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A Multi-Faceted Approach to Urinary Incontinence and Other Pelvic Floor...
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A Multi-Faceted Approach to Urinary Incontinence and Other Pelvic Floor Dysfunction—from Prevention to Therapy

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

Deadline for manuscript submissions: 25 May 2025 | Viewed by 2304

Special Issue Editor

Dr. Agnieszka Mazur-Bialy

E-Mail Website
Guest Editor
1. Faculty of Health Science, Jagiellonian University Medical College, Skawinska 8, 31-066 Krakow, Poland
2. Department of Gynecology and Obstetrics with Gynecological Oncology, Specialized Ludwik Rydygier Hospital, ul. Zlotej Jesieni 1, 31-826 Krakow, Poland
Interests: incontinence; pelvic floor disorders; physiotherapy; obesity; physical activity; urogyneacology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Pelvic floor dysfunctions, which include, among others: urinary and fecal incontinence, pelvic organ prolapse, and pelvic pain, including painful intercourse, constitute a serious health problem affecting a large part of the population of both women and men. Pelvic floor dysfunction is influenced by many modifiable and non-modifiable factors and significantly reduces the quality of life by disrupting daily functioning and leading to deterioration of mental health and social exclusion. For this reason, a holistic approach and cooperation of various specialists consisting of, among others, a doctor, physiotherapist, dietitian, nurse, and psychologist are extremely important. This Special Issue aims to focus on overall pelvic floor disorders among women and men. We are interested in manuscripts describing risk factors, preventive and prophylactic strategies, patients’ quality of life, therapeutic options, conservative and surgical treatment, as well as combined therapies for pelvic floor disorders. Studies that focus on nutrition and mental health will also be welcomed. Moreover, studies on the aspects of pregnancy, puerperium, gynecological and intestinal disorders, prostatectomy, physical activity, and other disorders affecting pelvic floor functioning will be valuable. Original research, narratives, and systematic reviews are welcome and will enable us to extend the holistic approach to prevent and treat pelvic floor dysfunction among women and men.

Dr. Agnieszka Mazur-Bialy
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

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 floor dysfunction
  • urinary and fecal incontinence
  • pelvic organs prolapse
  • pelvic pain
  • pelvic floor disorders

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Published Papers (2 papers)

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Review

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11 pages, 1455 KiB  
Review
Factors Contributing to Early Recovery of Urinary Continence Following Radical Prostatectomy: A Narrative Review
by Bara Barakat, Boris Hadaschik, Mulham Al-Nader and Samer Schakaki
J. Clin. Med. 2024, 13(22), 6780; https://doi.org/10.3390/jcm13226780 - 11 Nov 2024
Cited by 1 | Viewed by 1308
Abstract
Stress urinary incontinence (SUI) is a common condition in patients following radical prostatectomy (RP), which has a significant impact on all aspects of quality of life and is associated with significant social stigma. The factors that improve urinary incontinence in patients following surgery [...] Read more.
Stress urinary incontinence (SUI) is a common condition in patients following radical prostatectomy (RP), which has a significant impact on all aspects of quality of life and is associated with significant social stigma. The factors that improve urinary incontinence in patients following surgery remain controversial. The aim of our narrative review was to identify and synthesise the latest evidence on pre-, intra- and post-operative factors and predictors that contribute to early continence recovery after RP. In this narrative review, primary resources were identified by searching PubMed, EMBASE and Medline, and secondary resources were collected by cross-referencing citations in the relevant articles. We started our review by searching for systematic reviews of factors and predictors that contribute to early recovery of urinary continence after RP. We then reviewed societal guidelines such as the American Urological Association and European Urological Association guidelines on male urinary incontinence. This review focuses on the pre-, intra and postoperative factors that influence postoperative SUI after RP, as well as highlighting modifications in surgical techniques that lead to early continence recovery. Increasing age, higher BMI, shorter membranous urethral length (MUL), and larger PV are independent prognostic factors for SUI within 3 months after RP. Factors such as modified surgical technique preservation of anatomical structure lead to influence postoperative early continence recovery. SUI after RP is influenced by various factors. These factors include not only anatomical landmarks and patient-related factors such as age, BMI, length of MUL and prostate volume, but also prior transurethral resection or laser enucleation of the prostate, the surgeon’s expertise, the surgical approach and NS technique. Full article
(This article belongs to the Special Issue A Multi-Faceted Approach to Urinary Incontinence and Other Pelvic Floor Dysfunction—from Prevention to Therapy)
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Other

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17 pages, 456 KiB  
Protocol
Evaluating the Effectiveness of Radiofrequency in Multimodal Physiotherapy for Postpartum Pelvic Pain: The RASDOP Protocol—A Mixed-Methods Study
by Beatriz Navarro-Brazález, Laura Lorenzo-Gallego, Paula Rangel-de la Mata, María Torres-Lacomba, Fernando Vergara-Pérez, Beatriz Sánchez-Sánchez and Nuria Izquierdo-Méndez
J. Clin. Med. 2025, 14(5), 1489; https://doi.org/10.3390/jcm14051489 - 23 Feb 2025
Viewed by 599
Abstract
Background/Objectives: Approximately 30% of women experience pelvic pain one year after vaginal delivery, and this increases to 50% during vaginal intercourse. Multimodal physiotherapy is the first-line treatment for myofascial pain of the pelvic floor muscles (PFM), often incorporating emerging technologies like radiofrequency, [...] Read more.
Background/Objectives: Approximately 30% of women experience pelvic pain one year after vaginal delivery, and this increases to 50% during vaginal intercourse. Multimodal physiotherapy is the first-line treatment for myofascial pain of the pelvic floor muscles (PFM), often incorporating emerging technologies like radiofrequency, despite limited evidence supporting its use. The RASDOP study aims to (i) evaluate the effectiveness of multimodal physiotherapy combining therapeutic education, PFM training, and myofascial pain syndrome (MPS) management with or without radiofrequency, in reducing pain and improving sexual function postpartum; and (ii) explore the barriers and facilitators influencing adherence and perceived self-efficacy towards physiotherapy treatment in women with postpartum pelvic pain. Methods: This study employs a randomized clinical trial with a blinded examiner and two parallel groups, followed by a qualitative phenomenological study. A total of 124 postpartum women with pelvic pain (≥4 cm on the visual analogue scale) will be randomized into two groups: a multimodal physiotherapy group (therapeutic education, MPS treatment, and PFM training) and a radiofrequency + multimodal physiotherapy group (same treatment with additional non-ablative radiofrequency). Both groups will receive 12 supervised individual sessions. Assessments will be conducted pre- and post-intervention, and at 3-, 6-, and 12-month stages post-treatment. Primary outcomes include pain intensity and sexual function, while secondary outcomes involve PFM tone, strength, MPS presence, levator ani length, and distress caused by pelvic floor dysfunction. The qualitative study will utilize semi-structured interviews and focus groups analyzed thematically. Results: Radiofrequency is expected to enhance pain relief, sexual function, and PFM relaxation. Insights into adherence and barriers will aid in personalizing physiotherapy interventions. Conclusions: The RASDOP study will provide evidence on the safety and efficacy of radiofrequency in postpartum pelvic pain treatment and shed light on women’s experiences to improve therapeutic outcomes. Full article
(This article belongs to the Special Issue A Multi-Faceted Approach to Urinary Incontinence and Other Pelvic Floor Dysfunction—from Prevention to Therapy)
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