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Current Trends in Urogynecology: 3rd Edition

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

Deadline for manuscript submissions: 20 November 2026 | Viewed by 2424

Special Issue Editor


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Guest Editor
II Department of Gynecology, Medical University of Lublin, Lublin, Poland
Interests: urogynecological surgery; LUTS; pharmacological treatment
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

It is our pleasure to invite you to contribute to the Special Issue entitled “Current Trends in Urogynecology: 3rd Edition”. This is a new Special Issue proceeding from the 12 papers we published in the first edition. For more details, please visit: https://www.mdpi.com/journal/jcm/special_issues/GBQ2Q56ZD4.

The female pelvic floor is one of the most complex anatomical and functional areas of the human body due to many, often relatively poorly recognized, factors influencing its functioning. Regardless of anatomical compartments (anterior, middle, and posterior), all pelvic floor components act in unison to maintain optimal bladder, bowel, and sexual functions. As such, any kind of pelvic floor disorder (anatomical or functional) represents a significant physical, social, and economic problem that often poses a challenge to the various specialists dealing with them. It is commonly accepted that the complexity of the factors contributing to a patient’s symptoms does not always correspond to physical examination findings, and this phenomenon could only be explained by various co-existing occult conditions that are often underdiagnosed and underestimated. By expanding our diagnostic and imaging knowledge, we can better serve our patients and help them safely return to their normal lives.

This Special Issue of JCM aims to focus on diagnostic and therapeutic modalities and risk factors, as well as on prognostic implications in patients with symptomatic pelvic organ prolapse and lower urinary tract symptoms, especially overactive bladder and various clinical types of urinary incontinence, also including modern management of urogenital fistulas. Moreover, new methods of pelvic floor imaging will also be discussed in this Special Issue, since their implementation into clinical practice can substantially enhance our skills in the diagnosis and management of pelvic floor disorders.

I am confident that this Special Issue concerning the frontiers of our specialty will keep us up to date with the latest advances in urogynecology, thanks to the contributions of renowned international experts.

Prof. Dr. Tomasz Rechberger
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 250 words) can be sent to the Editorial Office for assessment.

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

  • urogynecological surgery (uterovaginal prolapse, urinary incontinence, fistulas)
  • OAB
  • pharmacology
  • physiotherapy
  • LUTS

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Related Special Issue

Published Papers (3 papers)

