Sexual function specific questionnaires as a useful tool in management of urogynecological patients – Review

Kamińska, Aleksandra; Futyma, Konrad; Romanek-Piva, Katarzyna; Streit-Ciećkiewicz, Dominika; Rechberger, Tomasz

doi:10.1016/j.ejogrb.2019.01.015

Cited by 11 publications

(7 citation statements)

References 25 publications

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“…The PFIQ-7 used in the current study is a health-related quality of life questionnaire, which has been used in studies in the literature for women with pelvic floor disease. 27,28 In the current study, the effect of pelvic floor function on the quality of life of women with pSS was found to be worse than in healthy women.…”

Section: Discussionmentioning

confidence: 43%

“…To the best of our knowledge, no study in the literature has examined the effect of SS on health‐related quality of life for women with SS and urogynecological complaints. The PFIQ‐7 used in the current study is a health‐related quality of life questionnaire, which has been used in studies in the literature for women with pelvic floor disease 27,28 . In the current study, the effect of pelvic floor function on the quality of life of women with pSS was found to be worse than in healthy women.…”

Section: Discussionmentioning

confidence: 68%

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Investigation of the relationship between the pelvic floor and sexual dysfunction in women with Sjögren’s syndrome

2020

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Sjögren's syndrome (SS) is a chronic, systemic, autoimmune disease characterized by lymphocytic infiltration of all exocrine glands, especially tear and salivary glands. 1 Typical symptoms of SS are dry eyes, mouth and vagina but other mucosa can also be involved, resulting in a disturbing sicca syndrome that can impair quality of life. 2 As in other autoimmune diseases, SS predominantly affects women more than men and may occur in patients of all ages but typically has onset in the 4th to 6th decades of life. 3 A good sexual life is an important factor in global health status 4 and vaginal dryness and dyspareunia experienced in SS have a negative effect on participation in sexual activity. 5 The classic triad of dry eyes, mouth and vagina is known to most gynecologists as

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Section: Discussionmentioning

confidence: 43%

Section: Discussionmentioning

confidence: 68%

Investigation of the relationship between the pelvic floor and sexual dysfunction in women with Sjögren’s syndrome

2020

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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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“…According to the accumulating body of evidence, the questionnaires are more feasible and reliable as compared with other tools 7 . The available studies used different questionnaires to analyze sexual function in their cohorts, which inevitably influenced the obtained results 8 . The questionnaires can be divided into general and disease‐specific, with the latter being more sensitive to detecting change after treatment.…”

Section: Introductionmentioning

confidence: 99%

“…Currently, several sexual function questionnaires are commonly used in academic research globally. 8 Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR) is a disease-specific tool for the evaluation of sexual function in women with PFD. It is useful in screening for sexual disorders in women with UI, pelvic organ prolapse (POP), and anal incontinence.…”

Section: Introductionmentioning

confidence: 99%

Responsiveness of two sexual function questionnaires: PISQ‐IR and FSFI in women with pelvic floor disorders

Grzybowska

Wydra

2020

Neurourology and Urodynamics

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Aims: To assess responsiveness of sexual function questionnaires: Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR) and Female Sexual Function Index (FSFI) in women with pelvic floor disorders (PFD). Methods: The study included 261 subjects who completed PISQ-IR and FSFI at baseline and after treatment (median: 8 months). Standardized response mean (SRM) and effect size (ES) were calculated for sexually active (SA) and not-SA (NSA) women. Patient Global Impression of Improvement (PGI-I) was applied to assess treatment outcomes. Results: A total of 184 women reported "very much better"/"much better" on the PGI-I scale posttreatment and were enrolled for further study. After treatment, 21.7% of the NSA women resumed sexual activity, 13.9% of the initially SA-abstained, and no change was reported for 152 (82.6%) subjects (87-SA and 65-NSA). Significant improvement in PISQ-IR SA domains was observed, with mild responsiveness for Arousal/Orgasm (SRM = 0.34, ES = 0.29, p = .003) and good responsiveness for Condition Specific, Global Quality and Summary Score (SRM = 0.51, ES = 0.50; SRM = 0.54, ES = 0.47; SRM = 0.75, ES = 0.63, p < .001). The Condition Impact domain demonstrated excellent responsiveness (SRM = 1.13, ES = 1.17, p < .001). In NSA, PISQ-IR had good responsiveness in Condition Impact (SRM = −0.76, ES = −0.59, p < .001), and mild in Condition Specific (SRM = −0.30, ES = −0.28, p < .03) domains. In FSFI, posttreatment sexual function in SA was improved in Desire, Arousal, Orgasm, Satisfaction, Pain domains and Total score, proving mild responsiveness (SRM, 0.24-0.48; p < .04). In NSA, FSFI proved nonresponsive. Conclusion: PISQ-IR and FSFI are responsive tools, useful to investigate the effects of treatment on sexual function in SA (both questionnaires) and NSA

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Sexual function specific questionnaires as a useful tool in management of urogynecological patients – Review

Cited by 11 publications

References 25 publications

Investigation of the relationship between the pelvic floor and sexual dysfunction in women with Sjögren’s syndrome

Investigation of the relationship between the pelvic floor and sexual dysfunction in women with Sjögren’s syndrome

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

Responsiveness of two sexual function questionnaires: PISQ‐IR and FSFI in women with pelvic floor disorders

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