Skip to main content

Advertisement

SpringerLink
Log in

Polish versions of the ICIQ-FLUTS and the ICIQ-FLUTS LF: translation, adaptation, and validation of female-specific instruments for evaluation of lower urinary tract symptoms

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

Previously, there was no specific questionnaire in the Polish language for overall assessment of lower urinary tract symptoms (LUTS) in women. The aim of this study was to translate, culturally adapt, and validate Polish versions of the International Consultation on Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms (ICIQ-FLUTS and ICIQ-FLUTS LF, short and long forms) for use in clinical practice and research in Poland.

Methods

The original English ICIQ-FLUTS and ICIQ-FLUTS LF were adapted to Polish according to international standards and recommended procedures. Adult women with LUTS who were seen at the Department of Urology at the Jagiellonian University, Krakow, Poland, completed the ICIQ-FLUTS and ICIQ-FLUTS LF at baseline and 2 weeks later. Control participants completed the questionnaires once. Validity and reliability were determined.

Results

One hundred and eighty Polish-speaking women who had LUTS completed the questionnaires. Content validity was high. Significant differences between women with LUTS and controls for both ICIQ-FLUTS and ICIQ-FLUTS LF confirmed optimal construct validity. An intercorrelation analysis revealed that internal consistency was good for ICIQ-FLUTS and ICIQ-FLUTS LF (Cronbach’s alpha >0.7). Test–retest reliability (reproducibility) demonstrated strong stability (intraclass correlation coefficient > 0.7). Floor and ceiling effects were absent from women with LUTS, whereas a floor effect was detected in the control group.

Conclusions

The Polish ICIQ-FLUTS and ICIQ-FLUTS LF are valid, reliable, and consistent measures of overall evaluation of LUTS in women. They are equivalent to the original English versions, and they retained the psychometric properties of the original questionnaires.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Irwin DE, Milsom I, Hunskaar S, et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study. Eur Urol. 2006;50:1306–14. discussion 1314–1305

    Article  Google Scholar 

  2. Coyne KS, Sexton CC, Thompson CL, et al. The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: results from the epidemiology of LUTS (EpiLUTS) study. BJU Int. 2009;104:352–60.

    Article  Google Scholar 

  3. Golabek T, Skalski M, Przydacz M, et al. Lower urinary tract symptoms, nocturia and overactive bladder in patients with depression and anxiety. Psychiatr Pol. 2016;50:417–30.

    PubMed  Google Scholar 

  4. Skorupska KA, Miotla P, Kubik-Komar A, Skorupski P, Rechberger T. Development and validation of the Polish version of the Urogenital Distress Inventory short form and the Incontinence Impact Questionnaire short form. Eur J Obstet Gynecol Reprod Biol. 2017;215:171–4.

    Article  Google Scholar 

  5. Przydacz M, Dudek P, Golabek T, et al. Neurogenic bladder symptom score: Polish translation, adaptation and validation of urinary disorder-specific instrument for patients with neurogenic lower urinary tract dysfunction. Int J Clin Pract. 2020;74:e13582.

    Article  Google Scholar 

  6. Przydacz M, Kornelak P, Dudek P, Golabek T, Chlosta P. The urinary disorder-specific quality of life in patients after spinal cord injury: Polish translation, adaptation and validation of the Qualiveen and SF-Qualiveen. Spinal Cord. 2020;39(6):1764–70.

    Google Scholar 

  7. Przydacz M, Kornelak P, Golabek T, Dudek P, Chlosta P. Polish versions of the Qualiveen and the SF-Qualiveen: translation and validation of urinary disorder-specific instruments in patients with multiple sclerosis. Neurourol Urodyn. 2020;39:1764–70.

    Article  Google Scholar 

  8. Przydacz M, Golabek T, Dudek P, Lipinski M, Chlosta P. Prevalence and bother of lower urinary tract symptoms and overactive bladder in Poland, an eastern European study. Sci Rep. 2020;10:19819.

    Article  CAS  Google Scholar 

  9. Jackson S, Donovan J, Brookes S, et al. The Bristol Female Lower Urinary Tract Symptoms Questionnaire: development and psychometric testing. Br J Urol. 1996;77:805–12.

    Article  CAS  Google Scholar 

  10. Diaz DC, Robinson D, Bosch R, Costantini E, Cotterill N, Espuna-Pons M, et al. Patient-reported outcome assessment. In: Abrams P, editor. Incontinence. 6th ed. Bristol: International Continence Society. 2017. p. 541–98.

  11. Przydacz M, Dudek P, Golabek T, Chlosta P. Relationship between lower urinary tract symptoms and treatment-related behavior in an eastern European country: findings from the LUTS POLAND study. Int J Environ Res Public Health. 2021;18:785.

    Article  CAS  Google Scholar 

  12. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–32.

    Article  CAS  Google Scholar 

  13. Terwee CB, Bot SD, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34–42.

    Article  Google Scholar 

  14. Brookes ST, Donovan JL, Wright M, Jackson S, Abrams P. A scored form of the Bristol female lower urinary tract symptoms questionnaire: data from a randomized controlled trial of surgery for women with stress incontinence. Am J Obstet Gynecol. 2004;191:73–82.

