Evidence map›Paper›PMID 41186701›Full record

Trial reportInternational urogynecology journal2026

Effect of Vaginal Spheres and Pelvic Floor Exercises on Female Sexual Function in Women with Urinary Incontinence: A Randomized Controlled Trial (Secondary Analysis).

Laia Blanco-Ratto, Inés Ramirez-Garcia, Stephanie Kauffmann, Cristina Naranjo Ortiz, Montserrat Girabent Farrés

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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. Observational
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

5 authors.

Laia Blanco-RattoRAPbarcelona Physiotherapy Clinical Center, Avinguda Diagonal 363, 3-2, Barcelona, 08037, Spain.
Inés Ramirez-GarciaRAPbarcelona Physiotherapy Clinical Center, Avinguda Diagonal 363, 3-2, Barcelona, 08037, Spain. inesrg@blanquerna.url.edu.ORCID 0000-0002-1058-0577
Stephanie KauffmannRAPbarcelona Physiotherapy Clinical Center, Avinguda Diagonal 363, 3-2, Barcelona, 08037, Spain.
Cristina Naranjo OrtizYale School of Medicine, Yale Cancer Center, Yale University, New Haven, CT, USA.
Montserrat Girabent FarrésUniversitat de Vic - Universitat Central de Catalunya 22 (UVic-UCC), Campus Docent Sant Joan de Déu, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFemale sexual dysfunction (FSD) is common in women with urinary incontinence (UI), and pelvic floor exercises (PFEs) are a well-established treatment. Vaginal spheres, designed to stimulate pelvic floor muscle engagement, may offer additional benefits in improving sexual function.

objectiveTo assess the efficacy of a regimen of PFEs combined with vaginal spheres with the same exercises performed without any device to improve sexual function. METHODOLOGY: This randomized, single-blind trial conducted at the RAPbarcelona Center enrolled 71 adult women with sexual dysfunction symptoms. Participants were assigned to either PFEs alone or combined with vaginal Enna Balls. The intervention lasted 4 months, with initial assessments at baseline and follow-ups at 8 and 16 weeks. The Female Sexual Function Index assessed sexual function. Adverse events and treatment adherence were monitored at weeks 4, 8, 12, and 16, and follow-ups.

resultsThe mean age of participants was 46.85±1.58. After treatment, no significant changes were observed in the overall Female Sexual Function Index score (≥0.05), except for an increase in desire, showing statistical differences between groups at the end of treatment (p = 0.041). Tolerance and safety did not significantly differ between groups.

conclusionsAdding vaginal spheres to PFEs may offer specific benefits in enhancing aspects of sexual function, particularly desire and lubrication, though overall outcomes were similar to PFEs alone. These findings support the potential role of vaginal spheres as an adjunctive therapy in personalized pelvic floor rehabilitation strategies for women with FSD.

Indexed as

Exercise TherapyPelvic FloorSexual Dysfunction, PhysiologicalUrinary IncontinenceAdultFemaleHumansMiddle AgedSingle-Blind MethodTreatment OutcomeVaginaDesireFemale sexual dysfunctionFSFIPelvic floor exercisesPelvic floor muscle trainingPhysiotherapyVaginal spheres

Identifiers

PMID41186701
PMCPMC13086651

What OpenQuestion holds

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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.