title: Validation of the Polish version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire.
abstract: OBJECTIVE
  The aim of the study was to develop a Polish version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ) to evaluate sexual function in patients with stress urinary incontinence (SUI) and pelvic organ prolapse (POP) versus a control group.
  
  
  METHODS
  Before the validation study, a pilot study of the Polish version of the PISQ was performed in 22 women with pelvic floor dysfunctions. The respondents completed the questionnaire at recruitment and 2 weeks later. Test-retest reliability and internal consistency were determined. The validation study was performed in 249 sexually active women (123 with urodynamic SUI and POP; 126 healthy controls). The study group reported urinary incontinence (UI) at the urogynecological ambulatory clinic, where they underwent urogynecological and urodynamic examinations. All participants completed the questionnaire. PISQ results from both groups were compared and correlated with those of the King's Health Questionnaire (KHQ) and patient age.
  
  
  RESULTS
  Test-retest reliability was good according to Pearson's correlation coefficient (r = 0.89, p < 0.001). PISQ had high internal consistency (Cronbach's α = 0.878). The total PISQ score was significantly lower in the study group compared with the controls (83.6 ± 14.9 vs 95.7 ± 10.3, p < 0.001), as were scores for individual domains: Behavioral/Emotive, Physical, Partner-Related (33.9 ± 10.2 vs 39.8 ± 7.8, 31.7 ± 6.9 vs 37.1 ± 2.8, and 18.0 ± 3.1 vs 19.4 ± 2.6 respectively; p < 0.001), confirming the lower quality of sexual function in women with SUI and POP. A correlation between PISQ and KHQ scores and patient age was confirmed.
  
  
  CONCLUSIONS
  The Polish version of the PISQ is a reliable tool for evaluating sexual function in women with POP and UI.
authors.affiliation: Department of Gynecology, Gynecologic Oncology and Gynecologic Endocrinology, Medical University of Gdańsk, Kliniczna 1a, 80-402, Gdańsk, Poland. mlgrzybowska@wp.pl.
authors.forename: Magdalena Emilia
authors.initials: ME
authors.lastname: Grzybowska
authors.affiliation: Department of Gynecology, Gynecologic Oncology and Gynecologic Endocrinology, Medical University of Gdańsk, Kliniczna 1a, 80-402, Gdańsk, Poland.
authors.forename: Dariusz Grzegorz
authors.initials: DG
authors.lastname: Wydra
authors.affiliation: Department of Perinatology, Medical University of Gdańsk, Kliniczna 1a, 80-402, Gdańsk, Poland.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Smutek
mesh_terms: D000328:Adult; D000367:Age Factors; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000150:complications* / Q000523:psychology; D010865:Pilot Projects; D011044:Poland; D011788:Quality of Life; D015203:Reproducibility of Results; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis* / Q000209:etiology / Q000523:psychology; D011795:Surveys and Questionnaires; D014177:Translations; D014550:Urinary Incontinence, Stress / Q000150:complications* / Q000523:psychology
keywords: Female sexual function; Pelvic organ prolapse; Pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ); Quality of life; Sexual questionnaire; Stress urinary incontinence