Development/pilot evaluation of a compact symptom-based diagnostic model/database for female pelvic floor dysfunction - 28/10/26

Doi : 10.1016/j.fjurol.2026.103238

Binmei Xiao ^a,^{^{1
Co-first author.}} , Yaping Yu ^a,^{^{1
Co-first author.}} , Alev Esercan ^b , Zhang Yu ^a,^{^{2
Co-corresponding author.}} , Peter Petros ^c,^⁎

^a Department of Gynecology, Xiangya University Hospital No1, Central South University, Changsha, Hunan, China

^b Trabzon University, Kanuni Training and Research Hospital, Trabzon, Turkey

^c Sydney, Australia

^⁎ Corresponding author.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Wednesday 28 October 2026

Abstract

Purpose

To develop a compact, symptom-based, diagnostic model and simplified database, designed to be sufficiently comprehensive, accurate and predictive of causation, to guide pelvic floor surgeries and monitor their results postoperatively.

Methods

We condensed the 4 parts of the comprehensive Integral Theory Diagnostic System into a 10-minute assessment.

Results

The model was tested in 49 women, mean age 59 years, parity 1.9, BMI 23.5, in a busy urogynecology clinic. The model succeeded in what it was planned to do: record symptoms as a data base, deduce ligament causation of symptoms and observed prolapses graded I-IV, in 10 minutes. Empty bladder limited testing in 14 women; 19/20 with SUI were controlled by the hemostat test, BivAX2rKXDA ; 18/23 women had urge symptoms controlled by the speculum test; 5 failed. g3SXKzD4it8?si=DwTW2BTm58pOqzzz . Of 7 women with no discernible prolapse, the speculum test for urge relief was positive in 6. Other symptoms diagnosed: nocturia 23/49; ODS (obstructive defecation) 7/49; chronic pelvic pain 5/49; fecal incontinence 3/49; bladder emptying problems 2/49.

Conclusions

There is a pressing need for individual surgeons and busy clinics to monitor results of their surgeries. This 10-minute tool records symptoms, prolapses and diagnoses, potential connective tissue causation for SUI, urge and pain, which is then tested. As a simplified data base, it is a low-cost monitoring system for specific pelvic floor operations, which is especially useful for an individual surgical practice and low resource clinics.