title: Questionnaires in the assessment of sexual function in women with urinary incontinence and pelvic organ prolapse.
abstract: BACKGROUND
  Integrating sexual health in clinical practice is important. In women with pelvic floor disorders, the evaluation of the anatomical defects, lower urinary tract function and the anorectal function often receives more attention than the sexual function.
  
  
  METHODS
  Review of Medline using defined search terms to identify articles related to sexual health assessment in urogynecology and manual analyses was performed. Only articles published in English or Spanish were included.
  
  
  RESULTS
  Only 50% of women attending urogynecological clinics are sexually active. Of those, 60% present with some sort of sexual sexual dysfunction (FSD). Questionnaires and sexuality scales would facilitate discussion of sexual matters between the Health Care professionals and the women, and may increase the likelihood of FSD being diagnosed. The Pelvic Organ Prolapse Incontinence Sexual Questionnaire (PISQ) and the PISQ-IR (IUGA-Revised) are the only female sexual function specific questionnaires currently validated and developed specifically to assess sexual function in women with urinary incontinence and/or pelvic organ prolapse. Furthermore, the PISQ-IR also allows evaluation of the outcomes of women who are not sexually active when requiring urogynecologic care. PISQ-IR is also designed for international validation. In order to use the PISQ-IR in Spain, a proper interpretation and validation of the questionnaire is needed.
  
  
  CONCLUSIONS
  The evaluation of sexual function through specific questionnaires facilitates the identification of the sexual dysfunctions associated to the pelvic floor disorders. The inclusion of sexuality questionnaires as an outcome measure allows to analyze the impact in the sexual life of women treated for an urogynecological problem.
authors.affiliation: Unidad de Uroginecología, Servicio de Ginecología, Corporació Sanitària i Universitària Parc Taulí, Sabadell, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: Mestre
authors.affiliation: Unidad de Uroginecología, Servicio de Ginecología, Corporació Sanitària i Universitària Parc Taulí, Sabadell, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Lleberia
authors.affiliation: Unidad de Uroginecología, Servicio de Ginecología, Corporació Sanitària i Universitària Parc Taulí, Sabadell, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Pubill
authors.affiliation: Unidad de Uroginecología, Institut Clínic de Ginecologia, Obstetrícia i Neonatologia (ICGON), Hospital Clínic i Provincial de Barcelona, Barcelona, España. Electronic address: mespuna@clinic.ub.es.
authors.forename: M
authors.initials: M
authors.lastname: Espuña-Pons
mesh_terms: D005260:Female; D006801:Humans; D015337:Multicenter Studies as Topic; D064887:Observational Studies as Topic; D056887:Pelvic Organ Prolapse / Q000150:complications* / Q000523:psychology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000523:psychology; D011446:Prospective Studies; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000209:etiology* / Q000503:physiopathology / Q000523:psychology; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000150:complications* / Q000523:psychology / Q000601:surgery
keywords: Cuestionarios; Disfunción sexual; Incontinencia urinaria; Pelvic Floor; Pelvic organ prolapse; Prolapso órganos pélvicos; Questionnaires; Sexual dysfunction; Suelo pélvico; Urinary incontinence