International Urogynecology Journal

, Volume 28, Issue 12, pp 1901–1907 | Cite as

Validation of a single summary score for the Prolapse/Incontinence Sexual Questionnaire–IUGA revised (PISQ-IR)

  • Melissa L. ConstantineEmail author
  • Rachel N. Pauls
  • Rebecca R. Rogers
  • Todd H. Rockwood
Original Article


Introduction and hypothesis

The Prolapse/Incontinence Sexual Questionnaire–International Urogynecology Association (IUGA) Revised (PISQ-IR) measures sexual function in women with pelvic floor disorders (PFDs) yet is unwieldy, with six individual subscale scores for sexually active women and four for women who are not. We hypothesized that a valid and responsive summary score could be created for the PISQ-IR.


Item response data from participating women who completed a revised version of the PISQ-IR at three clinical sites were used to generate item weights using a magnitude estimation (ME) and Q-sort (Q) approaches. Item weights were applied to data from the original PISQ-IR validation to generate summary scores. Correlation and factor analysis methods were used to evaluate validity and responsiveness of summary scores.


Weighted and nonweighted summary scores for the sexually active PISQ-IR demonstrated good criterion validity with condition-specific measures: Incontinence Severity Index = 0.12, 0.11, 0.11; Pelvic Floor Distress Inventory-20 = 0.39, 0.39, 0.12; Epidemiology of Prolapse and Incontinence Questionnaire-Q35 = 0.26 0,.25, 0.40); Female Sexual Functioning Index subscale total score = 0.72, 0.75, 0.72 for nonweighted, ME, and Q summary scores, respectively. Responsiveness evaluation showed weighted and nonweighted summary scores detected moderate effect sizes (Cohen’s d > 0.5). Weighted items for those NSA demonstrated significant floor effects and did not meet criterion validity.


A PISQ-IR summary score for use with sexually active women, nonweighted or calculated with ME or Q item weights, is a valid and reliable measure for clinical use. The summary scores provide value for assesing clinical treatment of pelvic floor disorders.


Pelvic floor disorders PISQ-IR Validated questionnaire Sexual function Prolapse 


Compliance with ethical standards

Conflicts of interest

Dr. Rogers has received paid travel expenses or honoraria from UptoDate, ABOG, AUGS, and IUGA. He is on the Board of ABOG, AUGS, and IUGA.

Funding statement

No funding was received for this study.

Supplementary material

192_2017_3373_MOESM1_ESM.docx (15 kb)
ESM 1 (DOCX 15 kb)


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Copyright information

© The International Urogynecological Association 2017

Authors and Affiliations

  • Melissa L. Constantine
    • 1
    Email author
  • Rachel N. Pauls
    • 2
  • Rebecca R. Rogers
    • 3
  • Todd H. Rockwood
    • 1
  1. 1.Division of Health Policy & ManagementUniversity of MinnesotaMinneapolisUSA
  2. 2.TriHealth Good Samaritan HospitalCincinnatiUSA
  3. 3.Division of UrogynecologyUniversity of New MexicoAlbuquerqueUSA

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