A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)

Abstract

Introduction and hypothesis The objective of this study was to create a valid, reliable, and responsive sexual function measure in women with pelvic floor disorders (PFDs) for both sexually active (SA) and inactive (NSA) women. Methods Expert review identified concept gaps and generated items evaluated with cognitive interviews. Women underwent Pelvic Organ Prolapse Quantification (POPQ) exams and completed the Incontinence Severity Index (ISI), a prolapse question from the Epidemiology of Prolapse and Incontinence Questionnaire (ISI scores), the Pelvic Floor Distress Inventory-20 (PFDI-20), and the Female Sexual Function Index (FSFI). Principle components and orthogonal varimax rotation and principle factor analysis with oblique rotation identified item grouping. Cronbach's alpha measured internal consistency. Factor correlations evaluated criterion validation. Change scores compared to change scores in other measures evaluated responsiveness among women who underwent surgery. Results A total of 589 women gave baseline data, 200 returned surveys after treatment, and 147 provided test-retest A related editorial can be found at

Validation of a Mandarin Chinese version of the pelvic organ prolapse/urinary incontinence sexual questionnaire IUGA–revised (PISQ-IR)

“…Each domain and subscale emerges as a distinct and independent result. We used the mean score of each subscale for analysis [11]. Women with PFD select sexually active or inactive freely as the first question based on their own view and feeling.…”

“…The FSFI, on the other hand, was designed with the option for patients to respond that they were not sexually active or did not attempt intercourse, but it cannot represent the impact of disease such as PFD on sexual function [9,10]. The Pelvic Organ Prolapse/ Urinary Incontinence Sexual Questionnaire IUGA-Revised (PISQ-IR) [11] was developed to overcome the above shortcomings by assessing sexual function in women with urinary incontinence and/or pelvic organ prolapse across multiple dimensions, thereby allowing clinicians to evaluate outcome in women who are not sexually active when they require urogynecological care.…”

Sexual function in women with pelvic floor disorders

“…The ICS has given grade A recommendations (highly recommended) to three tools: the International Consultation on Incontinence Modular Questionnaire-Female Sexual Matters associated with Lower Urinary Tract Symptoms (ICIQ-FLUTSsex), and the 12-and 31-question Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaires (PISQ-12 and PISQ-31). 1 The PISQ has recently been refined and updated; the new validated tool is referred to as the International Urogynecological Association (IUGA)-Revised (PISQ-IR), 2 and is currently undergoing validation into more than 20 different languages. These questionnaires can be used as part of general assessment of the sexual life of women seeking care for their pelvic floor dysfunction.…”

Protocol for a Randomized Phase II Trial for Mesh Optimization by Autologous Plasma Coating in Prolapse Repair: IDEAL Stage 3

“…In this protocol the assessment of sexual function will be done with the Pelvic Organ Prolapse/ Incontinence Sexual Questionnaire IUGA Revised (PISQ-IR) which is the most appropriate questionnaire and even offers a validated German translation [26,27]. Being composed of 12 different items, three main factor groups are displayed in this questionnaire: the behavioral emotive factor (4 items), the physical factor (5 items), and the partner-related factor score (3 items).…”