International Urogynecology Journal

, Volume 26, Issue 8, pp 1229–1237 | Cite as

Arabic validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)

  • Ahmed S. El-Azab
  • Gamal M. GhoniemEmail author
  • Szu-Yun Leu
  • Danh V. Nguyen
Original Article


Introduction and hypothesis

Our aim was to translate then assess the reliability of the culturally adapted Pelvic Organ Prolapse/Incontinence Sexual Function Questionnaire, International Urogynecological Association (IUGA)-Revised (PISQ-IR) to assess sexual health among Arabic-speaking women with pelvic floor disorders.


PISQ-IR was modified to consider cultural characteristics of the Middle East. The final reliability study included 172 women with urinary incontinence (UI) and/or pelvic organ prolapse (POP). Participants completed the questionnaire twice: at enrollment and 2 weeks later.


Among sexually active women, good internal consistency was observed for five of the six scales in the adapted instrument: Global Quality (Cronbach’s coefficient α = 0.86), Condition Impact (α = 0.87), Desire (α = 0.82), Condition Specific (α = 0.74), and Partner Related (α = 0.75). Internal consistency was acceptable for the Arousal Orgasm subscale (α = 0.66). However, among not sexually active women, internal consistency was poor (α <0.6) for all four scales. Lin’s concordance correlation coefficient measuring agreement between test and retest measurements [Lin’s concordance correlation coefficient (CCC); a value of 1 represents perfect agreement] ranged from 0.81 to 0.87 for the not sexually active scales, except for condition impact (CCC = 0.63.) For sexually active women, CCC was typically stronger, ranging from 0.85 to 0.96.


PISQ-IR questionnaire is easy to administer and reliable for assessing sexual function in sexually active Arabic women with POP and UI, but internal consistency is poor for Arabic women not sexually active.


Questionnaire Quality of life Prolapse Sexual dysfunction Urinary incontinence Fecal incontinence 



Female sexual dysfunction


Pelvic organ prolapse


Quality of life


Pelvic Organ Prolapse Incontinence Sexual Function Questionnaire, IUGA-Revised


International Urogynecological Association


Urinary incontinence


Sexually active


Not sexually active


Concordance Correlation Coefficient



Special appreciation to IUGA R&D and IUGA Sexual Function Group for assisting with the translation process. This work was partially supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through grant UL1 TR000153.

Financial disclaimers/Conflicts of interest

A.S. El-Azab, M.D.: None

G.M. Ghoniem, M.D.: Uroplasty; research grant ROSE Registry (HS: 2011-8420)

S.Y. Leu, Ph.D.: None

D.V. Nguyen, Ph.D.: None

Authors’ contributions

A.S. El-Azab: data collection, manuscript writing, study conception and design

G.M. Ghoniem, M.D., FACS: study conception and design, manuscript writing

S.Y. Leu, Ph.D.: statistical analysis and interpretation, manuscript writing

D.V. Nguyen, Ph.D.: statistical analysis and interpretation, manuscript writing


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Copyright information

© The International Urogynecological Association 2015

Authors and Affiliations

  • Ahmed S. El-Azab
    • 1
  • Gamal M. Ghoniem
    • 2
    • 6
    Email author
  • Szu-Yun Leu
    • 3
    • 4
  • Danh V. Nguyen
    • 3
    • 5
  1. 1.Section of Female Urology and NeuroUrologyAsyut University Urology HospitalAsyutEgypt
  2. 2.Department of UrologyUC Irvine School of MedicineOrangeUSA
  3. 3.Institute for Clinical and Translational ScienceUniversity of CaliforniaIrvineUSA
  4. 4.Department of PediatricsUC Irvine School of MedicineOrangeUSA
  5. 5.Department of MedicineUC Irvine School of MedicineOrangeUSA
  6. 6.Chief Division of Female Urology, Pelvic Reconstruction Surgery & Voiding DysfunctionUniversity of California, IrvineOrangeUSA

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