Validation of the International Urogynecology Association's Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire in Arabic.
OBJECTIVE
A valid and reliable Arabic version of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA-revised (PISQ-IR) is needed.


METHODS
Of 238 Saudi Arabian women who fulfilled the inclusion criteria, 227 were recruited. A detailed history was obtained and pelvic examination was performed in all participants. An Arabic version of the PISQ-IR was administered with three quality of life measures. Reliability was assessed by factor analysis, and internal consistency was measured with Cronbach's α. Face validity was established with translation, back-translation, and cognitive reviews. Criterion validity was determined by analysing the correlations between the responses and the clinical examinations and by comparing the responses with those to other validated measures of incontinence and prolapse.


RESULTS
Overall, 67 % of the women were categorized as sexually active and 33 % as sexually inactive. The overall frequency of urinary incontinence was highest (85.5 %), followed by prolapse (59 %) and fecal incontinence (53.3 %). The average score in the factor analysis for dimensions of sexual inactivity was 2.7 and Cronbach's α was 0.61; an item-by-item assessment of the majority of the scales showed an α value of >0.75, suggesting a moderate-to-high internal consistency. Regarding external validity, strong negative correlations were found with the Pelvic Organ Prolapse Distress Inventory, the Colorectal-Anal Distress Inventory (CRADI), and the Pelvic Floor Impact Questionnaire (PFIQ) in the sexually active group, and positive correlations were found with the CRADI and PFIQ in the sexually inactive group.


CONCLUSIONS
The Arabic version of the PISQ-IR is reliable and valid for assessing sexual function in Arabic-speaking women with pelvic floor disorders.
Department of Urogynecology & Pelvic Reconstructive Surgery, Women's Specialized Hospital, King Fahad Medical City, Riyadh, Saudi Arabia. aalbadr@kfmc.med.sa.
Ahmed
http://orcid.org/0000-0002-9088-6014
A
Al-Badr
Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Rafeef
R
Al-Juraifani
Department of Obstetrics and Gynecology, King Saud University Hospital, Riyadh, Saudi Arabia.
Ghadeer
G
Al-Sheikh
Department of Obstetrics and Gynecology, King Saud University Hospital, Riyadh, Saudi Arabia.
Hazem
H
Al-Mandeel
Department of Obstetrics and Gynecology, King Saud University Hospital, Riyadh, Saudi Arabia.
Lateefa
L
Al-Dakhyel
Rehabilitation Hospital, King Fahad Medical City, Riyadh, Saudi Arabia.
Nadeen
N
Al-Shahrani
D000328:Adult; D005242:Fecal Incontinence / Q000523:psychology; D005260:Female; D006801:Humans; D007802:Language; D008875:Middle Aged; D056887:Pelvic Organ Prolapse / Q000523:psychology*; D011788:Quality of Life; D015203:Reproducibility of Results; D012529:Saudi Arabia; D012725:Sexual Behavior / Q000523:psychology*; D012735:Sexual Dysfunction, Physiological / Q000523:psychology*; D011795:Surveys and Questionnaires / Q000592:standards*; D014177:Translations; D014549:Urinary Incontinence / Q000523:psychology*
Arabic; Incontinence; Pelvic floor; Pelvic organ prolapse; Questionnaire
Am J Med. 2006 May;119(5):448.e1-19
16651058
Am J Obstet Gynecol. 2001 Mar;184(4):552-8
11262452
Int Urogynecol J. 2016 Aug;27(8):1235-44
26883366
Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(6):361-5
11795636
Int J Gynaecol Obstet. 2012 May;117(2):160-3
22356760
Int J Gynaecol Obstet. 2003 Sep;82(3):327-38
14499979
Int Urogynecol J. 2013 Jul;24(7):1091-103
23632798
Int Urogynecol J. 2015 Nov;26(11):1695-700
26025185
Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91
11124735
Int Urogynecol J. 2015 Aug;26(8):1229-37
25800902
Am J Obstet Gynecol. 2005 Jul;193(1):103-13
16021067
Arq Bras Cardiol. 2016 Mar;106(3):171-81
27027365
Int Urogynecol J Pelvic Floor Dysfunct. 2003 Aug;14(3):164-8; discussion 168
12955337
Neurourol Urodyn. 2009;28(3):219-24
18726949
Urol Ann. 2013 Jan;5(1):34-8
23662008
J Med Life. 2011 Jan-Mar;4(1):75-81
21505577