{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T07:27:36Z","timestamp":1787038056222,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Given its high prevalence and risk for delayed recognition and management, this study compared knowledge and awareness of pelvic floor dysfunction (PFD) between first\u2010 and fifth\u2010year female medical students and examined whether knowledge translates into health\u2010protective behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multicenter cross\u2010sectional study was conducted in nine medical faculties in Turkiye. Face\u2010to\u2010face self\u2010administered questionnares collected sociodemographic data, self\u2010reported awareness of urinary incontinence (UI) and pelvic organ prolapsus (POP) (yes\/no), knowledge sources, and Prolapse and Incontinence Knowledge Questionnaire scores. Participants were also asked about UI symptoms, care\u2010seeking behavior, Kegel exercise instruction, and willingness to perform if instructed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 1148 female students (\n                      <jats:italic>n\u2009=<\/jats:italic>\n                      \u2009563 first year,\n                      <jats:italic>n\u2009=<\/jats:italic>\n                      \u2009585 fifth year), awareness of UI and POP increased from 41.9% and 25% in first\u2010year to 97.9% and 96.1% in fifth\u2010year students, respectively. Knowledge scores were significantly higher in fifth\u2010year students (UI: 11.37\u2009\u00b1\u20091.08 vs. 8.57\u2009\u00b1\u20092.85; POP: 10.16\u2009\u00b1\u20091.08 vs. 6.23\u2009\u00b1\u20093.03;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). POP knowledge scores were lower than UI scores in both groups. UI symptoms were reported by 5.6% of participants, of whom 67.2% had not sought medical care. Among students with UI, 49.4% were unwilling to perform Kegel exercises, despite having received relevant instruction. A weak but statistically significant correlation was observed between receiving Kegel training and exercise willingness (\n                      <jats:italic>r\u2009=<\/jats:italic>\n                      \u20090.172,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Medical education substantially improves knowledge and awareness of PFD; however, knowledge of POP consistently lags behind that of UI, and theoretical knowledge does not reliably translate into health\u2010protective behavior.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71267","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T07:04:32Z","timestamp":1787036672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge and awareness of pelvic floor dysfunction among female medical students: A multicenter cross\u2010sectional study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1231-7094","authenticated-orcid":false,"given":"Se\u00e7ilay","family":"G\u00fcne\u015f","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Ankara University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0480-499X","authenticated-orcid":false,"given":"Ye\u015fim","family":"Akko\u00e7","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Ege University  \u0130zmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1947-4375","authenticated-orcid":false,"given":"Necmettin","family":"Y\u0131ld\u0131z","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Pamukkale University  Denizli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6892-462X","authenticated-orcid":false,"given":"Murat","family":"Ers\u00f6z","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3659-6489","authenticated-orcid":false,"given":"Haydar","family":"G\u00f6k","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Ankara University  Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1091-969X","authenticated-orcid":false,"given":"Ay\u015fe","family":"Karan","sequence":"additional","affiliation":[{"name":"Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation Istanbul University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4055-8685","authenticated-orcid":false,"given":"Belgin","family":"Erhan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Istanbul Medeniyet University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1912-6039","authenticated-orcid":false,"given":"Aysun","family":"\u00d6zl\u00fc","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Kutahya Health Sciences University  Kutahya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6843-1614","authenticated-orcid":false,"given":"Yasemin","family":"Yumu\u015fakhuylu","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Istanbul Medeniyet University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9185-1809","authenticated-orcid":false,"given":"Nalan","family":"\u00c7apan","sequence":"additional","affiliation":[{"name":"Istanbul Faculty of Medicine, Department of Physical Medicine and Rehabilitation Istanbul University  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8357-121X","authenticated-orcid":false,"given":"Selcen","family":"Kany\u0131lmaz","sequence":"additional","affiliation":[{"name":"Prof Dr Cemil Tascioglu City Hospital, Physical Medicine and Rehabilitation Clinic University of Health Sciences  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8886-1144","authenticated-orcid":false,"given":"Elif","family":"Balevi Batur","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Physical Medicine and Rehabilitation Selcuk University  Konya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"2005","DOI":"10.1186\/s12889-023-16901-3","article-title":"Pelvic floor dysfunction: prevalence and associated factors","volume":"23","author":"Peinado\u2010Molina RA","year":"2023","journal-title":"BMC Public Health"},{"issue":"1","key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","article-title":"An international Urogynecological association (IUGA)\/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction","volume":"21","author":"Haylen BT","year":"2010","journal-title":"Int Urogynecol J"},{"issue":"5","key":"e_1_2_11_4_1","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1111\/bju.14763","article-title":"Urinary incontinence and pelvic organ prolapse in women: management","volume":"123","author":"NICE Guidance \u2010 Urinary incontinence and pelvic organ prolapse in women: management: \u00a9 NICE (2019)","year":"2019","journal-title":"BJU