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Validation of the Serbian version of the Pelvic Organ Prolapse/Urinary Incontinence/Sexual Questionnaire short form (PISQ-12)

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Abstract

Introduction and hypothesis

Urinary incontinence (UI) and pelvic organ prolapse (POP) significantly decrease quality of life and sexual health. This study aimed to evaluate the reliability and validity of a Serbian adaptation of the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) used in assessing sexual function in women with UI and/or POP.

Methods

This study included 416 women, 310 (74.5%) with UI and/or POP and 106 (25.5%) without UI and/or POP. The adaptation of the PISQ-12 to Serbian language was performed via back-translation. The content validity of the questionnaire was conducted by experts in the field. The reliability and validity of the PISQ-12 were analyzed. Evaluation of the data was performed using Content Validity Index (CVI), Cronbach’s alpha, test-retest reliability, item total correlation and confirmatory factor analysis.

Results

Content validity of the Serbian PISQ-12 was 1.00 (100%). Item total correlations were between 0.459 and 0.819 (P < 0.001). The PISQ-12 had an adequate and high internal consistency (Cronbach’s alpha 0.806) as well as high test-retest reliability (Pearson correlation coefficient r = 0.807; P < 0.001). Factor analysis results revealed strong construct validity. The mean scores of PISQ-12 were significantly better in the control group compared with the women with UI and/or POP. Sexual function was negatively affected by UI and/or POP as assessed with SF-36 and I-QoL questionnaires.

Conclusions

This study showed that the Serbian version of the PISQ-12 is a reliable, consistent, valid and condition-specific instrument to assess sexual function in women with UI and/or POP.

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Author information

Authors and Affiliations

  1. Clinic of Urology, University Clinical Centre of Serbia, Resavska 51, Belgrade, 11000, Serbia

    Djordje Nale, Petar Nale & Uros Babic

  2. Faculty of Medicine, University of Belgrade, Belgrade, Serbia

    Djordje Nale, Uros Babic, Masa Petrovic & Ivana Radovic

  3. Department of Urology, General Hospital, Vrbas, Serbia

    Violeta Skoric

  4. University of Southern California, Los Angeles, CA, USA

    Masa Petrovic

  5. Transfusiology Clinic, University Clinical Center of Serbia, Belgrade, Serbia

    Ivana Radovic

  6. Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia

    Jovan Markovic

  7. Institute of Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, Belgrade, Serbia

    Ivan Soldatovic

Authors
  1. Djordje Nale
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  2. Violeta Skoric
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  3. Petar Nale
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  4. Uros Babic
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  5. Masa Petrovic
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  6. Ivana Radovic
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  7. Jovan Markovic
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  8. Ivan Soldatovic
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Contributions

Dj. Nale: Project development, Management, Data analysis, Manuscript writing/editing

V. Skoric: Project development, Data collection, Data analysis

P. Nale: Data collection, Data analysis, Manuscript writing

U. Babic: Data collection, Data analysis

M. Petrovic: Interpretation of data, Statistical analysis, Manuscript writing/editing

I. Radovic: Interpretation of data, Statistical analysis, Manuscript writing

J. Markovic: Interpretation of data, Statistical analysis, Manuscript writing

I. Soldatovic: Interpretation of data, Statistical analysis, Manuscript editing

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Correspondence to Djordje Nale.

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Nale, D., Skoric, V., Nale, P. et al. Validation of the Serbian version of the Pelvic Organ Prolapse/Urinary Incontinence/Sexual Questionnaire short form (PISQ-12). Int Urogynecol J 33, 3177–3184 (2022). https://doi.org/10.1007/s00192-022-05288-1

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  • DOI: https://doi.org/10.1007/s00192-022-05288-1

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