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Research

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14 pages, 345 KB  
Article
Exploring the Diagnostic and Therapeutic Pathways of Women with Dyspareunia: A Mixed-Methods Study
by Joanna Wojtas, Zofia Sotomska, Marek Murawski and Magdalena Emilia Grzybowska
J. Clin. Med. 2026, 15(2), 787; https://doi.org/10.3390/jcm15020787 - 19 Jan 2026
Viewed by 408
Abstract
Background/Objectives: This study explores the diagnostic and management pathways for dyspareunia in women seeking specialist care, focusing on gynecologists’ feedback and women’s perceptions of their experience. Methods: An online survey was conducted among 225 sexually active women to explore their perceptions [...] Read more.
Background/Objectives: This study explores the diagnostic and management pathways for dyspareunia in women seeking specialist care, focusing on gynecologists’ feedback and women’s perceptions of their experience. Methods: An online survey was conducted among 225 sexually active women to explore their perceptions of dyspareunia, its impact on relationships, and experiences with healthcare feedback, diagnosis, and treatment. The Numeric Rating Scale (NRS) for pain assessment and the Female Sexual Function Index (FSFI) were used. Gynecologists’ feedback was classified as positive, neutral, or negative based on its influence on the therapeutic pathway. Results: Of 78 women reporting dyspareunia, 12 with pain level ≥5 on NRS were selected for in-depth analysis. The mean pain score was 7.0 ± 1.53, with symptoms lasting from several months to over two years and occurring during most sexual encounters. The mean FSFI score was 24.86 ± 4.54, with half of the participants scoring within the sexual dysfunction range. Qualitative findings revealed frequent dismissive responses from healthcare professionals and limited access to appropriate management. Common self-management strategies included changing sexual positions and using lubricants, while half of the participants had not undergone a formal diagnostic process. Most frequent diagnoses were hormonal disorders and recurrent genital tract infections, and women were advised to undergo pharmacological treatment. Half of the participants were unaware of the possibility of physiotherapeutic management. Conclusions: Women with dyspareunia often face an inadequate diagnostic and therapeutic process. The care received is often insufficient and not aligned with a biopsychosocial model. Full article
(This article belongs to the Special Issue Current Trends in Urogynecology: 3rd Edition)
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13 pages, 648 KB  
Article
Geripausal Women—A New Challenge for Urogynecology in Upcoming Years
by Aleksandra Kołodyńska, Aleksandra Kamińska, Aleksandra Strużyk, Ewa Rechberger-Królikowska, Magdalena Ufniarz and Tomasz Rechberger
J. Clin. Med. 2026, 15(2), 530; https://doi.org/10.3390/jcm15020530 - 9 Jan 2026
Viewed by 524
Abstract
Background/Objectives: The growing population of women aged ≥ 80 years poses a new challenge for urogynecology. Advanced age, comorbidities, and polypharmacy raise concerns regarding the safety of procedures in the management of pelvic floor disorders (PFDs) such as pelvic organ prolapse (POP), stress [...] Read more.
Background/Objectives: The growing population of women aged ≥ 80 years poses a new challenge for urogynecology. Advanced age, comorbidities, and polypharmacy raise concerns regarding the safety of procedures in the management of pelvic floor disorders (PFDs) such as pelvic organ prolapse (POP), stress urinary incontinence (SUI), and overactive bladder (OAB). Individualized, frailty-based assessment is essential in this group. The aim of the study was to evaluate the safety profile of urogynecological surgical procedures among women aged ≥ 80 years at a single tertiary center. Methods: In a retrospective observational single-center study, we analyzed the medical documentation of 774 hospitalizations of women aged ≥ 80 years admitted between 2014 and 2023. The analysis included indications, comorbidities, treatment types, anesthesia, and complications. Comorbidity and surgical risk were evaluated using the Charlson Comorbidity Index (CCI) and Clavien–Dindo classification. Results: A total of 720 admissions with complete medical records were analyzed, of which 65% were for urogynecological conditions. In this group, the mean age was 83.0 years and mean BMI was 27.2 kg/m2. Most patients (92.9%) had comorbidities, mainly hypertension (84.2%) and diabetes (21.1%). POP was the leading indication (52%), followed by SUI (35%) and OAB (27%). Surgical management was performed in 95% of POP cases, predominantly via vaginal native tissue repair (80%), especially LeFort colpocleisis (20%). The transobturator sling (TOT) was the most frequent SUI surgery. Intraoperative complications occurred in 1.5% of cases and postoperative ones were mainly minor (Clavien–Dindo I–II). No procedure-related deaths were recorded. Conclusions: In this cohort, surgical treatment of urogynecological problems in women ≥80 years was associated with a low rate of major complications, suggesting that it can be safely offered to elderly patients. Careful preoperative assessment based on frailty and comorbidity rather than chronological age remains essential. Full article
(This article belongs to the Special Issue Current Trends in Urogynecology: 3rd Edition)
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Review

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14 pages, 323 KB  
Review
Advantages and Disadvantages of Commonly Used Urinary Incontinence Questionnaires—How to Correctly Choose Questionnaire in Urinary Incontinence Diagnosis?
by Katarzyna Skorupska and Aleksandra Kamińska
J. Clin. Med. 2025, 14(22), 8196; https://doi.org/10.3390/jcm14228196 - 19 Nov 2025
Viewed by 905
Abstract
Background/Objectives: The aim of this study was to describe the most clinically useful questionnaires in UI diagnosis and determine their optimal applicability to specific types of UI. Methods: The MEDLINE (PubMed), EMBASE, and Scopus databases were searched using the following MeSH terms in [...] Read more.
Background/Objectives: The aim of this study was to describe the most clinically useful questionnaires in UI diagnosis and determine their optimal applicability to specific types of UI. Methods: The MEDLINE (PubMed), EMBASE, and Scopus databases were searched using the following MeSH terms in titles and abstracts: (“questionnaires and urinary incontinence” OR “questionnaires and quality of life”). No language restrictions were applied, and the search was limited to studies involving human subjects. Results: Numerous methods are available to assess the severity of incontinence and its symptoms. Objective measures recommended for the evaluation of urinary incontinence in women include simple investigations combined with thorough clinical history taking. However, these methods alone do not adequately capture patients’ perceptions of their symptoms or their impact on quality of life. To obtain a comprehensive assessment, the International Consultation on Incontinence recommends combining subjective and objective measures. Thus, evaluating urinary incontinence should include both the severity of symptoms and the extent to which they affect daily life. Conclusions: Questionnaires (Qs), as patient-reported outcome (PRO) measures, are valuable tools for identifying and diagnosing dysfunction, assessing its severity, evaluating its impact on quality of life (QoL), and measuring improvement or satisfaction following treatment. Accurate assessment of clinical symptoms and their impact on health-related QoL has become central to contemporary medical outcomes research. Full article
(This article belongs to the Special Issue Current Trends in Urogynecology: 3rd Edition)
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