German translation and validation of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire–IUGA revised (PISQ-IR)

Abstract

Introduction and hypothesisCondition-specific sexual questionnaires are essential for clinical trials and important patient-reported outcome measures. The aim of the study was to translate the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire–International Urogynecology Association Revised (PISQ-IR) into German and to clinically validate it in a German-speaking population.MethodsThe translated PISQ-IR was linguistically validated in two rounds of cognitive interviews. The final instrument was psychometrically validated in women presenting to urogynecological clinics with pelvic floor dysfunction. For analysis of criterion validity, three related self-reported measures were administered: the Female Sexual Function Index (FSFI), the Kings Health Questionnaire (KHQ), and the 36-Item Short Form Health Survey (SF-36). For external validity, PISQ-IR subscales were compared to the clinical-measures Pelvic Organ Prolapse Quantification system (POP-Q) stage, pelvic floor muscle tone, and Oxford Grading Scale. Descriptive statistics, floor and ceiling effects, internal consistency using Cronbach’s alpha coefficient, and Pearson correlations were calculated for all PISQ-IR subscales.ResultsThe PISQ-IR was completed by 197 women, out of whom 66 (33.5 %) considered themselves not sexually active (NSA) and 131 (66.5 %) as sexually active (SA). Participants’ mean age was 57 ± 12 years; 50 % were diagnosed with symptomatic POP, 74 % with urinary incontinence (UI) and 4 % with anal incontinence (AI). The PISQ-IR subscales were analyzed separately for SA and NSA women with Cronbach’s alpha coefficients ranging from 0.64 to 0.94. Moderate to high correlations were observed between PISQ-IR subscales and related quality of life (QoL) scales and corresponding FSFI scales.ConclusionInitial testing of the German PISQ-IR suggests it is an internally consistent and valid tool for use in clinical practice and research.

Polish translation and validation of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)

“…SA-CS, SA-CI) and PFDI-20 scores and ISI. The observed correlations were weak or moderate, which is consistent with the results found for the original version of the questionnaire and other language versions of PISQ-IR, for which the results did not always reach statistical significance [16, 18–20]. The Arabic version, with a strong correlation between ISI and NSA-CI and SA-CS scores, is the only exception so far, probably due to a high proportion of women with UI in the investigated population [21].…”

The Female Sexual Function Index (FSFI)—A Systematic Review of Measurement Properties

“…49 studies reported on convergent validity of the FSFI-19 (Supplementary Table 3). The FSFI-19 was compared to measures measuring sexual function and satisfaction, 15,17,18,21,23e25,28,29,31,33,37,46,53,55,57,58,60,62,64,67e69,71, 72,74,78,79,92,93 quality of life, 19,92 mental health measures, 20,39 physical functional problems, 20,30,32,34,49,54,66,74,77,81,83,87 relationship quality, 20,39,52 and body image. 35,42,43,56,60 A full list of comparison measures can be found in Supplementary Table 3.…”

Psychometric properties and validation of two global impression questionnaires (PGI‐S, PGI‐I) for stress incontinence in a German‐speaking female population

“…For example, the KHQ developed in the English speaking population with urinary incontinence was validated in the German speaking population of women with urinary incontinence 2005 . Some of the questionnaires will be validated at the same time in different languages as part of a multinational study …”