    Article  Google Scholar 

  15. Nayak BK. Understanding the relevance of sample size calculation. Indian J Ophthalmol. 2010;58:469–70.

    Article  Google Scholar 

  16. Swithinbank LV, Abrams P. The impact of urinary incontinence on the quality of life of women. World J Urol. 1999;17:225–9.

    Article  CAS  Google Scholar 

  17. European Association of Urology (EAU), Non-Oncology Guidelines; Urinary Incontinence in Adults, 2020. Accessed December 2020. Available from: https://uroweb.org/guideline/urinary-incontinence/

  18. Gungor Ugurlucan F, Yasa C, Yuksel Ozgor B, et al. Validation of the Turkish version of the ICIQ-FLUTS, ICIQ-FLUTS long-form, ICIQ-LUTS quality-of-life, and ICIQ-FLUTS sexual functions. Neurourol Urodyn. 2020;39:962–8.

    Article  Google Scholar 

  19. Chattrakulchai K, Manonai J, Silpakit C, Wattanayingcharoenchai R. Validation of the Thai version of the international consultation on incontinence questionnaire-female lower urinary tract symptoms (ICIQ-FLUTS). Int Urogynecol J. 2020;31:2603–10.

    Article  Google Scholar 

  20. De Silva G, Furukan R, Goonewardene M. Validation of the Sinhala translation of the international consultation on incontinence modular questionnaire for female lower urinary tract symptoms among women in Sri Lanka. Int Urogynecol J. 2017;28:1895–9.

    Article  Google Scholar 

  21. Ekanayake CD, Pathmeswaran A, Nishad AAN, Samaranayake KU, Wijesinghe PS. Translation and validation of ICIQ-FLUTS for Tamil-speaking women. Int Urogynecol J. 2017;28:1875–81.

    Article  Google Scholar 

  22. Pourmomeny AA, Rezaeian ZS, Soltanmohamadi M. Translation and linguistic validation of the Persian version of the Bristol female lower urinary tract symptoms instrument. Int Urogynecol J. 2017;28:1329–33.

    Article  Google Scholar 

  23. Athanasiou S, Grigoriadis T, Kyriakidou N, Giannoulis G, Antsaklis A. The validation of international consultation on incontinence questionnaires in the Greek language. Neurourol Urodyn. 2012;31:1141–4.

    Article  Google Scholar 

  24. Angelo PH, de Queiroz NA, Leitão ACR, Marini G, Micussi MT. Validation of the international consultation on incontinence modular questionnaire—female lower urinary tract symptoms (ICIQ-FLUTS) into Brazilian Portuguese. Int Braz J Urol. 2020;46:53–9.

    Article  Google Scholar 

  25. Huang L, Zhang SW, Wu SL, Ma L, Deng XH. The Chinese version of ICIQ: a useful tool in clinical practice and research on urinary incontinence. Neurourol Urodyn. 2008;27:522–4.

    Article  Google Scholar 

  26. Przydacz M, Dudek P, Chlosta P. Prevalence, bother and treatment behavior related to lower urinary tract symptoms and overactive bladder among cardiology patients. J Clin Med. 2020;9(12):4102.

    Article  Google Scholar 

  27. Wild D, Grove A, Martin M, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005;8:94–104.

    Article  Google Scholar 

  28. Li Z, Xu T, Zhang L, Zhu L. Prevalence, potential risk factors, and symptomatic bother of lower urinary tract symptoms during and after pregnancy. Low Urin Tract Symptoms. 2019;11:217–23.

    Article  Google Scholar 

Download references

Acknowledgements

The authors thank Katarzyna Jasik, Beata Zajdel-Wazny, Joanna McCoy, Katarzyna Kocma, and the Atominium Specialist Translation Agency for their assistance with translations, and Natalia Wojtyczko for her help with the inclusion of patients. The ICIQ Development Group and Bristol Urological Institute are thanked for their permission to use the questionnaires. The Polish versions of the ICIQ-FLUTS and ICIQ-FLUTS LF are directly available from the ICIQ website (www.iciq.net).

Author information

Authors and Affiliations

  1. Department of Urology, Jagiellonian University, Medical College, ul. Jakubowskiego 2, 30-688, Krakow, Poland

    Mikolaj Przydacz, Przemyslaw Dudek & Piotr Chlosta

Authors
  1. Mikolaj Przydacz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Przemyslaw Dudek
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Piotr Chlosta
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

M. Przydacz: concept of the study, design of the research, data collection, data analysis, draft of the manuscript, draft editing; P. Dudek: data collection, draft editing; P. Chlosta: concept of the study, draft editing.

Corresponding author

Correspondence to Mikolaj Przydacz.

Ethics declarations

Conflicts of interest

None.

Ethical approval statement along with institute name

The research ethics committee of the Jagiellonian University Medical College, Krakow, Poland approved this study (1072.6120.222.2019). The ICIQ Development Group, Bristol Urological Institute, provided written permission to translate, adapt, and validate the questionnaires.

Additional information

Publisher’s note

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

Supplementary Information

ESM 1

(PDF 434 kb)

ESM 2

(PDF 467 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Przydacz, M., Dudek, P. & Chlosta, P. Polish versions of the ICIQ-FLUTS and the ICIQ-FLUTS LF: translation, adaptation, and validation of female-specific instruments for evaluation of lower urinary tract symptoms. Int Urogynecol J 32, 3259–3265 (2021). https://doi.org/10.1007/s00192-021-04793-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-021-04793-z

Keywords

Search

Navigation