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Clinical Management of Female Pelvic Floor Disorders

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 25 November 2026 | Viewed by 183

Editors


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Guest Editor
1. Department of Obstetrics and Gynecology, EOC, Beata Vergine Hospital, 6850 Mendrisio, Switzerland
2. Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland
Interests: urogynecology; urinary incontinence; pelvic reconstructive surgery; female urology; pelvic floor disorders
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Guest Editor
Obstetrics and Gynecology Unit, IRCCS San Raffaele Hospital, Vita-Salute University, 20132 Milano, Italy
Interests: urogynecology; urinary incontinence; pelvic reconstructive surgery; female urology; pelvic floor disorders

Special Issue Information

Dear Colleagues,

Pelvic floor disorders are prevalent among the adult female population. The consequences of these issues can extend beyond physical discomfort, potentially resulting in psychological distress, such as anxiety, low self-esteem, and depression. In addition, given the global demographic shift towards an ageing population, these issues are expected to increase in the coming years.

The aim of this Special Issue is to provide a comprehensive overview of recent advances in the diagnosis and treatment of pelvic floor disorders, such as urinary and anal incontinence, pelvic organ prolapse, and sexual dysfunction. We hereby invite you to submit original articles, clinical reviews, and meta-analyses on this topic.

As women continue to live longer, we hope to promote dialogue among physicians on these issues in order to identify the most advanced diagnostic and therapeutic approaches to mitigating their impact on women's quality of life. By consolidating cutting-edge research and clinical insights, this Special Issue will help shape the future of female pelvic medicine.

Dr. Andrea Braga
Prof. Dr. Stefano Salvatore
Guest Editors

Manuscript Submission Information

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Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • urinary incontinence
  • pelvic organ prolapse
  • pelvic floor disorders
  • pelvic reconstructive surgery
  • anal incontinence

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Published Papers (1 paper)

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27 pages, 5122 KB  
Systematic Review
Episiotomy in Operative Vaginal Delivery Reduces the Risk of Obstetric Anal Sphincter Injuries in Nulliparous Women: A Systematic Review and Meta-Analysis
by Andrea Braga, Maurizio Serati, Alessandro Ferdinando Ruffolo, Giorgio Treglia, Giorgio Caccia, Vita Zacesta, Giorgia Tenani, Marco Torella, Matteo Frigerio, Marco Soligo, Stefano Salvatore, Andrea Papadia and Greta Codoni
J. Clin. Med. 2026, 15(13), 4962; https://doi.org/10.3390/jcm15134962 (registering DOI) - 25 Jun 2026
Abstract
Background: Although routine use of episiotomy is widely discouraged in spontaneous vaginal deliveries, the use of episiotomy in operative vaginal delivery (OVD) remains highly debated. This systematic review and meta-analysis evaluated the current evidence on the safety of episiotomy in preventing obstetric anal [...] Read more.
Background: Although routine use of episiotomy is widely discouraged in spontaneous vaginal deliveries, the use of episiotomy in operative vaginal delivery (OVD) remains highly debated. This systematic review and meta-analysis evaluated the current evidence on the safety of episiotomy in preventing obstetric anal sphincter injuries (OASIS) during OVD. Methods: A systematic literature search was conducted on PubMed/MEDLINE and CENTRAL databases with a cut-off date of November 2025. The protocol was registered in PROSPERO. We included studies which encompassed the incidence of OASIS when episiotomy (median or medio-lateral) was performed during vacuum or forceps delivery and when episiotomy was not performed. Randomized controlled trials (RCTs), prospective or retrospective cohort studies and observational studies were considered appropriate study designs. A meta-analysis using risk ratio as the outcome measure was performed to compare the presence of the event (OASIS) in patients with or without episiotomy. Results: A total of 15 studies were analyzed to evaluate the role of medio-lateral episiotomy (MLE) in OVD. The results demonstrated a statistically significant lower rate of severe perineal trauma in the experimental group (pooled RR 0.5; 95% CI: 0.30–0.84). A statistically significant difference in support of the use of MLE was found in two further subgroup analyses, comprising 14 studies focusing on the role of MLE during vacuum delivery (VD) and 9 studies considering the role of MLE during forceps delivery (FD). Conclusions: This study highlights that the use of MLE in nulliparous women undergoing OVD is associated with a significantly decreased risk of OASIS. Full article
(This article belongs to the Special Issue Clinical Management of Female Pelvic Floor Disorders)
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