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


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.

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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.

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Correspondence to Balint Farkas.

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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.

Additional information

Balint Farkas is a member of the MTA-PTE Human Reproduction Scientific Research Group, Hungarian Academy of Sciences (MTA), Budapest, Hungary.

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Farkas, B., Tiringer, I., Farkas, N. et al. Hungarian language validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR). Int Urogynecol J 27, 1831–1836 (2016).

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  • Pelvic organ prolapse
  • Sexual life
  • Questionnaire
  • Urinary incontinence
  • Quality of life