title: Responsiveness of urogynecologic quality of life measurements to change after radical gynecologic surgery.
abstract: OBJECTIVE
  In order to assess the responsiveness of short forms of the Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) in a subset of women undergoing radical operations for gynecologic cancer.
  
  
  METHODS
  Women with cervical cancer without any abnormal urodynamic abnormalities who had undergone Class III hysterectomy were included in the study. All women underwent urodynamic investigation and completed the IIQ-7 and UDI-6 questionnaires pre-operatively and post-operatively in the sixth month. Twenty-eight patients were enrolled and general and subscale scores of the questionnaire were calculated in the study between February 2008 and September 2008.
  
  
  RESULTS
  Class III hysterectomy was performed in 28 women with stage Ib cervical carcinoma. Scores of IIQ-7 and the irritative and obstructive subscales of UDI-6 in the sixth post-operative month were significantly higher than the pre-operative scores. The Cronbach's α was 0.84. Cystometric parameters were in concordance with these changes in the questionnaire scores.
  
  
  CONCLUSIONS
  The IIQ-7 and UDI-6 questionnaires are sensitive to changes in patients who have undergone radical oncologic operations because their life impact of incontinence may be affected. Validated questionnaires are reasonable measures to detect these changes, which are confirmed by urodynamic findings.
authors.affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil teaching hospital, Ahcibasi mahallesi, Arakiyeci sokak 45/8 Uskudar, Istanbul, Turkey. cetincam@gmail.com
authors.forename: Cetin
authors.initials: C
authors.lastname: Cam
authors.forename: Cem
authors.initials: C
authors.lastname: Celik
authors.forename: Gazi
authors.initials: G
authors.lastname: Yildirim
authors.forename: Niyazi
authors.initials: N
authors.lastname: Tug
authors.forename: Meltem
authors.initials: M
authors.lastname: Cam
authors.forename: Ates
authors.initials: A
authors.lastname: Karateke
mesh_terms: D002277:Carcinoma / Q000523:psychology / Q000601:surgery*; D005260:Female; D005833:Genital Neoplasms, Female / Q000523:psychology / Q000601:surgery*; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000523:psychology; D006801:Humans; D008875:Middle Aged; D011788:Quality of Life; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000209:etiology / Q000523:psychology