness of pelvic floor muscle training (PFMT) in UI management, poor adherence owing to insufficient knowledge remains a barrier to optimal outcomes. Structured pelvic floor health education programs have been proposed to increase patients' understanding of and adherence to treatment. This study aimed to evaluate the impact of a structured pelvic floor health education program on the knowledge and awareness levels of women with UI and to assess its effectiveness in improving treatment adherence and self-efficacy.

methodsA total of 449 female patients diagnosed with UI participated in this educational interventional study at the Pelvic Floor Center of Ankara Etlik City Hospital. Participants received a structured education program delivered by a multidisciplinary team, including theoretical and practical training sessions on pelvic floor anatomy, UI management, and correct PFMT execution. Knowledge levels were assessed before and after the intervention using a validated questionnaire. Statistical analyses, including Spearman correlation and paired t tests, were conducted to evaluate changes in knowledge scores and identify influencing factors.

resultsThe median pre-education Pelvic Floor Health Knowledge Test (PFHKT) score was 2.0 (IQR 16.0), which significantly increased to 22.0 (IQR 6.0) after completion of the education program (p < 0.001). Age, BMI, and incontinence severity were negatively correlated with baseline knowledge but positively correlated with knowledge level improvement.

conclusionsThe structured education program significantly enhanced participants' knowledge and awareness of pelvic floor health, which may support improved adherence to PFMT. However, adherence and clinical UI outcomes were not directly assessed in this study. These findings emphasize the need to integrate structured education into routine UI management to optimize treatment outcomes and patient engagement. Future research should incorporate objective measures of PFMT adherence and urinary incontinence outcomes to fully evaluate the clinical effectiveness of educational interventions.

Indexed as

Health Knowledge, Attitudes, PracticePatient Education as TopicPelvic FloorUrinary IncontinenceAdultAgedExercise TherapyFemaleHumansMiddle AgedSelf EfficacySurveys and QuestionnairesPatient adherencePelvic floor muscle trainingUrinary incontinence

Identifiers

PMID41081816

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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.