Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug;27(8):1235-44.
doi: 10.1007/s00192-016-2969-9. Epub 2016 Feb 16.

German translation and validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA revised (PISQ-IR)

Gerda Trutnovsky  1 , Eva Nagele  1 , Daniela Ulrich  2 , Thomas Aigmüller  1 , Daniela Dörfler  3 , Ingrid Geiss  4 , Evi Reinstadler  5 , Johannes Angleitner-Flotzinger  6 , Jean-Jacques Ries  7 , Vesna Bjelic-Radisic  1 ; Austrian Urogynecology Working Group
Affiliations

German translation and validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA revised (PISQ-IR)

Gerda Trutnovsky et al. Int Urogynecol J. 2016 Aug.

Abstract

Introduction and hypothesis: Condition-specific sexual questionnaires are essential for clinical trials and important patient-reported outcome measures. The aim of the study was to translate the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association Revised (PISQ-IR) into German and to clinically validate it in a German-speaking population.

Methods: The translated PISQ-IR was linguistically validated in two rounds of cognitive interviews. The final instrument was psychometrically validated in women presenting to urogynecological clinics with pelvic floor dysfunction. For analysis of criterion validity, three related self-reported measures were administered: the Female Sexual Function Index (FSFI), the Kings Health Questionnaire (KHQ), and the 36-Item Short Form Health Survey (SF-36). For external validity, PISQ-IR subscales were compared to the clinical-measures Pelvic Organ Prolapse Quantification system (POP-Q) stage, pelvic floor muscle tone, and Oxford Grading Scale. Descriptive statistics, floor and ceiling effects, internal consistency using Cronbach's alpha coefficient, and Pearson correlations were calculated for all PISQ-IR subscales.

Results: The PISQ-IR was completed by 197 women, out of whom 66 (33.5 %) considered themselves not sexually active (NSA) and 131 (66.5 %) as sexually active (SA). Participants' mean age was 57 ± 12 years; 50 % were diagnosed with symptomatic POP, 74 % with urinary incontinence (UI) and 4 % with anal incontinence (AI). The PISQ-IR subscales were analyzed separately for SA and NSA women with Cronbach's alpha coefficients ranging from 0.64 to 0.94. Moderate to high correlations were observed between PISQ-IR subscales and related quality of life (QoL) scales and corresponding FSFI scales.

Conclusion: Initial testing of the German PISQ-IR suggests it is an internally consistent and valid tool for use in clinical practice and research.

Keywords: PISQ-IR; Pelvic floor disorder; Questionnaire; Sexual function; Validation.

PubMed Disclaimer

References

    1. Thomas HN, Chang CC, Dillon S, Hess R. Sexual activity in midlife women: importance of sex matters. JAMA Intern Med. 2014;174(4):631–3. doi: 10.1001/jamainternmed.2013.14402. - DOI - PMC - PubMed
    1. Addis IB, Van Den Eeden SK, Wassel-Fyr CL, Vittinghoff E, Brown JS, Thom DH. Sexual activity and function in middle-aged and older women. Obstet Gynecol. 2006;107(4):755–64. doi: 10.1097/01.AOG.0000202398.27428.e2. - DOI - PMC - PubMed
    1. Rogers GR, Villarreal A, Kammerer-Doak D, Qualls C. Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(6):361–5. doi: 10.1007/s001920170012. - DOI - PubMed
    1. Nygaard I, Barber MD, Burgio KL, Kenton K, Meikle S, Schaffer J, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300(11):1311–6. doi: 10.1001/jama.300.11.1311. - DOI - PMC - PubMed
    1. Rogers RG, Espuna Pons ME. The pelvic organ prolapse incontinence sexual questionnaire, IUGA-revised (PISQ-IR) Int Urogynecol J. 2013;24(7):1063–4. doi: 10.1007/s00192-012-1952-3. - DOI - PubMed

Publication types

LinkOut - more resources