International Urogynecology Journal最新文献

{"title":"The Landscape of Pelvic Floor Rehabilitation: A Bibliometric Analysis.","authors":"Jie Hao, Zixuan Yao, Andréas Remis, Xin Yu, Yuxiao Sun","doi":"10.1007/s00192-025-06243-6","DOIUrl":"https://doi.org/10.1007/s00192-025-06243-6","url":null,"abstract":"<p><strong>Background and purpose: </strong>Pelvic floor rehabilitation is a specialized therapeutic approach focused on assessing and treating pelvic floor muscle dysfunction to enhance bladder, bowel, and sexual function, as well as pelvic organ support, through targeted exercises and behavioral interventions. While applicable to all populations across the lifespan, it holds particular importance for women due to the high prevalence of pelvic floor disorders. As research in this field has grown rapidly, a comprehensive overview is needed to map its development and guide future directions. This bibliometric analysis aims to analyze publication trends, assess current knowledge, and investigate thematic structure in pelvic floor rehabilitation research.</p><p><strong>Methods: </strong>A bibliometric analysis was conducted using the Web of Science Core Collection (coverage from 1900 to present). Articles and reviews published in English from database inception to December 2024 were included. VOSviewer and CiteSpace were employed to perform co-authorship, co-occurrence, co-citation, bibliographic coupling, and burst detection analyses.</p><p><strong>Results: </strong>A total of 5020 publications (3768 articles and 1252 reviews) were included. The number of publications increased from 61 in 2000 to 468 in 2024, representing a 7.7-fold growth over this period. The top contributing countries were the United States, Brazil, England, China, and Australia. Eight thematic clusters were identified: urinary incontinence, pelvic pain, bowel dysfunction, conservative management, pelvic floor muscle, pregnancy-related care, exercise interventions, and psychometric evaluation. Co-authorship networks highlighted international collaboration, with prominent institutions in Canada, Australia, and Europe. Co-citation and burst analyses revealed seminal works and emerging topics, with recent trends focusing on women's health, sexual function, pelvic pain, and quality of life.</p><p><strong>Conclusions: </strong>This bibliometric analysis highlights the rapid growth and evolving focus of pelvic floor rehabilitation research over the past 75 years. The findings identify key contributors, international collaborations, and emerging priorities, offering strategic insights for advancing clinical practice and research.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genome-Wide Associations with Urinary Incontinence in Women: Case-Control Study.","authors":"Vatche A Minassian, Rachan Ghandour, Limin Hao, Iwona Gabriel","doi":"10.1007/s00192-025-06180-4","DOIUrl":"https://doi.org/10.1007/s00192-025-06180-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>The objective was to determine the genetic variants associated with urinary incontinence subtypes using genome-wide association studies (GWAS).</p><p><strong>Methods: </strong>We conducted a case-control study of women older than 18 with available genetic data and at least one International Classification of Diseases 10 urinary (stress, urge or mixed) incontinence diagnosis between May 2008 and May 2023. Controls had available genetic data with no urinary incontinence diagnosis. Demographic, health, and genomic data were obtained from our institution's electronic medical records and Biobank. Quality control measures applied to the raw data excluded variants with call rate < 95%, with Hardy-Weinberg equilibrium exact p value < 1 × 10^-6, samples with discordant sex, abnormal heterozygote rates, non-European ancestry, or duplicates. The first GWAS run included cases with stress, urge, or mixed incontinence at any point during the study period, whereas the second GWAS run included unique patients with no subtype overlap among the cases.</p><p><strong>Results: </strong>The first GWAS run had 4270 cases with 5 single-nucleotide polymorphisms (SNPs) significantly associated with mixed and 3 SNPs significantly associated with urgency incontinence (p < 5 × 10^-8). After controlling for overlapping cases, the second GWAS run included 3352 unique patients with 1055 pure stress, 699 pure urgency, and 1598 mixed incontinence. After applying strict filtering, 1 SNP located near the Myoferlin gene was identified on chromosome 10 for mixed, and 1 SNP located near the COX10 divergent transcript gene on chromosome 17 for stress incontinence.</p><p><strong>Conclusion: </strong>Our study proposes possible new genetic associations in women diagnosed with mixed and stress urinary incontinence that should be validated across other studies.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144698508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Rise and Fall of Uterine Interposition Surgery.","authors":"Mark Vierhout","doi":"10.1007/s00192-025-06191-1","DOIUrl":"https://doi.org/10.1007/s00192-025-06191-1","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Uterine interposition is an operation to correct pelvic organ prolapse and was first described in 1899.