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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

Abstract

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.

Methods

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.

Results

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.

Conclusions

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.

Keywords

Questionnaire Quality of life Prolapse Sexual dysfunction Urinary incontinence Fecal incontinence 

Abbreviations

FSD

Female sexual dysfunction

POP

Pelvic organ prolapse

QoL

Quality of life

PISQ-IR

Pelvic Organ Prolapse Incontinence Sexual Function Questionnaire, IUGA-Revised

IUGA

International Urogynecological Association

UI

Urinary incontinence

SA

Sexually active

NSA

Not sexually active

CCC

Concordance Correlation Coefficient

Notes

Acknowledgments

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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