{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:48:04Z","timestamp":1782478084263,"version":"3.54.5"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s00192-025-06511-5","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T12:57:53Z","timestamp":1768827473000},"page":"1653-1661","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Constipation as a Hidden Barrier to Pelvic Floor Tele-Rehabilitation: A Randomized Controlled Trial in Women with Stress Urinary Incontinence"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1014-8845","authenticated-orcid":false,"given":"\u00d6zge","family":"Baykan \u00c7opuro\u011flu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2375-6253","authenticated-orcid":false,"given":"Mehmet","family":"\u00c7opuro\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0971-1606","authenticated-orcid":false,"given":"Dilek","family":"Teki\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"issue":"3","key":"6511_CR1","doi-asserted-by":"publisher","DOI":"10.1111\/ijun.70027","volume":"19","author":"S Trapani","year":"2025","unstructured":"Trapani S, Villa G, Marcomini I, Bagnato E, Rinaldi S, Caglioni M, et al. Prevalence, risk factors and costs of female urinary incontinence: a multicentre cross-sectional study. Int J Urol Nurs. 2025;19(3):e70027. https:\/\/doi.org\/10.1111\/ijun.70027.","journal-title":"Int J Urol Nurs"},{"issue":"19","key":"6511_CR2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics14192230","volume":"14","author":"N Krasnopolsky","year":"2024","unstructured":"Krasnopolsky N, Ben Ami N, Dar G. Ultrasound assessment and self-perception of pelvic floor muscle function in women with stress urinary incontinence in different positions. Diagnostics. 2024;14(19):2230. https:\/\/doi.org\/10.3390\/diagnostics14192230.","journal-title":"Diagnostics"},{"issue":"10","key":"6511_CR3","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzac106","volume":"102","author":"AM Sayner","year":"2022","unstructured":"Sayner AM, Tang CY, Toohey K, Mendoza C, Nahon I. Opportunities and capabilities to perform pelvic floor muscle training are critical for participation: a systematic review and qualitative meta-synthesis. Phys Ther. 2022;102(10):pzac106. https:\/\/doi.org\/10.1093\/ptj\/pzac106.","journal-title":"Phys Ther"},{"key":"6511_CR4","doi-asserted-by":"publisher","first-page":"1487","DOI":"10.1007\/s00192-024-05818-z","volume":"35","author":"Y Er-Rabiai","year":"2024","unstructured":"Er-Rabiai Y, Torres-Lacomba M, Casa\u00f1a J, et al. Correlation of self-efficacy for pelvic floor muscle exercise with symptoms of stress urinary incontinence in women. Int Urogynecol J. 2024;35:1487\u201393. https:\/\/doi.org\/10.1007\/s00192-024-05818-z.","journal-title":"Int Urogynecol J"},{"key":"6511_CR5","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1007\/s00404-022-06514-3","volume":"307","author":"CC Bittelbrunn","year":"2023","unstructured":"Bittelbrunn CC, de Fraga R, Martins C, et al. Pelvic floor physical therapy and mindfulness: approaches for chronic pelvic pain in women\u2014a systematic review and meta-analysis. Arch Gynecol Obstet. 2023;307:663\u201372. https:\/\/doi.org\/10.1007\/s00404-022-06514-3","journal-title":"Arch Gynecol Obstet"},{"key":"6511_CR6","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1007\/s10484-024-09680-z","volume":"50","author":"SZE Razavi","year":"2025","unstructured":"Razavi SZE, Amirak A, Rahimi N, et al. The effect of biofeedback on constipation, sleep, depression, anxiety and quality of life in patients with dyssynergic defecation: a quasi-experimental study. Appl Psychophysiol Biofeedback. 