{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T15:44:21Z","timestamp":1759160661974,"version":"3.37.3"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To investigate the impact of COVID\u201019 pandemic on health\u2010care provision to patients suffering from pelvic floor dysfunctions in Italy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective web\u2010based interdisciplinary survey was mailed by the Italian Society of Urodynamics\u00a0to members involved in pelvic floor dysfunctions management\u00a0from June 22, 2020\u00a0to July 17, 2020. The 84\u2010item questionnaire investigated the period March\u2013June 2020 (first epidemic wave) and showed high content validity. The primary outcome was the mean rate of cancellation for health\u2010care services. Secondary outcomes included estimation of the accumulated surgeries backload until return to baseline activity and of the recovery pattern, using linear regression and scenario\u2010based forecasting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 85 participants provided complete responses. Respondents were mostly urologists (47%), followed by gynecologists (29.5%) and physiatrists (17.6%). On average, 78.4% of outpatient services and 82.7% of functional surgeries were canceled, without significant differences by geographical distribution. An impact on patients' quality of life was anticipated by most of the respondents (87%) and 48.2% also reported potentially serious health risks for patients. Thirty\u2010three percent of the respondents reported the use of telemedicine. If the nation\u2010wide surgical activity increases by 20% postpandemic, it would take 37 months to clear the backlog of functional surgeries. We acknowledge the inherent limitations of the survey methodology and retrospective design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Access to care for patients suffering from pelvic floor dysfunctions has been dramatically affected by the COVID\u201019 outbreak. The indirect effects of this unprecedented disruption on pelvic floor dysfunctions care may last for several months.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24610","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T21:54:16Z","timestamp":1611611656000},"page":"695-704","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Extensive impact of COVID\u201019 pandemic on pelvic floor dysfunctions care: A nationwide interdisciplinary survey"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4640-8354","authenticated-orcid":false,"given":"Emilio","family":"Sacco","sequence":"first","affiliation":[{"name":"Clinica Urologica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS Universit\u00e0 Cattolica del Sacro Cuore Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlo","family":"Gandi","sequence":"additional","affiliation":[{"name":"Clinica Urologica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS Universit\u00e0 Cattolica del Sacro Cuore Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincenzo","family":"Li Marzi","sequence":"additional","affiliation":[{"name":"Department of Urology Clinic Careggi Hospital, University of Florence Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3288-5275","authenticated-orcid":false,"given":"Gianfranco","family":"Lamberti","sequence":"additional","affiliation":[{"name":"Department of Spinal Unit and Intensive Rehabilitation of the AUSL of Piacenza Piacenza Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8534-646X","authenticated-orcid":false,"given":"Maurizio","family":"Serati","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Insubria Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0308-8824","authenticated-orcid":false,"given":"Enrico Finazzi","family":"Agro'","sequence":"additional","affiliation":[{"name":"Urology Unit, Department of Surgical Sciences, Tor Vergata University Hospital University of Rome Tor Vergata Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4586-3195","authenticated-orcid":false,"given":"Marco","family":"Soligo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Ospedale Maggiore di Lodi \u2010 ASST Lodi Lodi Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Italian Society of Urodynamics (SIUD)","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.00167"},{"key":"e_1_2_9_3_1","unstructured":"Italian Ministry of Health.\u00a0Nuovo coronavirus.2020.\u00a0http:\/\/www.salute.gov.it\/nuovocoronavirus. 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