“…Factors associated with decreased I-QoL total and sub-scale scores were increased severity index, outpatient clinic, Turkey as sample setting, and type different than stress incontinence. In previous studies, where incontinence-specific QoL instruments were used, QoL changes associated with UI severity have been reported [7,19,20]. In the PURE study, severity (measured by the Sandvik severity index) was ''the most important predictor of I-QoL total score'' and authors suggested that the severity index could be an indicator of incontinence impact when I-QoL questionnaire cannot be administered in every day practice [9,12].…”