the FSFI English version has been translated into Portuguese and culturally adapted, being reliable to evaluate the sexual response of Brazilian women.

PURPOSE: to translate, culturally adapt and validate the questionnaire "International Consultation on Incontinence Questionnaire Overactive Bladder" (ICIQ-OAB) for the Portuguese Language. METHODS: two Brazilian translators acquainted with the objectives of this research translated the ICIQ-OAB into Portuguese and both translations were back-translated by two other native English speaking translators. The differences between the versions were brought to agreement and pre-tested in a pilot study. The final version of the ICIQ-OAB was applied together with the previously translated and tested version of the International Consultation on Incontinence Questionnaire -Short Form (ICIQ-SF) in 142 male and female patients with irritative urinary symptoms. For the validation of the ICIQ-OAB the following psychometric features were evaluated: reliability (internal consistency and test-retest) and validity of the survey. The retest was performed four weeks after the first interview. RESULTS: the reliability of the instrument was demonstrated through the Cronbach α Coefficient, with a general result of 0.7. The test-retest corroborated the stability of the instrument through the intraclass correlation coefficient and presented a result of 0.91 and 0.95 when compared to both the ICIQ-OAB and ICIQ-SF, respectively. When the instruments were compared by the Pearson correlation coefficient the result was 0.7 (p=0.0001), that confirms the validity of the study criterion. The concurrent validity was evaluated by

The prevalence of urinary incontinence is around 20% of healthy middle-aged women. Incontinence causes a negative impact on the quality of life and sexuality. From August 2002 to January 2004, 30 patients (mean age 43 years) with stress urinary incontinence (59%), overactive bladder (15%) and mixed incontinence (26%) answered the ICIQ-SF(International Consultation on Incontinence Questionnarie-Short Form) and FSFI (Female Sexual Function Index) questionnaires before and after treatment for urinary incontinence. The follow-up ranged from 12 to 53 months. Mean ICIQ score was 17 and 7 before and after treatment respectivelly (p<0,001). Overactive bladder showed the worst scores in all domains. The patients who underwent surgery increased their scores of desire (p=0,02), satisfaction (p=0,05) and total score (p=0,02). Thirteen patients which ICIQ was zero increased: desire (p<0,01), satisfaction (p=0,05) and total score (p=0,01). Urinary incontinence significantly affects the quality of life. Therefore sexual evaluation in incontinence patients is recommended.

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Que aceitou orientar este trabalho me proporcionando a construtiva experiência da pesquisa.A Prof a . Dr a . Miriam Dambros Pela atenção dispensada na elaboração do projeto.

La incontinencia urinaria afecta a cerca del 20% de las mujeres en edad reproductiva y afecta negativamente la calidad de vida y la sexualidad. Entre agosto de 2002 y enero 2004, 30 pacientes portadoras de incontinencia urinaria (IU), respondieron los cuestionarios ICIQ-SF (Internacional Consultation on Incontinente Questionaire-Short Form) y FSFI (Female Sexual Function Index) antes y después del tratamiento. La edad media fue de 43 años (31 a 51 años), con un tiempo de inicio de los síntomas urinarios que varió entre 12 a 53 meses. Participaron pacientes con incontinencia urinaria de esfuerzo (59%), vejiga hiperactiva idiopática (15%) e incontinencia urinaria mixta (26%). Se utilizó el test de Wilcoxon para datos pareados para la evaluación estadística. Los valores de p≤0,05 indicaron diferencias significativas de la respuesta sexual (RS) antes y después del tratamiento de la incontinencia urinaria (IU). El objetivo fue evaluar la respuesta sexual y la calidad de vida de las pacientes con incontinencia urinaria antes y después del tratamiento. La muestra final contó con 27 pacientes. La media del score de ICIQ-SF pasó de 17 a 7 después del tratamiento (p<0,001) y la del score ponderado de FSFI no tuvo alteración en ningún dominio. Las pacientes con vejiga hiperactiva (VHA) presentaron puntajes ponderados menores de RS en todos los dominios. Las pacientes sometidas a cirugía presentaron mejoría de los puntajes ponderados en los dominios de: deseo (p=0,02), satisfacción (p=0,05) y el puntaje total (p=0,02). Trece pacientes con puntaje de 0 en el ICIQ-SF tuvieron un aumento en la media de los puntajes ponderados del FSFI en los dominios de: deseo (p>0,01), satisfacción (p=0,05) y puntaje total (p=0,01). Se recomienda la evaluación de la respuesta sexual en pacientes con incontinencia urinaria, porque esta condición causa un impacto negativo en la calidad de vida (QoL). Palabras claves: Incontinencia urinaria. Calidad de vida. Sexualidad.

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