Validation of a Mandarin Chinese version of the pelvic organ prolapse/urinary incontinence sexual questionnaire IUGA–revised (PISQ-IR)


Introduction and hypothesis

Sexual dysfunction has a high prevalence in women with pelvic organ disorders. Until recently, there has been no single one questionnaire translated or validated that can evaluate the sexual function of patients with a pelvic floor disorder, either for sexually active or inactive women. The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire IUGA–Revised (PISQ-IR) was developed to fill this gap. The aim of this study was to translate and validate the Mandarin Chinese version of PISQ-IR for global use.


This study was conducted with a sample of 106 patients. The PISQ-IR was translated and back-translated by two bilingual urogynecological specialists, and the Mandarin Chinese version was approved by the PISQ-IR Working Group of the International Urogynecological Association (IUGA). Its reliability was assessed using test–retest reliability and internal consistency, and its criterion validity was assessed in relation to other currently valid Chinese questionnaires. Both exploratory and confirmatory factor analyses were assessed.


The mean age of the participants was 52 ± 10.6 years. The Cronbach alpha value for each subscale ranged from 0.65 to 0.84 and from 0.6 to 0.83 for the sexually active and inactive groups, respectively. The convergent validity test showed that the value of each subscale was positively correlated with those of other questionnaires (P < 0.05). Exploratory and confirmatory factor analysis illustrated both good factor extraction and model fit.


This study demonstrated the Mandarin Chinese version of PISQ-IR is a valid, reliable and condition-specific instrument to assess sexual function in sexually active or inactive women with a pelvic floor disorder.

This is a preview of subscription content, log in to check access.


  1. 1.

    Handa VL, Harvey L, Cundiff GW, Siddique SA, Kjerulff KH (2004) Sexual function among women with urinary incontinence and pelvic organ prolapse. Am J Obstet Gynecol 191:751–756

    Article  PubMed  Google Scholar 

  2. 2.

    Haylen BT, Sand PK, Swift SE, Maher C, Moran PA, Freeman RM (2012) Transvaginal placement of surgical mesh for pelvic organ prolapse: more FDA concerns – positive reactions are possible. Int Urogynecol J 23:11–13

    Article  PubMed  Google Scholar 

  3. 3.

    Barber MD (2007) Questionnaires for women with pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct 18:461–465

    Article  PubMed  Google Scholar 

  4. 4.

    Rogers GR, Villarreal A, Kammerer-Doak D, Qualls C (2001) Sexual function in women with and without urinary incontinence and/or pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 12:361–365

    CAS  Article  PubMed  Google Scholar 

  5. 5.

    Moreira ED, Glasser DB, King R, Duarte FG, Gingell C, GSSAB Investigators’ Group (2008) Sexual difficulties and help-seeking among mature adults in Australia: results from the global study of sexual attitudes and behaviours. Sex Health 5:227–234

    Article  PubMed  Google Scholar 

  6. 6.

    Su TH, Lau HH (2010) Validation of a Chinese Version of the Short Form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire. J Sex Med 7:3940–3945

    Article  PubMed  Google Scholar 

  7. 7.

    Chang SR, Chang TC, Chen KH, Lin HH (2009) Developing and validating a Taiwan version of the Female Sexual Function Index for pregnant women. J Sex Med 6:1609–1616

    Article  PubMed  Google Scholar 

  8. 8.

    Rogers RG, Espuña Pons ME (2013) The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR). Int Urogynecol J 24:1063–1064

    Article  PubMed  Google Scholar 

  9. 9.

    Mor MK, Sevick MA, Shields AM, Green JA, Palevsky PM, Arnold RM et al (2014) Sexual function, activity, and satisfaction among women receiving maintenance hemodialysis. Clin J Am Soc Nephrol 9:128–134

    PubMed Central  Article  PubMed  Google Scholar 

  10. 10.

    Boehmer U, Timm A, Ozonoff A, Potter J (2012) Applying the Female Sexual Functioning Index to sexual minority women. J Womens Health (Larchmt) 21:401–409

    Article  Google Scholar 

  11. 11.

    Rogers RG, Rockwood TH, Constantine ML, Thakar R, Kammerer-Doak DN, Pauls RN et al (2013) A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR). Int Urogynecol J 24:1091–1103

    CAS  Article  PubMed  Google Scholar 

  12. 12.

    Chan SS, Choy KW, Lee BP, Pang SM, Yip SK, Lee LL et al (2010) Chinese validation of Urogenital Distress Inventory and Incontinence Impact Questionnaire short form. Int Urogynecol J 21:807–812

    Article  PubMed  Google Scholar 

  13. 13.

    Haher TR, Gorup JM, Shin TM, Homel P, Merola AA, Grogan DP (1999) Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis. A multicenter study of 244 patients. Spine (Phila Pa 1976) 24:1435–1440

    CAS  Article  Google Scholar 

  14. 14.

    Giannarini G, Keeley FX Jr, Valent F, Milesi C, Mogorovich A, Manassero F et al (2008) The Italian linguistic validation of the ureteral stent symptoms questionnaire. J Urol 180:624–628

    Article  PubMed  Google Scholar 

  15. 15.

    Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. L. Erlbaum Associates, Hillsdale

    Google Scholar 

  16. 16.

    Buster JE (2013) Managing female sexual dysfunction. Fertil Steril 100:905–915

    Article  PubMed  Google Scholar 

  17. 17.

    Pauls RN, Segal JL, Silva WA, Kleeman SD, Karram MM (2006) Sexual function in patients presenting to a urogynecology practice. Int Urogynecol J Pelvic Floor Dysfunct 17:576–580

    Article  PubMed  Google Scholar 

  18. 18.

    Buster JE (2013) Introduction: sexual health matters! Fertil Steril 100:897

    Article  PubMed  Google Scholar 

  19. 19.

    Vahdaninia M, Montazeri A, Goshtasebi A (2009) Help-seeking behaviors for female sexual dysfunction: a cross sectional study from Iran. BMC Womens Health 9:3

    PubMed Central  Article  PubMed  Google Scholar 

  20. 20.

    Omotosho TB, Rogers RG (2009) Shortcomings/strengths of specific sexual function questionnaires currently used in urogynecology: a literature review. Int Urogynecol J Pelvic Floor Dysfunct 20:S51–S56

    Article  PubMed  Google Scholar 

Download references

Financial disclaimer/Conflicts of interest


Author information



Corresponding author

Correspondence to Tsung-Hsien Su.

Additional information

Hsuan Wang and Hui-Hsuan Lau contributed equally to this work.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Wang, H., Lau, H., Hung, M. et al. Validation of a Mandarin Chinese version of the pelvic organ prolapse/urinary incontinence sexual questionnaire IUGA–revised (PISQ-IR). Int Urogynecol J 26, 1695–1700 (2015).

Download citation


  • Prolapse
  • Reliability
  • Sexual behavior
  • Urinary incontinence
  • Validity