Reliability and validity of the Tigrigna version of the Pelvic Floor Distress Inventory–Short Form 20 (PFDI-20) and Pelvic Floor Impact Questionnaire-7 (PFIQ-7)

Goba, Gelila; Legesse, Awol Yeman; Zelelow, Yibrah Berhe; Gebreselassie, Mussie Alemayehu; Rogers, Rebecca G.; Kenton, Kimberly; Mueller, Margaret

doi:10.1007/s00192-018-3583-9

Cited by 16 publications

(20 citation statements)

References 16 publications

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“…Second, the assessment of prolapse symptoms was conducted using a standardized questionnaire 17 on symptoms of lower urinary tract and/or pelvic floor dysfunction. We did not use validated measures of prolapse symptoms, such as the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) or Pelvic Floor Impact Questionnaire-7 (PFIQ-7) [25][26][27] , to assess prolapse symptoms. It would be preferable in future studies to confirm findings using validated measures of prolapse symptoms for comparison with assessment of POP on transperineal ultrasound.…”

Section: Discussionmentioning

confidence: 99%

Cut‐offs for defining uterine prolapse using transperineal ultrasound in Chinese women: prospective multicenter study

Wang

Lin

et al. 2021

Ultrasound in Obstet & Gyne

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Objective Transperineal ultrasound is a simple and highly repeatable method that has been used increasingly in the quantification of pelvic organ prolapse, but abnormal uterine descent on ultrasound in Chinese women is still poorly defined. We aimed to determine the optimal cut‐off to define abnormal uterine descent on transperineal ultrasound in Chinese women. Methods This prospective multicenter study recruited women who were examined in tertiary‐level gynecological centers, due to symptoms of lower urinary tract and/or pelvic floor dysfunction, between February 2017 and September 2018. All recruited women underwent a standardized interview, pelvic organ prolapse quantification (POP‐Q) examination, and four‐dimensional transperineal ultrasound examination. On ultrasound, uterine descent was measured relative to the posteroinferior margin of the symphysis pubis during maximum Valsalva maneuver. The optimal cut‐off value for definition of abnormal uterine descent was selected as the value with the highest Youden index and the diagnostic performance of this cut‐off for the prediction of prolapse symptoms and POP‐Q stage was assessed and compared by means of the area under the receiver‐operating‐characteristics curve (AUC). Results In total, 538 Chinese women, with a mean age of 39.4 (range, 18–81) years, were enrolled into the study. Both uterine descent on transperineal ultrasound (P < 0.001) and POP‐Q stage (P < 0.001) were associated strongly with presence of prolapse symptoms. Uterine descent on ultrasound was associated significantly with POP‐Q stage for apical compartment prolapse (P < 0.001). The optimal cut‐off value for the definition of abnormal uterine descent on transperineal ultrasound during maximum Valsalva maneuver in the prediction of prolapse symptoms was 4.79 mm above the symphysis pubis (AUC, 0.75 (95% CI, 0.71–0.78)), while the optimal cut‐off values in the prediction of prolapse of POP‐Q Stage ≥ 1 and POP‐Q Stage ≥ 2 were 6.63 mm above the symphysis pubis (AUC, 0.83 (95% CI, 0.80–0.86)) and 8.42 mm below the symphysis pubis (AUC, 0.85 (95% CI, 0.82–0.88)), respectively. Conclusions The optimal cut‐off value to define abnormal uterine descent on transperineal ultrasound during maximum Valsalva maneuver for the prediction of prolapse symptoms in this population of Chinese women was 4.79 mm above the symphysis pubis, close to that for predicting apical compartment prolapse of POP‐Q Stage ≥ 1 (6.63 mm above the symphysis pubis). These are somewhat different from values described previously in mainly Caucasian populations. Ethnic differences should be taken into account in the evaluation of pelvic organ prolapse using transperineal ultrasound. © 2020 International Society of Ultrasound in Obstetrics and Gynecology

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Section: Discussionmentioning

confidence: 99%

Cut‐offs for defining uterine prolapse using transperineal ultrasound in Chinese women: prospective multicenter study

Wang

Lin

et al. 2021

Ultrasound in Obstet & Gyne

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“…Recurrent Pelvic Organ Prolapse http://dx.doi.org/10.5772/intechopen.76669 reflexes and patellar reflexes. Cardiovascular examination should be done to rule out lower extremities edema and feature of congestive heart failure [15][16][17].…”

Section: Systemic Examinationmentioning

confidence: 99%

Recurrent Pelvic Organ Prolapse

Sharma¹,

Chakrabarti²

2018

Pelvic Floor Disorders

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The treatment of recurrent pelvic organ prolapse is challenging. The pelvic floor symptom needs to be treated, a high quality of life has to be ensured and complications have to be minimized. There is a wide range of surgical options that may be used. The surgeon should be able to discuss and offer native tissue procedures for prolapse. In addition, for the clinically challenging situations of recurrent prolapse, mesh augmented procedures may need to be discussed with the patient. A thorough knowledge of mesh and graft options, as well as knowledge of prolapse recurrence and adverse events rate, can help guide clinicians in counseling their patients effectively. Ultimately, this will allow surgeons to choose a personalized treatment option that best align with a woman's lifestyle and treatment goals. In this chapter the anatomical concepts of supports of vagina are elaborated. The pelvic diaphragm, lateral attachment of vagina to arcus tendineus fascia pelvis, intrinsic and extrinsic sphincter control mechanisms are elaborated. The surgical techniques of suspending the vaginal vault with autologous tissue and synthetic mesh are discussed. Finally, the role of minimally invasive surgery of pelvic floor is discussed as an integral part of management of recurrent vaginal prolapse.