2025;50:71\u20137. https:\/\/doi.org\/10.1007\/s10484-024-09680-z","journal-title":"Appl Psychophysiol Biofeedback"},{"issue":"1","key":"6511_CR7","doi-asserted-by":"publisher","first-page":"S40","DOI":"10.1016\/j.jviscsurg.2021.12.004","volume":"159","author":"C Desprez","year":"2022","unstructured":"Desprez C, Bridoux V, Leroi AM. Disorders of anorectal motility: functional defecation disorders and fecal incontinence. J Visc Surg. 2022;159(1):S40-50. https:\/\/doi.org\/10.1016\/j.jviscsurg.2021.12.004","journal-title":"J Visc Surg"},{"issue":"3","key":"6511_CR8","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1111\/aogs.14027","volume":"100","author":"MA Hage-Fransen","year":"2021","unstructured":"Hage-Fransen MA, Wiezer M, Otto A, et al. Pregnancy- and obstetric-related risk factors for urinary incontinence, fecal incontinence, or pelvic organ prolapse later in life: a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021;100(3):373\u201382. https:\/\/doi.org\/10.1111\/aogs.14027","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"22","key":"6511_CR9","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12227003","volume":"12","author":"A Kijmanawat","year":"2023","unstructured":"Kijmanawat A, Saraluck A, Manonai J, et al. Mobile application-based pelvic floor muscle training for treatment of stress urinary incontinence: an assessor-blind, randomized controlled trial. J Clin Med. 2023;12(22):7003. https:\/\/doi.org\/10.3390\/jcm12227003.","journal-title":"J Clin Med"},{"issue":"2","key":"6511_CR10","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1007\/s00192-020-04588-8","volume":"32","author":"KRU da Mata","year":"2021","unstructured":"da Mata KRU, Costa RCM, Carbone \u00c9DSM, et al. Telehealth in the rehabilitation of female pelvic floor dysfunction: a systematic literature review. Int Urogynecol J. 2021;32(2):249\u201359. https:\/\/doi.org\/10.1007\/s00192-020-04588-8.","journal-title":"Int Urogynecol J"},{"key":"6511_CR11","doi-asserted-by":"publisher","unstructured":"DeLancey JO, Pipitone F. Pathophysiology and effects of pregnancy on the pelvic floor. In: Pelvic Floor, Perineal, and Anal Sphincter Trauma During Childbirth: Diagnosis, Management and Prevention. Cham: Springer International Publishing; 2024. p. 17\u201335. https:\/\/doi.org\/10.1007\/978-3-031-43095-4_2.","DOI":"10.1007\/978-3-031-43095-4_2"},{"key":"6511_CR12","doi-asserted-by":"publisher","unstructured":"Madhu C, Drake M. Applied anatomy and physiology. In: Abrams\u2019 Urodynamics. 4th ed. Cham: Springer; 2021. p. 24\u201344. https:\/\/doi.org\/10.1002\/9781119245957.ch2.","DOI":"10.1002\/9781119245957.ch2"},{"key":"6511_CR13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21037\/ALES-2022-02","volume":"7","author":"CH Knowles","year":"2022","unstructured":"Knowles CH, Dinning P, Scott SM, Swash M, de Wachter S. New concepts in the pathophysiology of fecal incontinence. Ann Laparosc Endosc Surg. 2022;7:1\u201319. https:\/\/doi.org\/10.21037\/ALES-2022-02.","journal-title":"Ann Laparosc Endosc Surg"},{"issue":"8","key":"6511_CR14","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1080\/10255842.2022.2100220","volume":"26","author":"S Niederauer","year":"2023","unstructured":"Niederauer S, Hunt G, Foreman KB, Merryweather A, Hitchcock R. Intrinsic factors contributing to elevated intra-abdominal pressure. Comput Methods Biomech Biomed Eng. 2023;26(8):941\u201351. https:\/\/doi.org\/10.1080\/10255842.2022.2100220.","journal-title":"Comput Methods Biomech Biomed Eng"},{"issue":"9","key":"6511_CR15","doi-asserted-by":"publisher","DOI":"10.3390\/life11090900","volume":"11","author":"M Roch","year":"2021","unstructured":"Roch M, Gaudreault N, Cyr MP, Venne G, Bureau NJ, Morin M. The female pelvic floor fascia anatomy: a systematic search and review. Life. 2021;11(9):900. https:\/\/doi.org\/10.3390\/life11090900.","journal-title":"Life"},{"issue":"3","key":"6511_CR16","doi-asserted-by":"publisher","first-page":"182","DOI":"10.5152\/tjg.2023.22148","volume":"34","author":"A Sadeghi","year":"2023","unstructured":"Sadeghi A, Akbarpour E, Majidirad F, et al. Dyssynergic defecation: a comprehensive review on diagnosis and management. Turk J Gastroenterol. 