Skip to main content

Validation of the Malay version of the p-QOL questionnaire



This study aimed to translate and validate the P-QOL questionnaire in the Malay language.


The P-QOL questionnaire was translated into the Malay language and subsequently back-translated to English. Test-retest reliability and internal consistency were tested. All patients who visited the gynecology outpatient clinic of UKMMC, UMMC and IIUM between January 2016 and May 2017 completed the P-QOL questionnaires and were assessed for POP-Q staging.


One hundred twenty patients with symptomatic pelvic organ prolapse and 180 asymptomatic patients were included. The Cronbach’s alpha for each domain was > 0.70, which confirmed that there was a highly acceptable internal consistency. The value varied between 0.88 (role limitation) and 0.912 (sleep/energy). Test-retest reliability showed a significant correlation between the total scores for each domain (p < 0.001). There was a significant correlation between P-QOL domain scores and vaginal examination findings (POP-Q). With a higher POP-Q stage, a higher impact on the quality of life was detected in symptomatic patients. The total scores from all domains were significantly higher in symptomatic patients.


The Malay translated version of the P-QOL questionnaire is a reliable, consistent, and valid instrument for assessing the severity of the symptoms and impact on the quality of life among women with uterovaginal prolapse. It is easily understood, administered, and self-completed by patients.

This is a preview of subscription content, access via your institution.


  1. Samuelsson EC, Arne Victor FT, Tibblin G, et al. Sign of genital prolapsed in a Swedish population of women 20 to 59 years of age and possible related factors. American Journal of Obstetrics Gynecology. 1999;180:299–305.

    Article  CAS  Google Scholar 

  2. MacLennan AH, Taylor AW, Wilson DH, et al. The prevalence of pelvic floor disorders and their relationship to gender, age, parity and mode of delivery. International Journal of Obstetrics Gynaecology. 2000;107(12):1460–70.

    Article  CAS  Google Scholar 

  3. Veit-Rubin N, Cartwright R, Singh AU, et al. Association between joint hypermobility and pelvic organ prolapse in women: a systematic review and meta-analysis. Int Urogynecol J. 2016;27(10):1469–78.

    Article  Google Scholar 

  4. Barber MD, Maher C. Epidemiology and outcome assessment of pelvic organ prolapse. Int Urogynecol J. 2013;24:1783.

    Article  Google Scholar 

  5. Swift SE, Tate SB, Nicholas J. Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapsed? American Journal of Obstetrics Gynecology. 2003;189:372–9.

    Article  Google Scholar 

  6. Digesu GA, Khullar V, Cardozo L, et al. P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapsed. Int Urogynecol J. 2005;16:176–81.

    Article  Google Scholar 

  7. Digesu GA, Santamato S, Khullar V, et al. Validation of an Italian version of the prolapsed quality of life questionnaire. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2003;106:184–92.

    Article  Google Scholar 

  8. Veit-Rubin N, Digesu A, Swift S, et al. Validation of the French version of the P-QoL questionnaire. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2015;192:10–6.

    Article  Google Scholar 

  9. Cam C, Sakalli M, Ay P, et al. Validation of the prolapsed quality of life questionnaire (P-QOL) in a Turkish population. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2007;135:132–5.

    Article  Google Scholar 

  10. Lenz F, Stammer H, Brocker K, et al. Validation of a German version of the P-QOL questionnaire. Int Urogynecol J. 2009;20:641–9.

    Article  CAS  Google Scholar 

  11. de Oliveira MS, Tamanini JT, de Aguiar CG. Validation of the prolapsed quality-of-life questionnaire (P-QOL) in Portuguese version in Brazilian women. Int Urogynecol J. 2009;20:1191–202.

    Article  Google Scholar 

  12. Fukumoto Y, Uesaka Y, Yamamoto K, et al. Assessment of quality of life in women with pelvic organ prolapsed: conditional translation and trial of P-QoL for use in Japan. Nippon Hinyokika Gakkai Zasshi. 2008;99(3):531–42.

    PubMed  Google Scholar 

  13. Claerhout F, Moons P, Ghesquiere S, et al. Validity, reliability and responsiveness of a Dutch version of the prolapsed quality-of-life (P-QoL) questionnaire. Int Urogynecol J. 2010;21:569–78.

    Article  Google Scholar 

  14. Svihrova V, Digesu GA, Svhira J, et al. Validation of the Slovakian version of the P-QOL questionnaire. Int Urogynecol J. 2010;21:53–61.

    Article  Google Scholar 

  15. Manchana T, Bunyavejchevin S. Validation of the prolapse quality of life (P-QOL) questionnaire in Thai version. Int Urogynecol J. 2010;21:985–93.

    Article  Google Scholar 

  16. Toozs-Hobson P, Freeman R, Barber M, et al. An international Urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for reporting outcomes of surgical procedures for pelvic organ prolapse. Int Urogynecol J. 2012;23:527–35.

    Article  Google Scholar 

  17. Ismail R, Ismail R. Pelvic organ prolapse in women attending menopause clinic: prevalence and risk factors. Malaysian Journal of Obstetrics & Gynaecology. 2008;15:86–92.

    Google Scholar 

  18. Leslie K. Survey sampling. New York: John Wiley and Sons Inc.; 1965.

    Google Scholar 

  19. Bump RC. The POP-Q system: two decades of progress and debate. Int Urogynecol J. 2014;25:441–3.

    Article  Google Scholar 

  20. Fayyad A, Hill S, Gurung V, et al. How accurate is symptomatic and clinical evaluation of prolapsed prior to surgical repair? International Urogynaecology Journal. 2007;18:1179–83.

    Article  Google Scholar 

Download references


The authors thank the O&G Department of University Malaya Medical Center, Associate Prof. Dr. Su-Yen Khong and the O&G Department of the International Islamic University of Malaysia, and Associate Prof. Dr. Zalina Nusee for their contributions. This study was presented at 25th Congress of the Obstetrical and Gynecology Society of Malaysia and was awarded Best Poster Presentation (Gynecology).


This study was unfunded.

Author information

Authors and Affiliations



Rima Anggrena Dasrilsyah, Beng Kwang Ng, Ixora Kamisan, Su-Yen Khong, and Zalina Nusee were involved in data collection; analysis and interpretation; manuscript writing. Pei Shan Lim contributed to the conception of this study, data analysis and interpretation, manuscript writing, and revising it critically. All authors critically revised the first draft and approved the final version.

Corresponding author

Correspondence to Pei Shan Lim.

Ethics declarations

Details of ethics approval

The study was approved by the University ethical committee of University Kebangsaan Malaysia (code: FF-2016-069).

Conflicts of interest


Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material


(DOCX 31 kb)

Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Dasrilsyah, R.A., Ng, B.K., Atan, I.K. et al. Validation of the Malay version of the p-QOL questionnaire. Int Urogynecol J 32, 3163–3167 (2021).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: