International Urogynecology Journal

, Volume 30, Issue 1, pp 17–22 | Cite as

Translation and validation of the International Consultation on Incontinence Questionnaire Vaginal Symptoms (ICIQ-VS): the Danish version

  • Louise Thomsen Schmidt ArenholtEmail author
  • Marianne Glavind-Kristensen
  • Henrik Bøggild
  • Karin Glavind
Original Article



In the clinical evaluation of women with pelvic organ prolapse (POP), it is important to evaluate both objective and subjective presentations. The objective evaluation is done by gynecological examination, but the subjective presentation is more complex. The International Consultation on Incontinence Questionnaire–Vaginal Symptoms (ICIQ-VS) is an important tool for subjective evaluation, and a Danish version was developed.

Materials and methods

The English version was translated into Danish in accordance with guidelines. Eight women underwent a semistructured interview showing no misunderstandings. Women with and without prolapse completed the questionnaire and underwent a Pelvic Organ Prolapse Quantification (POP-Q) examination. Three weeks later a retest was done. Women undergoing prolapse surgery completed the questionnaire 3 months postoperatively.


Ninety-four women with and 98 without prolapse were included; 52 underwent surgery. Retest response rate was 88–95%. Mean time between test and retest was 24.5 and 92.2 days, respectively. Missing data ranged between 0 and 1%. Test–retest reliability was good to excellent (ICC 0.61–0.88) and internal consistency was acceptable (Cronbach’s alpha 0.79–0.84). The questionnaire was excellent when distinguishing between women with and without prolapse (p < 0.001). Criterion validity (correlation between POP-Q stage and the questionnaire) was perfect (p < 0.001). Sensitivity to change was excellent for vaginal symptom score and quality of life (p < 0.001) but not for sexual matters (p = 0.059).


The Danish version of ICIQ-VS was successfully translated and can be a valuable tool for prolapse research and daily evaluation of patients.


Prolapse Vaginal questionnaire ICIQ-VS Validation 



International Consultation on Incontinence Questionnaire—Vaginal Symptoms


Pelvic organ prolapse


Vaginal Symptom Score


Sexual Matter Score


Quality of Life Score


Patient Global Impression of Improvement scale


Author’s contribution

LTS Arenholt: Project development, data collection, statistical calculations, manuscript writing.

M Glavind-Kristensen: Manuscript writing/editing.

H Bøggild: Statistical support, manuscript writing/editing.

K Glavind: Manuscript writing/editing.

Compliance with ethical standards

Conflict of interest

L.T.S. Arenholt and K. Glavind have accepted travel grants from Pierre Fabre and Astellas; M. Glavind-Kristensen accepted a travel grant from Astellas. Henrik Bøgild has no conflict of interest.


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Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  • Louise Thomsen Schmidt Arenholt
    • 1
    • 2
    Email author
  • Marianne Glavind-Kristensen
    • 3
  • Henrik Bøggild
    • 4
    • 5
  • Karin Glavind
    • 6
  1. 1.Center for Clinical Research, Department of Clinical MedicineAalborg UniversityHjørringDenmark
  2. 2.Department of Gynecology and Obstetrics, North Denmark Regional HospitalHjørringDenmark
  3. 3.Department of Gynecology and ObstetricsAarhus University HospitalAarhusDenmark
  4. 4.Public Health and Epidemiology Group, Department of Health Science and TechnologyAalborg UniversityAalborgDenmark
  5. 5.Unit of Epidemiology and BiostatisticsAalborg University HospitalAalborgDenmark
  6. 6.Department of Gynecology and ObstetricsAalborg University HospitalAalborgDenmark

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