</p><p><strong>Methods: </strong>The essence of this vaginal operation consisted of dissecting the bladder, opening the plica vesico-uterina, and mobilizing and turning the uterus 180°, whereby the fundus of the uterus was positioned downward (caudal) and fixed there with stitches. This created a barrier in front of the bladder, keeping the bladder completely in place.</p><p><strong>Results: </strong>The operation, often in combination with other procedures such as levatorplasty and/or cervical amputation, became very popular in the first half of the twentieth century. In the literature many case series have been published with remarkably good results. However, after 1965 it disappeared completely from the literature.</p><p><strong>Conclusion: </strong>The video shows an interposition operation performed in 1928 by Professor van Bouwdijk Bastiaanse in Rotterdam, The Netherlands.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Preoperative Pelvic Floor Muscle Strength and Outcomes of TVT-O Surgery for Stress Urinary Incontinence: A Retrospective Cohort Study.","authors":"Zhuoli Li, Xiaoxi Yao, Ying Zhang","doi":"10.1007/s00192-025-06239-2","DOIUrl":"https://doi.org/10.1007/s00192-025-06239-2","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>This study aimed to investigate the relationship between preoperative pelvic floor muscle (PFM) strength and the efficacy of tension-free vaginal tape-obturator (TVT-O) surgery in women with stress urinary incontinence (SUI).</p><p><strong>Methods: </strong>Two hundred women diagnosed with SUI who underwent TVT-O surgery were included. PFM strength was assessed preoperatively using a validated digital palpation method. The evaluation of the effectiveness of surgical treatments for SUI was based on standardized criteria for urine leakage during stress conditions, changes in the 1-h pad test urine volume compared to preoperative levels, and the postoperative IIQ-7 scores. Patients were classified into \"improved\" and \"unimproved\" groups. Univariate and multivariate logistic regression models were used to analyze the association between PFM strength and postoperative improvement.</p><p><strong>Results: </strong>A total of 170 patients were categorized as the improved group, while 30 patients were classified in the unimproved group. The improved group demonstrated a mean PFM strength of 3.5 ± 1.4 cmH2O vs. 2.8 ± 1.2 cmH2O (p < 0.01). In both univariate and multivariate logistic regression analyses, PFM strength was significantly associated with postoperative improvement, with odds ratios of 2.8 (95% CI 1.4 to 5.5, p = 0.004) and 2.5 (95% CI 1.2 to 5.0, p = 0.01), respectively. Subgroup analyses revealed that the association was particularly strong in postmenopausal women, multiparous patients, and those with comorbidities.</p><p><strong>Conclusion: </strong>Preoperative PFM strength is significantly associated with the efficacy of TVT-O surgery for SUI. This study highlights the importance of PFM strength in predicting surgical outcomes and suggests that preoperative assessment of PFM strength may help in optimizing patient selection for SUI patients undergoing TVT-O.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Healthy Lifestyle Behaviors in Pregnant Women With and Without Stress Urinary Incontinence.","authors":"Şükran Başgöl, Sibel Yücetürk, Emine Koç","doi":"10.1007/s00192-025-06241-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06241-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>This study aimed to compare healthy lifestyle behaviors between pregnant women with and without stress urinary incontinence (SUI). We hypothesized that SUI might influence lifestyle behaviors, including hydration, nutrition, physical activity, and pregnancy-related responsibilities.</p><p><strong>Methods: </strong>This descriptive and comparative study was conducted at the obstetrics outpatient clinic of a maternity hospital between April and October 2024. The sample consisted of 210 pregnant women, including 105 diagnosed with SUI and 105 without SUI. Data were collected using a personal information form, the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and the Healthy Lifestyle Behaviors in Pregnancy Scale.</p><p><strong>Results: </strong>Pregnant women with SUI had significantly higher mean ICIQ-SF scores than those without SUI (t = 18.554, p = 0.001, d = 2.561), indicating greater symptom severity. Although the SUI group scored lower on the Healthy Lifestyle Behaviors in Pregnancy Scale, this difference was not statistically significant (U = 5102.00, p = 0.351). In addition, correlation analyses revealed no significant relationship between urinary incontinence severity and healthy lifestyle behaviors in either group or in the total sample.</p><p><strong>Conclusions: </strong>The findings suggest that SUI does not significantly impact healthy lifestyle behaviors during pregnancy. Regardless of SUI status, most pregnant women appeared to maintain attention to health-promoting practices. These findings highlight the resilience and motivation of pregnant women in maintaining health-promoting behaviors despite physical challenges and contribute new evidence to the limited literature on this topic.