Comparison of the ICIQ-SF and 24-hour pad test with other measures for evaluating the severity of urodynamic stress incontinence

Abstract

This study compared the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the 24-h pad test with other measures that assess severity of urinary loss in women with urodynamic stress incontinence (USI). Ninety-five women with primary or recurrent (secondary) USI were recruited. Assessment of the severity of urinary loss was made using the ICIQ-SF, a 24-h pad test, continence questionnaire, Stamey grade, and 3-day frequency volume diary. The relationship between these measures of incontinence severity was analysed. The mean age was 54 years (SD+/-12) and median parity 2 (IQR 1-3). In the primary USI group there was a strong correlation between the ICIQ-SF and the 24-h pad test (r=0.458, P =0.000). Both the ICIQ-SF (Kendall's' tau b=0.331, p =0.003) and 24-h pad test (Kendall's tau b=0.399, p =0.002) also correlated with the mean frequency of urinary loss on diary but not with the Stamey grade. No subjective or objective tests correlated with each other in women with secondary USI. These results demonstrate a good correlation between the 24-h pad test diary loss, and ICIQ-SF in women with primary USI. Because it also includes a measure of quality of life impact in a short user-friendly format, we suggest that the ICIQ-SF should have widespread applicability as an outcome measure in patients with stress incontinence.

Mobility impairment is associated with urge but not stress urinary incontinence in community‐dwelling older women: results from the Ossébo study

“…It was possible to calculate the ICIQ incontinence score for 1922 women (99.0%), of whom 815 (42.0%) reported UI (score ≥1). Among the women classified as incontinent, the mean ICIQ score was 7.6 (AE4.1); UI severity was considered to be slight for 305 women (ICIQ score between 1 and 5), moderate for 397 women (score 6-12), severe for 97 women (score [13][14][15][16][17][18], and very severe for 16 women (score [19][20][21]. Just over half of the women (57%) reported leaks of urine every day.…”

“…The ICIQ-SF score is calculated from the answers to these three questions; it ranges between 0 and 21 and is correlated with the pad test. 13 For this study, we considered that a woman was continent if she had a zero score, and incontinent if she had any positive score. Severity of UI was classified as slight, moderate, severe or very severe according to the classification suggested by Klovning et al 14 The ICIQ-SF includes a series of questions concerning the circumstances in which urine leakage occurs.…”

Clinical guideline for male lower urinary tract symptoms

“…Valid symptom questionnaires for BPH include the American Urological Association (AUA) Symptom Score, 52 the International Prostate Symptom Score (IPSS), 53 and the Benign Prostatic Hyperplasia Impact Index (BII). 54 Incontinence Impact Questionnaire (IIQ), 55 Incontinence Quality of Life Instrument (I-QOL), 56 King's Health Questionnaire (KHQ), 57 International Consultation on Incontinence Questionnaire (ICIQ), 58 ICIQ Short Form (ICIQ-SF), 59 Overactive Bladder Questionnaire (OAB-q), 60 and the Overactive Bladder Symptom Score (OABSS), 61 are used to evaluate urinary incontinence or OAB symptoms. Symptoms associated with interstitial cystitis are evaluated by the Interstitial Cystitis Symptom Index (ICSI), the Interstitial Cystitis Problem Index (ICPI), 62 and the Pain Urgency Frequency Score (PUF).…”

Avaliação da qualidade de vida de idosas com incontinência urinária: idosas institucionalizadas em uma instituição de longa permanência

“…Nas respostas específicas do questionário ICIQ-SF para a avaliação da incontinência urinária, verificou-se que das 22 participantes do estudo, sete (31,8%) relataram diversas perdas urinárias ao dia e cinco (22,7%) 20 Independentemente da quantidade de perda urinária, a doença se torna estressante e debilitante, contribuindo para o isolamento social e depressão. [8][9][10][11][12][13][14] Apresentase também como fator de risco para infecção urinária e distúrbio tegumentar.…”