International Urogynecology Journal

, Volume 27, Issue 12, pp 1831–1836 | Cite as

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

  • Balint FarkasEmail author
  • Istvan Tiringer
  • Nelli Farkas
  • Balazs Kenyeres
  • Zoltan Nemeth
Original Article


Introduction and Hypothesis

Until now, no valid Hungarian questionnaire has existed to evaluate the sexual quality of life of women with pelvic floor disorders. The aim of this study was to translate the Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR), into Hungarian and to validate the translated PISQ-IR.


PISQ-IR was translated and validated using three steps, as guided by the IUGA international protocol: forward translation by two urogynecologists, a community review process consisting of one-on-one cognitive interviews with 20 patients, and backward translation by a native English speaker. The final version was approved by the IUGA Working Group comprising the original authors.


Among sexually active women, good internal consistency was observed for all scales of the adapted instrument: global quality (Cronbach’s α = 0.75), condition impact (α = 0.87), desire (α = 0.82), arousal/orgasm (α = 0.67), partner-related (α = 0.61) and condition-specific (α = 0.67). Among women who were not sexually active, internal consistency was valid for three scales: condition-specific (α = 0.70), global quality (α = 0.81) and condition impact (α = 0.86). Cronbach’s α could not be determined in the partner-related domain because only two items were included. Criterion validity and reliability showed strong significant correlations with the UI at the Clinical-Q values and the FSFI and PFDI-20 tests.


The PISQ-IR Hungarian version is a valid and reliable tool that is equivalent to the original English questionnaire and assesses sexual function in Hungarian women with pelvic organ prolapse, urinary incontinence and/or fecal incontinence.


Pelvic organ prolapse Sexual life Questionnaire Urinary incontinence Quality of life 



We thank the medical assistants and nurses of the University of Pecs Clinical Centre, Department of Obstetrics and Gynecology, Department of Urology, and the Hospital St. John of God Department of Gynecology for their help and dedicated contribution to the study and our patients. We also thank Dr. Jozsef Bodis for his support, helpful comments and discussion.

Compliance with ethical standards

Conflict of Interest

The corresponding author has multiple affiliations and has received financial support from the Hungarian Academy of Sciences (MTA), Budapest, Hungary. The remaining authors report no conflicts of interest.

Supplementary material

192_2016_3047_MOESM1_ESM.doc (55 kb)
ESM 1 (DOC 55 kb)


  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 191:751–756CrossRefPubMedGoogle Scholar
  2. 2.
    Gil KM, Somerville AM, Cichowski S, Savitski JL (2009) Distress and quality of life characteristics associated with seeking surgical treatment for stress urinary incontinence. Health Qual Life Outcomes 7:8CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Eftekhar T, Sohrabi M, Haghollahi F, Shariat M, Miri E (2014) Comparison effect of physiotherapy with surgery on sexual function in patients with pelvic floor disorder: a randomized clinical trial. Iran J Reprod Med 12(1):7–14PubMedPubMedCentralGoogle Scholar
  4. 4.
    Achtari C, Dwyer PL (2005) Sexual function and pelvic floor disorders. Best Pract Res Clin Obstet Gynecol 19:993–1008CrossRefGoogle Scholar
  5. 5.
    Knoepp LR, Shippey SH, Chen CC, Cundiff GW, Derogatis LR, Handa VL (2010) Sexual complaints, pelvic floor symptoms, and sexual distress in women over forty. J Sex Med 7:3675–3682CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Wang H, Lau HH, Hung MJ, Huang WC, Zheng YW, Su TH (2015) Validation of a Mandarin Chinese version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire IUGA-revised (PISQ-IR). Int Urogynecol J 11:1695–1700CrossRefGoogle Scholar
  7. 7.
    Mousavi SA, Masoumi SZ, Keramat A, Pooralajal J, Shobeiri F (2013) Assessment of questionnaires measuring quality of life in infertile couples: a systematic review. J Reprod Infertil 3:110–119Google Scholar
  8. 8.
    Rogers RG, Espuna Pons ME (2013) The Pelvic Organ Prolapse Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR). Int Urogynecol J 24:1063–1064CrossRefPubMedGoogle Scholar
  9. 9.
    Barber MD (2007) Questionnaires for women with pelvic floor disorders. Int Urogynecol J Pelvic Floor Dysfunct 18:461–465CrossRefPubMedGoogle Scholar
  10. 10.
    El-Azab AS, Ghoniem GM, Leu SY, Nguyen DV (2015) Arabic validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR). Int Urogynecol J 26(8):1229–1237CrossRefPubMedGoogle Scholar
  11. 11.
    Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R Jr (2000) The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 26(2):191–208CrossRefPubMedGoogle Scholar
  12. 12.
    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) 24:1435–1440CrossRefGoogle Scholar
  13. 13.
    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 180:624–628CrossRefPubMedGoogle Scholar
  14. 14.
    Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. L. Erlbaum Associates, HillsdaleGoogle Scholar
  15. 15.
    Matthias R, Lubben J, Atchison K, Schweitzer S (1997) Sexual activity and satisfaction among very old adults: results from a community-dwelling Medicare population survey. Gerontologist 37(1):6–14CrossRefPubMedGoogle Scholar
  16. 16.
    Lindau S, Schumm LP, Laumann E, Levinson W, O’Muircheartaigh C, Waite L (2007) A study of sexuality and health among older adults in the United States. N Engl J Med 357(8):762–774CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Pauls R, Silva WA, Rooney C et al (2007) Sexual function after vaginal surgery for pelvic organ prolapse and urinary incontinence. Obstet Gynecol 197(6):622–627Google Scholar
  18. 18.
    Ghezzi F, Serati M, Cromi A, Uccella S, Triacca P, Bolis P (2006) Impact of tension-free vaginal tape on sexual function: results of a prospective study. Int Urogynecol J Pelvic Floor Dysfunct 17(1):54–59CrossRefPubMedGoogle Scholar
  19. 19.
    Wohlrab K, Erekson E, Myers D (2009) Postoperative erosions of the mersilene suburethral sling mesh for antiincontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct 20(4):417–420CrossRefPubMedGoogle Scholar
  20. 20.
    Komesu Y, Rogers R, Kammerer Doak D, Barber M, Olsen A (2007) Posterior repair and sexual function. Obstet Gynecol 197(1):101–106Google Scholar
  21. 21.
    Ratner ES, Erekson EA, Minkin MJ, Foran-Tuller KA (2011) Sexual satisfaction in the elderly female population: a special focus on women with gynecologic pathology. Maturitas 70(3):210–215CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Cundiff G, Fenner D (2004) Evaluation and treatment of women with rectocele: focus on associated defecatory and sexual dysfunction. Obstet Gynecol 104(6):1403–1421CrossRefPubMedGoogle Scholar

Copyright information

© The International Urogynecological Association 2016

Authors and Affiliations

  • Balint Farkas
    • 1
    Email author
  • Istvan Tiringer
    • 2
  • Nelli Farkas
    • 3
  • Balazs Kenyeres
    • 4
  • Zoltan Nemeth
    • 5
  1. 1.Department of Obstetrics and GynecologyUniversity of Pecs Clinical CentrePecsHungary
  2. 2.Institute of Behavior SciencesPecsHungary
  3. 3.Institute of BioanalysisPecsHungary
  4. 4.Department of UrologyUniversity of Pecs Clinical CentrePecsHungary
  5. 5.Department of GynecologyHospital St. John of GodViennaAustria

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