2023;34(3):182\u201395. https:\/\/doi.org\/10.5152\/tjg.2023.22148.","journal-title":"Turk J Gastroenterol"},{"issue":"11","key":"6511_CR17","doi-asserted-by":"publisher","first-page":"751","DOI":"10.1038\/s41575-021-00487-5","volume":"18","author":"PT Heitmann","year":"2021","unstructured":"Heitmann PT, Vollebregt PF, Knowles CH, et al. Understanding the physiology of human defaecation and disorders of continence and evacuation. Nat Rev Gastroenterol Hepatol. 2021;18(11):751\u201369. https:\/\/doi.org\/10.1038\/s41575-021-00487-5.","journal-title":"Nat Rev Gastroenterol Hepatol"},{"key":"6511_CR18","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-16901-3","volume":"23","author":"RA Peinado-Molina","year":"2023","unstructured":"Peinado-Molina RA, Hern\u00e1ndez-Mart\u00ednez A, Mart\u00ednez-V\u00e1zquez S, et al. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health. 2023;23:2005. https:\/\/doi.org\/10.1186\/s12889-023-16901-3.","journal-title":"BMC Public Health"},{"issue":"6","key":"6511_CR19","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1111\/1471-0528.16559","volume":"128","author":"M Kuronen","year":"2021","unstructured":"Kuronen M, Hantunen S, Alanne L, et al. Pregnancy, puerperium and perinatal constipation: an observational hybrid survey on pregnant and postpartum women and age-matched non-pregnant controls. BJOG. 2021;128(6):1057\u201364. https:\/\/doi.org\/10.1111\/1471-0528.16559","journal-title":"BJOG"},{"key":"6511_CR20","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-07057-y","volume":"24","author":"N Salari","year":"2024","unstructured":"Salari N, Mohamadi S, Hemmati M, et al. Global prevalence of constipation during pregnancy: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024;24:836. https:\/\/doi.org\/10.1186\/s12884-024-07057-y.","journal-title":"BMC Pregnancy Childbirth"},{"key":"6511_CR21","doi-asserted-by":"publisher","DOI":"10.18332\/ejm\/189955","volume":"8","author":"A Manzotti","year":"2024","unstructured":"Manzotti A, Fumagalli S, Zanini S, et al. What is known about changes in pelvic floor muscle strength and tone in women during the childbirth pathway? A scoping review. Eur J Midwifery. 2024;8:10.18332\/ejm\/189955. https:\/\/doi.org\/10.18332\/ejm\/189955.","journal-title":"Eur J Midwifery"},{"key":"6511_CR22","doi-asserted-by":"publisher","first-page":"6213","DOI":"10.2147\/JIR.S384949","volume":"15","author":"Y Han","year":"2022","unstructured":"Han Y, Wang B, Gao H, He C, Hua R, Liang C, et al. Vagus nerve and underlying impact on the gut microbiota\u2013brain axis in behavior and neurodegenerative diseases. J Inflamm Res. 2022;15:6213\u201330. https:\/\/doi.org\/10.2147\/JIR.S384949","journal-title":"J Inflamm Res"},{"issue":"4","key":"6511_CR23","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1093\/sxmrev\/qeae053","volume":"12","author":"S Perelmuter","year":"2024","unstructured":"Perelmuter S, Soogoor A, Maliszewski K, Grimshaw A. Investigating the overlapping presentation of irritable bowel syndrome and vulvodynia: a scoping review of the evidence and mechanisms. Sex Med Rev. 2024;12(4):559\u201368. https:\/\/doi.org\/10.1093\/sxmrev\/qeae053","journal-title":"Sex Med Rev"},{"issue":"12","key":"6511_CR24","doi-asserted-by":"publisher","DOI":"10.1111\/nmo.14389","volume":"34","author":"L Neshatian","year":"2022","unstructured":"Neshatian L, Karmonik C, Khavari R, Shi Z, Elias S, Boone T, et al. Alterations in brain activation patterns in women with functional defecatory disorder: a novel fMRI rectal balloon expulsion study. Neurogastroenterol Motil. 2022;34(12):e14389. https:\/\/doi.org\/10.1111\/nmo.14389.","journal-title":"Neurogastroenterol Motil"},{"issue":"1","key":"6511_CR25","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2025.2472767","volume":"45","author":"DA Monti","year":"2025","unstructured":"Monti DA, Vedaei F, Tobia A, Navarreto E, Hriso C, Ross R, et al. Brain functional connectivity changes on fMRI in patients with chronic pelvic pain treated with the neuro emotional technique: a randomised controlled trial. J Obstet Gynaecol. 