Evidence map›Paper›PMID 42671576›Full record

ArticleInternational urogynecology journal2026

Prevalence and Impact of Pelvic Floor Dysfunction in a Large Cohort of Patients with Endometriosis: The Hidden Link.

Maria Fernanda Brancalion, Eleonora Russo, Tiziana Fidecicchi, Maria Magdalena Montt-Guevara, Giulia Misasi, Clara Baroni, Cristina Zito, Elena Pisacreta, Sara Gorini, Marta Caretto and 9 more

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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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Maria Fernanda BrancalionDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Eleonora RussoDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Tiziana FidecicchiDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Maria Magdalena Montt-GuevaraDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Giulia MisasiDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Clara BaroniDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Cristina ZitoDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Elena PisacretaDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Sara GoriniDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Marta CarettoDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy.
Alessandro SturialeProctological and Perineal Surgical Unit, Cisanello University Hospital, Pisa, Italy.
Jessica OttolinaDepartment of Gynecology, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy.
Andrea ScaleraObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Angela Maria Di PuotiObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Salvatore ToloneObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Gaetano ScalzoneObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Marco TorellaObstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Stefano SalvatoreDepartment of Gynecology, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy.
Tommaso SimonciniDivision of Obstetrics and Gynecology, Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56126, Pisa, PI, Italy. tommaso.simoncini@unipi.it.ORCID http://orcid.org/0000-0002-2971-0079

Funding

Ministero della Salute ENDO-2021-12371956
6 · The paper itself

Abstract

introduction and hypothesisEndometriosis may contribute to the onset of pelvic floor dysfunction (PFD) but data on urologic and bowel symptoms in endometriosis patients are scant. The aim of this study is to determine the prevalence of PFD in women with endometriosis and their impact on quality of life.

methodsThis is a cross-sectional study. A web survey was distributed throughout Italy from November 2022 to November 2023 to fertile age women with a self-reported diagnosis of endometriosis made by a specialist gynecologist or through surgery, assessing: medical history, pregnancies, endometriosis-related pain, urinary symptoms, bowel symptoms, sexual function, and quality of life. The informed consent was signed by 1149 women. Out of 820 eligible, 525 participants completed all questionnaires (64.0%).

resultsOf the participants, 440 (83.8%) had sexual dysfunction, 346 (65.9%) moderate/severe urinary symptoms, 348 (66.3%) moderate/severe bowel symptoms, 361 (68.8%) moderate to very severe constipation, and 404 (77.0%) mild symptoms of fecal incontinence. The reported symptoms were mainly indicative of high bladder and bowel sensitivity and voiding dysfunction. History of pregnancy did not affect urinary and bowel function, except for incontinence symptoms and rectal prolapse. Medical treatment or previous surgery for endometriosis were not associated with different urinary and bowel function scores. Urinary Distress Inventory 6 and Colorectal-Anal Distress Inventory 8 were correlated with a worse score in all domains of the Endometriosis Health Profile 30 (all rho > 0.28, p < 0.001).

conclusionsPFD is unexpectedly extremely common in women with endometriosis and affects sexual, urinary, and bowel function. This seems to be a potentially underestimated and underdiagnosed condition, with a severe negative impact on quality of life.

Indexed as

Bowel symptomsPelvic floor disordersQuality of lifeSexual dysfunctionUrinary symptoms

Identifiers

PMID42671576

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