Summary of the best evidence on bladder function management following pelvic floor reconstruction in women

To identify, evaluate, and synthesize the best available evidence on bladder function management following pelvic floor reconstruction surgery, both domestically and internationally. Following the “6S” evidence model, a top-down systematic search was conducted in computer-aided decision-making systems, domestic and international guideline websites, professional society websites, and domestic and international databases to identify relevant literature on bladder function management following pelvic floor reconstruction in women. This included clinical decision aids, best practices, guidelines, evidence summaries, systematic reviews, and expert consensus documents. The search period spanned from the inception of the databases to November 2025. A total of 14 studies were ultimately included: 4 clinical decision aids, 3 guidelines, 3 expert consensus documents, 3 systematic reviews, and 1 randomized controlled trial. Twenty-two pieces of best evidence were summarized across seven dimensions: preoperative assessment, pathophysiology, risk factors, intraoperative positioning management, prevention and management, health education, and follow-up. This summary of the best evidence for bladder function management following pelvic floor reconstruction provides an evidence-based foundation for clinical practice. When applying this evidence in clinical practice, the applicability to specific clinical contexts and patient needs should be fully considered. Not applicable.