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“…[ 1 ] POP further includes anterior compartment defects (cystocele and urethrocele), middle compartment defects (uterine prolapse, vault prolapse), and posterior compartment defects (enterocele, rectocele, and deficient perineum). [ 1 2 ] Although not life-threatening, PFDs have a significant negative impact on the quality of life. [ 1 2 ] The incidence of PFDs varies in different countries, but about 50% parous women have some prolapse although only 10%–20% seek help.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 2 ] Although not life-threatening, PFDs have a significant negative impact on the quality of life. [ 1 2 ] The incidence of PFDs varies in different countries, but about 50% parous women have some prolapse although only 10%–20% seek help. [ 1 2 ] The incidence of POP in the Dutch community study was up to 75% in 45–85 years women, whereas it was 28.7% POP, 19.7% urinary incontinence, and 6.9% fecal incontinence in sub-Saharan countries.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 2 ] The incidence of PFDs varies in different countries, but about 50% parous women have some prolapse although only 10%–20% seek help. [ 1 2 ] The incidence of POP in the Dutch community study was up to 75% in 45–85 years women, whereas it was 28.7% POP, 19.7% urinary incontinence, and 6.9% fecal incontinence in sub-Saharan countries. [ 3 4 ] Posthysterectomy vault prolapse has been reported to follow 11.6% of hysterectomies performed for prolapse and 1.8% for other benign conditions.…”

Section: Introductionmentioning

confidence: 99%

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Role of preoperative and postoperative pelvic floor distress inventory-20 in evaluation of posthysterectomy vault prolapse

et al. 2021

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Background: Posthysterectomy vault prolapse is a common problem after vaginal or abdominal hysterectomy. The objective was to assess the role of Pelvic Floor Distress Inventory 20 (PFDI-20) in evaluation of vault prolapse. Materials and Methods: Prospective study in 20 women with posthysterectomy vault prolapse of Stage 2 and above. The outcome measure was to calculate PFDI-20 score in all cases before surgical intervention and to recalculate it again in 6 months after different surgical procedures for vault prolapse and to statistically compare the PFDI-20 score in different types of surgery over 4 years period at a tertiary referral hospital for surgical treatment. Prolapse was classified using Pelvic Organ Prolapse Quantification and intraoperative findings. All women were operated for vault prolapse as per hospital protocol and stage of prolapse by either vaginal sacrospinous fixation or abdominal sacrocolpopexy. Results: Mean age, parity, and body mass index were 54.8 years, 3.5, and 22.71 kg/m 2 respectively. Preceding surgery was vaginal hysterectomy in 75% women and abdominal hysterectomy in 25% women. Complaints were bulge or mass feeling at perineum (100%), pressure in lower abdomen and perineum (55%), and constipation (60%). The type of prolapse was vault prolapse (100%), cystocele (100%), rectocele (100%), and enterocele (45%). The range of PFDI-20 was 88–152 with mean being 123.50 ± 22.71 before surgery while its range decreased significantly to 80–126 with mean being 106.40 ± 16.45 after surgery ( P < 0.01). Mean postoperative PFDI-20 score was 107.40 in vaginal sacrospinous fixation group and was 105.30 in abdominal sacrocolpopexy group and was not statistically different ( P = 0.18). Conclusion: PFDI-20 score can be used to see the adverse impact of vault prolapse on pelvic floor and to assess the beneficial effect of different types of surgeries on the score.

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Reliability and validity of the Tigrigna version of the Pelvic Floor Distress Inventory–Short Form 20 (PFDI-20) and Pelvic Floor Impact Questionnaire-7 (PFIQ-7)

Abstract: The translated Tigrigna versions of the PFDI-20 and PFIQ-7 questionnaires are reliable, valid, and feasible tools to evaluate symptoms and quality of life (QoL) of Tigrigna-speaking Ethiopian women with PFDs.

Cited by 16 publications

References 16 publications

Cut‐offs for defining uterine prolapse using transperineal ultrasound in Chinese women: prospective multicenter study

Cut‐offs for defining uterine prolapse using transperineal ultrasound in Chinese women: prospective multicenter study

Recurrent Pelvic Organ Prolapse

Role of preoperative and postoperative pelvic floor distress inventory-20 in evaluation of posthysterectomy vault prolapse

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