Questionnaires in the assessment of sexual function in women with urinary incontinence and pelvic organ prolapse

Mestre, M.; Lleberia, Judith; Pubill, J.; Espuña‐Pons, Montserrat

doi:10.1016/j.acuroe.2015.02.007

Cited by 10 publications

(12 citation statements)

References 35 publications

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“…But there are only few studies evaluating the effect of TOT on sexual functions. Sexual dysfunction may already be present in women having pelvic floor dysfunction and urinary incontinence with an incidence of 25-60% [14][15][16][17]. However, surgical treatment may not lead to optimal sexual function.…”

Section: Discussionmentioning

confidence: 99%

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Aslan

Uğurlucan

Bilgiç

et al. 2017

Gynecol Obstet Invest

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Aim: To evaluate sexual functions of women having stress urinary incontinence (SUI) preoperatively and 6 months and 12 months after undergoing a transobturator tape (TOT) ± pelvic organ prolapse (POP) surgery. Methods: One hundred-ninety-five women with SUI ± POP were recruited and 150 sexually active women who had clinical ± urodynamic SUI and underwent TOT ± POP surgery were included in this prospective study. Urogynecologic symptoms were evaluated preoperatively, at 6 months, and 12 months by Female Sexual Function Index (FSFI). Results: One hundred fifty women completed the study. Seventy-four underwent TOT-only and 76 underwent TOT + concomitant surgery. Mean total scores of FSFI were 21.7 ± 7.8, 22 ± 8.7, and 22.1 ± 8 in the preoperative period, postoperative 6, and 12 months, respectively. There was significant improvement in desire and total scores in the TOT-only group, whereas there was no significant difference in the TOT + concomitant surgery group except for significant worsening in the lubrication domain. The frequency of sexual intercourse increased while that of coital incontinence decreased after surgery. Conclusions: In our study, TOT was associated with decrease in coital incontinence and significant improvement in desire. In addition, there was significant improvement in FSFI desire and total scores in the TOT-only group, whereas no significant difference was observed in the TOT + concomitant surgery group except for the worsening of lubrication.

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Section: Discussionmentioning

confidence: 99%

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Aslan

Uğurlucan

Bilgiç

et al. 2017

Gynecol Obstet Invest

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“…Según Mestre, existe una asociación entre disfunción sexual femenina y una pobre salud física, mental y un deterioro en la calidad de vida. Desde el punto de vista clínico es importante tener en cuenta distintos factores que influyen en la salud sexual, el papel del contexto interpersonal, social y de la salud mental son importantes, pero también lo son la enfermedad crónica y la salud sexual de la pareja 30 .…”

Section: Disfunción Sexual Femeninaunclassified

“…Existen cuestionarios específicos para una patología concreta como por ejemplo el Pelvic Organ Prolapse Incontinece Sexual Questionnaire (PISQ) que evalúa la función sexual en mujeres con incontinencia urinaria y/o prolapso de órganos pélvicos 30 .…”

Section: Cuestionario Para Evaluar La Función Sexual: Cuestionario Deunclassified

“…Los cuestionarios validados son el único instrumento que permite cuantificar los cambios ente antes y después del tratamiento, y evaluar tanto individual como globalmente si el impacto de la aplicación de un determinado tratamiento ha sido positivo, negativo o neutro para la salud sexual de la mujer 30 .…”

Section: Cuestionario Para Evaluar La Función Sexual: Cuestionario Deunclassified

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Función Sexual Tras 9 Meses De Una Histerectomía : Comparación De Los Resultados Del Cuestionario De Salud Sexual Fsm® Versus Percepción Subjetiva De La Mujer

Parra¹,

Merlo²,

Mirasol³

et al. 2017

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“…3 The PISQ-IR is currently the only questionnaire that addresses SF specifically for women with pelvic floor disorders, and is suitable for both sexually active (SA) as well as not sexually active (NSA) women. 4,5 The PISQ-IR consists of multiple domains that address different aspects of SF. The scores of the domains add up to a single over-all summary score for SA women only.…”

Section: Introductionmentioning

confidence: 99%

Minimal Clinically Important Difference (MCID) for the Pelvic Organ Prolapse-Urinary Incontinence Sexual Function Questionnaire – IUGA Revised (PISQ-IR)

Pruijssers

Vaart

Milani

et al. 2021

The Journal of Sexual Medicine

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Background: To put statistically significant changes in patient reported outcome measurement (PROM) questionnaires into a clinical perspective, the concept of the minimal clinically important difference (MCID) can be used. Aim: To determine the MCID for the summary score for sexually active (SA) women of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR), a validated instrument which assesses sexual functioning (SF) for patients suffering from a symptomatic pelvic floor disorder. Methods: Patients participating in a multicentre prospective cohort study comparing pessary therapy with surgery for a symptomatic pelvic organ prolapse (POP) filled in the PISQ-IR at baseline and 12 months' follow-up. We used both an anchor-based as well as a distribution-based method to calculate the MCID for both treatment groups. The Patient Global Impression of Improvement (PGI-I) questionnaire and PISQ-IR question 19a about satisfaction with sexual functioning were used as anchors. For the distribution-based approach we used the effect size (ES). Outcomes: MCID for the SA summary score of the PISQ-IR.Results: Data of 243 women were used to calculate the MCID. In the pessary group, Kendall's tau-b correlation coefficients between the PISQ-IR summary score and both anchors were below the cut-off of 0.21, which implies the anchors cannot be used to calculate an MCID. In our surgery group, the PISQ-IR question 19a met the anchor criteria and 0.31 points increase in the PISQ-IR summary score was equal to an improvement of 1 point on question 19a about satisfaction with sexual functioning. Clinical implications: Future research on this subject should focus on clinical relevance of results rather than statistical significance only. Strengths & Limitations: Our main strength is the fact that we used both anchor-based and distribution-based methods to determine our MCID. Secondly, we set out to determine an MCID for both treatment groups separately, which relatively enhances the generalisability of our results. A limitation is that we were not able to estimate an MCID for the pessary group. Conclusion:We estimated the MCID for the PISQ-IR SA summary score to be 0.31 in our surgery group.

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Questionnaires in the assessment of sexual function in women with urinary incontinence and pelvic organ prolapse

Cited by 10 publications

References 35 publications

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Effects of Transobturator Midurethral Sling Surgery on Sexual Functions: One-Year Follow-Up

Función Sexual Tras 9 Meses De Una Histerectomía : Comparación De Los Resultados Del Cuestionario De Salud Sexual Fsm® Versus Percepción Subjetiva De La Mujer

Minimal Clinically Important Difference (MCID) for the Pelvic Organ Prolapse-Urinary Incontinence Sexual Function Questionnaire – IUGA Revised (PISQ-IR)

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