title: The validation of international consultation on incontinence questionnaires in the Greek language.
abstract: OBJECTIVE
  The objective of this study was to validate four specific International Consultation on Incontinence Questionnaires (ICIQ) modules in the Greek language: (i) the ICIQ-FLUTS long form (ICIQ-FLUTS-LF), (ii) the ICIQ-FLUTS, (iii) the ICIQ-FLUTS-SEX, and (iv) the ICIQ-Vaginal Symptoms Questionnaire (ICIQ-VS), originally validated in English.
  
  
  METHODS
  The English questionnaires were initially translated into Greek, then back-translated into English and final modifications were made after testing the questionnaires on a sample of patients. To validate the translated questionnaires, the following tests were undertaken: Content/face validity, internal consistency (reliability) and stability (test-retest reliability).
  
  
  RESULTS
  A total of 122 women participated in the study. Eighty-nine presented with pelvic organ prolapse (POP) and/or urinary incontinence (UI) symptoms and 33 attended an outpatient gynecological clinic without POP/UI symptoms. All modules showed excellent content/face validity (missing values 0-2.5%). Cronbach's alpha test for internal consistency showed satisfactory to excellent reliability (0.876 for ICIQ-FLUTS-LF, 0.85 for ICIQ-FLUTS, and 0.83 for ICIQ-VS), with the exception ICIQ-FLUTS-SEX which was 0.69. The test-retest reliability showed moderate to near-perfect agreement (weighted kappa value 0.52-0.99).
  
  
  CONCLUSIONS
  The Greek versions of the ICIQ-FLUTS-LF, ICIQ-FLUTS, and ICIQ-VS questionnaires were successfully validated. Our data showed that the ICIQ FLUTS-SEX questionnaire, as it stands in its current English version, cannot be reliably used to assess sex symptoms in the Greek female population.
authors.affiliation: 1st Department of Obstetrics and Gynecology, University of Athens Medical School, Urogynecology Unit, Alexandra Hospital, Athens, Greece. stavros.athanasiou@gmail.com
authors.forename: Stavros
authors.initials: S
authors.lastname: Athanasiou
authors.forename: Athanasiou
authors.initials: A
authors.lastname: Stavros
authors.forename: Themistoklis
authors.initials: T
authors.lastname: Grigoriadis
authors.forename: Grigoriadis
authors.initials: G
authors.lastname: Themistoklis
authors.forename: Niki
authors.initials: N
authors.lastname: Kyriakidou
authors.forename: Kyriakidou
authors.initials: K
authors.lastname: Niki
authors.forename: George
authors.initials: G
authors.lastname: Giannoulis
authors.forename: Giannoulis
authors.initials: G
authors.lastname: George
authors.forename: Aristidis
authors.initials: A
authors.lastname: Antsaklis
authors.forename: Antsaklis
authors.initials: A
authors.lastname: Aristidis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D032882:Comprehension; D003466:Cultural Characteristics; D003950:Diagnostic Techniques, Urological; D005260:Female; D006115:Greece; D006801:Humans; D007802:Language; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000175:diagnosis* / Q000503:physiopathology; D011237:Predictive Value of Tests; D011594:Psychometrics; D015203:Reproducibility of Results; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D001743:Urinary Bladder / Q000503:physiopathology*; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000503:physiopathology; D014621:Vagina / Q000503:physiopathology; D055815:Young Adult