Int"},{"issue":"2","key":"e_1_2_11_5_1","first-page":"116","article-title":"Comparison of quality of life for different types of female urinary incontinence","volume":"13","author":"Dedica\u00e7ao AC","year":"2009","journal-title":"Braz J Phys Ther"},{"issue":"2","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1002\/ijgo.15719","article-title":"Prevalence of depression and anxiety in women with pelvic floor dysfunctions: a systematic review and meta\u2010analysis","volume":"167","author":"Peinado Molina RA","year":"2024","journal-title":"Int J Gynaecol Obstet"},{"issue":"1","key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1097\/JU.0000000000004752","article-title":"Understanding barriers to Care for Urinary Incontinence among a contemporary cohort of women","volume":"215","author":"Rebullar K","year":"2026","journal-title":"J Urol"},{"issue":"3","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1007\/s00192-021-04828-5","article-title":"What do female university students know about pelvic floor disorders? A cross\u2010sectional survey","volume":"33","author":"Bail\u00f3n Queiruga M","year":"2022","journal-title":"Int Urogynecol J"},{"issue":"8","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jogoh.2021.102068","article-title":"Knowledge, attitude and practice of pelvic floor dysfunction among obstetrical healthcare workers in China: a cross\u2010sectional study","volume":"50","author":"Chen Z","year":"2021","journal-title":"J Gynecol Obstet Hum Reprod"},{"issue":"6","key":"e_1_2_11_10_1","doi-asserted-by":"crossref","first-page":"601.e1","DOI":"10.1016\/j.ajog.2009.08.038","article-title":"Improving medical student knowledge of female pelvic floor dysfunction and anatomy: a randomized trial","volume":"202","author":"Hampton BS","year":"2010","journal-title":"Am J Obstet Gynecol"},{"issue":"3","key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1002\/ijgo.12232","article-title":"A meta\u2010analysis of pelvic floor muscle training for the treatment of urinary incontinence","volume":"138","author":"Nie XF","year":"2017","journal-title":"Int J Gynaecol Obstet"},{"issue":"6","key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1007\/s00192-014-2599-z","article-title":"Effect of increasing awareness of pelvic floor muscle function on pelvic floor dysfunction: a randomized controlled trial","volume":"26","author":"Berzuk K","year":"2015","journal-title":"Int Urogynecol J"},{"issue":"1","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1186\/s12875-019-0958-z","article-title":"Knowledge of pelvic floor disorders in women seeking primary care: a cross\u2010sectional study","volume":"20","author":"Chen CCG","year":"2019","journal-title":"BMC Fam Pract"},{"issue":"9","key":"e_1_2_11_14_1","article-title":"Awareness of pelvic floor disorders among postpartum and menopausal women: a cross\u2010sectional study","volume":"17","author":"Saadia Z","year":"2025","journal-title":"Cureus"},{"issue":"6","key":"e_1_2_11_15_1","doi-asserted-by":"crossref","first-page":"2282","DOI":"10.1080\/01443615.2022.2040966","article-title":"Staff awareness of pelvic floor muscle training (PFMT) in tertiary care \u2010 a qualitative cross\u2010sectional study","volume":"42","author":"Soundararajan K","year":"2022","journal-title":"J Obstet Gynaecol"},{"issue":"3","key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00192-016-3134-1","article-title":"Primary care providers' attitudes, knowledge, and practice patterns regarding pelvic floor disorders","volume":"28","author":"Mazloomdoost D","year":"2017","journal-title":"Int Urogynecol J"},{"issue":"9","key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1007\/s00192-008-0631-x","article-title":"A reliable, valid instrument to assess patient knowledge about urinary incontinence and pelvic organ prolapse","volume":"19","author":"Shah AD","year":"2008","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"12","key":"e_1_2_11_18_1","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.1007\/s00192-019-03962-5","article-title":"Turkish translation of the prolapse and incontinence knowledge questionnaire: validity and reliability","volume":"30","author":"Toprak Celenay S","year":"2019","journal-title":"Int Urogynecol J"},{"issue":"2","key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"e457","DOI":"10.1097\/SPV.0000000000000962","article-title":"What does your pelvic floor do for you? Knowledge of the pelvic floor in female university students: a cross\u2010sectional study","volume":"27","author":"Falvey L","year":"2021","journal-title":"Female Pelvic Med Reconstr Surg"},{"issue":"12","key":"e_1_2_11_20_1","doi-asserted-by":"crossref","first-page":"3122","DOI":"10.1016\/j.mayocp.2021.09.005","article-title":"Evaluation and Management of Pelvic Organ Prolapse","volume":"96","author":"Raju R","year":"2021","journal-title":"Mayo Clin Proc"},{"issue":"1","key":"e_1_2_11_21_1","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1186\/s12905-025-03716-0","article-title":"Pelvic organ prolapse (POP) symptom progression and treatment satisfaction from the patients' perspective","volume":"25","author":"Sanchez EJ","year":"2025","journal-title":"BMC Womens Health"},{"key":"e_1_2_11_22_1","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2026.1700346","article-title":"Bridging the awareness\u2010action gap in pelvic floor prehabilitation: cognitive barriers and facilitators for asymptomatic populations\u2010a perspective","volume":"14","author":"Wu CH","year":"2026","journal-title":"Front Public Health"},{"issue":"1","key":"e_1_2_11_23_1","doi-asserted-by":"crossref","DOI":"10.2196\/30989","article-title":"Improving pelvic floor muscle training adherence among pregnant women: validation study","volume":"9","author":"Jaffar A","year":"2022","journal-title":"JMIR Hum Factors"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71267","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71267","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71267","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T07:04:36Z","timestamp":1787036676000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,18]]},"references-count":22,"alternative-id":["10.1002\/ijgo.71267"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71267","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,18]]},"assertion":[{"value":"2026-04-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ijgo.71267"}}