Abstract
The aim of this study is to validate the International Consultation on Incontinence Questionnaire—Vaginal Symptoms (ICIQ-VS) in Portuguese. Two hundred four women (108 symptomatic, 94 asymptomatic, and two with no data) with mean age of 55.4 years received a Portuguese version of the ICIQ-VS. Clinical data and pelvic organ prolapse quantification index (POP-Q) were obtained. Retest was performed 3 weeks later. Responsiveness was assessed after 20 weeks of postsurgical follow-up. Overall, most patients presented POP-Q > 2. ICIQ-VS demonstrated good psychometric properties (validity, reliability and responsiveness). The test–retest reliability was moderate to excellent for all questions. The construct validation distinguished differences in ICIQ-VS scores between symptomatic (ICIQ-VS5a > 0) and asymptomatic (ICIQ-VS5a = 0) women. ICIQ-VS was highly responsive to surgical treatment and discriminated between levels of change in the vaginal symptoms score, sexual matters score, quality-of-life score, and POP-Q. The Portuguese version of ICIQ-VS was successfully validated.
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References
Bump RC, Norton PA (1998) Epidemiology and natural story of pelvic floor dysfunction. Obstet Gynecol Clin North Am 25(4):723–746
Jelovsek JE, Maher C, Barber MD (2007) Pelvic organ prolapse. Lancet 369(9566):1027–1038
Barber MD, Walter MD, Bump RC (2005) Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol 193(1):103–113
Digesu GA, Khullar V, Cardozo L, Robinson D, Salvatore S (2005) P-QOL: a validated questionnaire to assess the symptoms and quality of life of women with genital prolapse. Int Urogynecol J 16(3):176–181
Price N, Jackson S, Avery K, Brookes S, Abrams P (2006) Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ-VS. BJOG 113(6):700–712
Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175(1):10–17
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier Pulmsten U et al (2002) Standardisation Sub-committee of the International Continence SocietyThe standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 21(2):167–178
Abrams P, Avery K, Gardener N, Donovan J, ICIQ Advisori Board (2006) The International Consultation on Incontinence Modular Questionnaire: www.iciq.net. J Urol 175:1063–1066
Guillemin F, Bombardier C, Beaton D (1993) Cross-cultural adaptation of health-related qualify of life measures: literature review and proposed guidelines. J Clin Epidemiol 46:1417–1432
Husted JA, Cook RJ, Farewell VT, Gladman DD (2000) Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol 53(5):459–468
Padmanabhan P, Nitti VW (2006) Female stress urinary incontinence: how do patient and physician perspectives correlate in assessment of outcomes? Curr Opin Urol 16(4):212–218
Digesu GA, Santamato S, Khullar V, Santilo V, Digesu A, Cormio G et al (2003) Validation of an Italian version of the prolapse quality of life questionnaire. Eur J Obstet Gynecol Reprod Biol 106(2):184–192
Tamanini T, Dambros M, D’Ancona C, Palma P, Rodrigues Netto Jr N (2004) Validation of the “International Consultation on Incontinence Questionnaire—Short Form” (ICIQ-SF) for Portuguese. Rev Saúde Pública 38(3):438–444
Hashim H, Avery K, Mourad MS, Chamssuddin A, Ghoniem G, Abrams P (2006) The Arabic ICIQ-UI SF: an alternative language version of the English ICIQ-UI SF. Neurourol Urodyn 25(3):277–282
Cam C, Sakalli M, Ay P, Cam M, Karateke A (2007a) Validation of the short forms of the Incontinence Impact Questionnaire (IIQ-7) and the Urogenital Distress Inventory (UDI-6) in a Turkish Population. Neurourol Urodyn 26(1):129–133
Cam C, Sakalli M, Ay P, Aran T, Cam M, Karateke A (2007b) Validation of the prolapse quality of life questionnaire (P-QOL) in a Turkish population. Eur J Obstet Gynecol Reprod Biol 135(1):132–135
Weber AM, Walters MD, Schover LR, Mitchinson A, Widrich T, Fazio V (1995) Sexual function in women with uterovaginal prolapse and urinary incontinence. Obstet Gynecol 85(4):483–487
Ellerkmann RM, Cundiff GW, Melick CF, Nihira MA, Leffler K, Bent AE (2001) Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol 185(6):1332–1337
Barber A, Poujade O, Fay R, Thiebaugeorges O, Levardon M, Deval B (2007) Is primiparity, the only risk factor for type 3 and 4 perineal injury during delivery? Gynecol Obstet Fertil 35(2):101–106
Genadry R (2006) A urogynecologist’s view of the pelvic floor effects of vaginal delivery/cesarean section for the urologist. Curr Urol Rep 7(5):376–383
Acknowledgment
This work was supported by NUPEC, the clinical research center of the Brazilian Urological Society—São Paulo Section (Núcleo de Pesquisas Clínicas da Sociedade Brasileira de Urologia—Seção São Paulo). We thank Ms Elza Baracho for her technical support during the cross-cultural adaptation process. We also thank Ms Renata Cristina de Oliveira Souza Castro for her unconditional support during the data collection process.
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Tamanini, J.T.N., Almeida, F.G., Girotti, M.E. et al. The Portuguese validation of the International Consultation on Incontinence Questionnaire—Vaginal Symptoms (ICIQ-VS) for Brazilian women with pelvic organ prolapse. Int Urogynecol J 19, 1385–1391 (2008). https://doi.org/10.1007/s00192-008-0641-8
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DOI: https://doi.org/10.1007/s00192-008-0641-8