2025;45(1):2472767. https:\/\/doi.org\/10.1080\/01443615.2025.2472767.","journal-title":"J Obstet Gynaecol"},{"issue":"6","key":"6511_CR26","doi-asserted-by":"publisher","first-page":"473","DOI":"10.1080\/03630242.2023.2223729","volume":"63","author":"S Kamal\u0131","year":"2023","unstructured":"Kamal\u0131 S, \u00d6zengin N, Top\u00e7uo\u011flu MA. The effect of e-pelvic floor muscle training on symptoms in women with stress urinary incontinence: a randomized controlled trial. Womens Health. 2023;63(6):473\u201383. https:\/\/doi.org\/10.1080\/03630242.2023.2223729.","journal-title":"Womens Health"},{"issue":"1","key":"6511_CR27","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01985-7","volume":"22","author":"Y Hou","year":"2022","unstructured":"Hou Y, Feng S, Tong B, Lu S, Jin Y. Effect of pelvic floor muscle training using mobile health applications for stress urinary incontinence in women: a systematic review. BMC Womens Health. 2022;22(1):400. https:\/\/doi.org\/10.1186\/s12905-022-01985-7","journal-title":"BMC Womens Health"},{"issue":"12","key":"6511_CR28","doi-asserted-by":"publisher","first-page":"3325","DOI":"10.1007\/s00192-022-05222-5","volume":"33","author":"P Xu","year":"2022","unstructured":"Xu P, Wang X, Guo P, Li Y, Zhang L, Chen Y. The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis. Int Urogynecol J. 2022;33(12):3325\u201354. https:\/\/doi.org\/10.1007\/s00192-022-05222-5","journal-title":"Int Urogynecol J"},{"issue":"10","key":"6511_CR29","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzac106","volume":"102","author":"M Alesha","year":"2022","unstructured":"Alesha M, Sayner AM, Tang CY, Toohey K, Mendoza C, Nahon I. Opportunities and capabilities to perform pelvic floor muscle training are critical for participation: a systematic review and qualitative meta-synthesis. Phys Ther. 2022;102(10):pzac106. https:\/\/doi.org\/10.1093\/ptj\/pzac106","journal-title":"Phys Ther"},{"issue":"3","key":"6511_CR30","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1007\/s00404-022-06514-3","volume":"307","author":"CC Bittelbrunn","year":"2023","unstructured":"Bittelbrunn CC, de Fraga R, Martins C, Romano R, Massaneiro T, Mello GVP, et al. Pelvic floor physical therapy and mindfulness: approaches for chronic pelvic pain in women\u2014a systematic review and meta-analysis. Arch Gynecol Obstet. 2023;307(3):663\u201372. https:\/\/doi.org\/10.1007\/s00404-022-06514-3.","journal-title":"Arch Gynecol Obstet"},{"key":"6511_CR31","doi-asserted-by":"publisher","unstructured":"Ko\u00e7yi\u011fit K, Ortanc\u0131l \u00d6, Tezel N, \u015eefik S\u00d6, Sar\u0131kaya F, Gayretli TK. The effect of pelvic floor health education on knowledge and awareness levels in patients with urinary incontinence. Int Urogynecol J. 2025:1\u20138. https:\/\/doi.org\/10.1007\/s00192-025-06350-4","DOI":"10.1007\/s00192-025-06350-4"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06511-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06511-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06511-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:03:58Z","timestamp":1782475438000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06511-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,19]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["6511"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06511-5","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,19]]},"assertion":[{"value":"7 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Review Board of Kayseri City Hospital (Approval No: 238) and conducted in accordance with the ethical principles outlined in the Declaration of Helsinki. Written informed consent was obtained from all participants prior to enrollment.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval and Consent to Participate"}},{"value":"All participants provided written consent for the anonymized publication of their data. No identifiable personal or clinical information is disclosed in this manuscript.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for Publication"}},{"value":"None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}