Validation of the Arabic linguistic version of the Ureteral Stent Symptoms Questionnaire

Abstract

ObjectiveTo validate the Arabic version of the Ureteral Stent Symptoms Questionnaire (USSQ).Patients and methodsThe English version of the USSQ was translated into Arabic using a multi-step process by three urologists and two independent translators. The Arabic version was validated by asking 37 patients with temporary unilateral ureteric stents to complete the questionnaire at 2 weeks after stent insertion. The second group included 53 healthy individuals who agreed to complete the Arabic version of the questionnaire. The reliability of the Arabic version was evaluated for internal consistency using Cronbach’s α test. Domain structures were examined by interdomain (section) associations using Spearman’s correlation coefficient (r). The discrimination validity was evaluated by comparing the scores of patients with those of healthy individuals, using the Mann–Whitney test.ResultsInternal consistency was high for the sexual index and intermediate for urinary, pain and general health indices. There were good correlations of urinary symptoms with body pain (r = 0.596) and general health (r = 0.690). There was also a good correlation between body pain and general health (r = 0.681). For discrimination validity, there were significant changes in all domain scores when comparing patients with ureteric stents and healthy individuals (P < 0.001).ConclusionThe Arabic version of the USSQ is a reliable and valid instrument that can be used to evaluate symptoms and health-related quality of life in Arabic patients with ureteric stents.

The German linguistic validation of the Ureteral Stent Symptoms Questionnaire (USSQ)

“…We found a weak inter-domain association between sexual matters and patient's Global quality of life (ρ = .17; p = .398). However, like in the previous translations [8][9][10][11][12], the majority of our patients were not sexually active (74.3 %) leading to a lower statistical power of this domain. Additionally, other symptoms like pain and micturition disorders might have a significant higher influence on the Global QoL than sexual matters.…”

“…During the last decade, the USSQ has proved to be a helpful tool in the examination of stent-associated problems and hence was translated into different languages. So far, validated translations are available in Italian [8], French [9], Korean [10], Spanish [11] and Arabic [12]. However, a German version was not available until now.…”

Drug treatment of bothersome lower urinary tract symptoms after ureteric JJ-stent insertion: A contemporary, comparative, prospective, randomised placebo-controlled study, single-centre experience

“…In our present study we used a simple validated questionnaire based on Ureteric Symptom Score Questionnaire [3], [4] to assess LUTS with flank pain and haematuria.…”

“…The patients were assessed for bothersome LUTS, haematuria, and flank/suprapubic pain, as well as for side-effects of the used medications using a simplified questionnaire based on the Ureteric Stent Symptoms Questionnaire (USSQ), as a validated and widely applied questionnaire for stent-related symptoms by Joshi et al 2003 [3], [4]. USSQ scores of 0–2 were considered as no significant bother and scores of 3–5 were considered as significant bother.…”

The Chinese Linguistic Validation of the Ureteral Stent Symptom Questionnaire

“…It plays an important role in the decompression of the upper urinary tract obstruction or renal colic, reduce the ureteral infection, assist in the discharge of stone, prevention of ureteral blockage after surgical procedures [2,3]. However, it is associated with patient discomfort and a negative effect on quality of life (QoL) [4][5][6]. To decrease stent-related discomfort, several trials have been conducted to study the effect of pharmacological agents (Alpha-receptor blockers, M-receptor blockers, Chinese herb) and new stent materials on stent-related symptoms [7][8][9].…”