Reviewer’s report
Title: 
Prevalence of Pelvic Floor Dysfunction: A Saudi National Survey
Version: 
1 
Date: 
10 Oct 2021
Reviewer: 
Ibrahim A.
Reviewer's report:
Dear respectable Editor 
Thank you to give me the opportunity to review the manuscript entitled
(Prevalence of Pelvic Floor Dysfunction (PFD): A Saudi National Survey).
Which aimed to estimate the prevalence of PDFs among Saudi women attending
primary health care centers (PHCCs) across 13 regions of Saudi Arabia and their
characteristics along with the risk factors. The study found that over a third of
women 830 (36.3%) had any type of urinary incontinence (UI). Stress UI of any
type inflicted 726 (31.7%) of women, whilst UI inflicted 525 (22.9% had urge
UI. 
Half of the women, 1148 (50.2%) had colorectal dysfunction. Vaginal laxity
(VL) occurred in 505 (22.1%) of women, whilst pelvic organ prolapse (POP)
occurred in 536 (23.4%) of women. Vaginal wind (VW) occurred in 733 (32%)
of women. Over half of women 1238 (54.1%) had overactive bladder (OAB).
The multivariate analysis suggested that region, location, parity, and assisted
birth were significantly associated with UI, VL, FI and PFD.
In the introduction, the authors specified the magnitude of the problem (Adult
women may have one or more of pelvic floor dysfunction (PFD), which
adversely affects the quality of life, including sexual health, functional status,
social constraints, and psychological well-being).
The authors mentioned the study design, questionnaires used, ethical committee
approval and how they calculate the sample size needed for their study. 
The authors presented clear results, in the discussion they compared their
findings with other authors findings, and they mentioned the strength and
limitations of their study.
In addition, the authors reached clear conclusion reflecting their results and they
used relevant references 
Only one minor correction needed before acceptance of the manuscript for
publication (references number 27 and 28 in the discussion (page 17) wrote
wrongly and I think it should be replaced by 37 and 38 instead). 
Regards 
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Is the study design appropriate to answer the research question (including the use
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presented?
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