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medium- to Long-Term Follow-Up Study on Modified Manchester Procedure for Pelvic Organ Prolapse.","authors":"Yan Chen, Shuqiong Xu, Na Luo, Lingying Du","doi":"10.1007/s00192-025-06237-4","DOIUrl":"https://doi.org/10.1007/s00192-025-06237-4","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>We evaluated the complications and medium- to long-term therapeutic outcomes of the modified Manchester procedure for pelvic organ prolapse.</p><p><strong>Methods: </strong>The clinical data of 254 patients who underwent the modified Manchester procedure in our hospital from July 2015 to May 2023 were retrospectively analyzed. In addition, the perioperative situation and medium- to long-term follow-up results were analyzed.</p><p><strong>Results: </strong>No injury to the adjacent organs (such as the bladder and ureter) or complications (including massive hemorrhage or hematoma) were reported in 254 patients during the operation. During the perioperative period, urinary retention, postoperative fever, and urinary tract infections were observed in 19 patients (7.5%), 13 patients (5.1%), and three patients (1.2%), respectively. Follow-up ranged from 1 to 8.8 years, with a median follow-up time of 4.18 (2.46, 6.15) years, and 173 patients (68%) completed telephonic or outpatient follow-up. Among them, 16 patients (9.25%) had subjective recurrence. Of these 16 patients, three (1.7%) had failed surgery, nine (5.2%) had de novo stress urinary incontinence, and two (1.2%) had dysuria. The most serious complications were grade III according to the Clavien-Dindo classification. After the operation, the subjective satisfaction rate of the PGI-I questionnaire was 94.8%.</p><p><strong>Conclusions: </strong>The modified Manchester procedure for pelvic organ prolapse has a low incidence of severe complications, has satisfactory medium- to long-term therapeutic outcomes, and shows favorable safety and efficacy.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on Comparison of Perioperative and Postoperative Outcomes between Single-Port Robotic Sacrocolpopexy and Multi-Port Approaches.","authors":"Christopher X Hong","doi":"10.1007/s00192-025-06247-2","DOIUrl":"https://doi.org/10.1007/s00192-025-06247-2","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Commentary on \"Feasibility and Safety of Same-Day Discharge After A Manchester Procedure\".","authors":"Hugo van Eijndhoven","doi":"10.1007/s00192-025-06223-w","DOIUrl":"https://doi.org/10.1007/s00192-025-06223-w","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concomitant Overactive Bladder Treatment and Adherence to Pelvic Floor Physical Therapy.","authors":"Sarah Ashmore, Abigail Steinbeck, Nicholas Scioscia, Ashlee Weaver, Jessica C Sassani","doi":"10.1007/s00192-025-06209-8","DOIUrl":"https://doi.org/10.1007/s00192-025-06209-8","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>There is limited literature regarding concomitant initiation of pelvic floor physical therapy (PFPT) and medications for overactive bladder treatment. PFPT improves patient symptoms, although adherence tends to be low. This retrospective cohort study assessed PFPT adherence of female patients with overactive bladder at a tertiary care center who were referred to PFPT. We hypothesized that concomitant PFPT and medication would correlate with decreased PFPT adherence among patients with overactive bladder.</p><p><strong>Methods: </strong>Adherence to PFPT (defined as ≥ 50% attendance of the recommended sessions) was compared in patients with (PT + Med group) and in those without (PT group) concomitant medication prescription.</p><p><strong>Results: </strong>We evaluated 346 patients, with 196 in the PT group and 150 in the PT + Med group. The PT + Med group had a higher body mass index (30.0 kg/m² vs 27.5 kg/m², p < 0.001), a higher rate of diabetes (20.7% vs 11.7%, p = 0.02), and higher urogenital distress inventory scores at baseline (p < 0.001). The PT group completed more PT sessions (p < 0.001) and was more likely to be adherent (30.6% vs 15.3%, p < 0.001). The PT + Med group was more likely to progress to minimally invasive therapy (10.0% vs 4.1%, p = 0.03). On multivariable logistic regression model, PFPT adherence remained significantly lower for the PT + Med group when controlling for comorbidities (adjusted OR 0.38, p = 0.001).</p><p><strong>Conclusions: </strong>The addition of medication at the time of PFPT referral was associated with decreased PFPT adherence in overactive bladder patients.</p>","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Three-Dimensional Analysis of the Distribution of Smooth and Skeletal Muscle Tissue Around the Female Urethra.","authors":"Ting-Chien Lin, Cheng-Yu Long","doi":"10.1007/s00192-025-06228-5","DOIUrl":"https://doi.org/10.1007/s00192-025-06228-5","url":null,"abstract":"","PeriodicalId":14355,"journal":{"name":"International Urogynecology Journal","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144690127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}