Gubbiotti Marilena, Giannantoni Antonella, Rubilotta Emanuele, Balzarro Matteo, Bini Vittorio, Rosadi Stefano, Serati Maurizio
Department of Urology, Pelvic Unit, San Donato Hospital, Arezzo, Italy.
Department of Medical and Surgical Sciences and Neurosciences, Functional and Surgical Urology Unit, University of Siena, Italy.
J Sex Med. 2022 Jan;19(1):158-163. doi: 10.1016/j.jsxm.2021.10.014. Epub 2021 Dec 6.
Coital urinary incontinence is an underestimated urinary symptom characterized by urine leakage during intercourse with a serious impact on female sexual function, which often may lead to the abandon of sexual activity. To date, there are no specific validated questionnaires for coital incontinence (CI).
Aim of the study was to develop and validate a questionnaire "International Female Coital Incontinence- Questionnaire" (IFCI-Q) to evaluate the presence, severity and type of CI and its impact on quality of sexual intercourse.
The IFCI-Q validation process included the following stages: (i) Questionnaire development and expert focus group (urologists and gynecologists experts in the field of functional urology); (ii) Administration of IFCI-Q to sexually active women complained for CI, by cognitive interview; (iii) Expert focus group to assess for content validity; (iv) Psychometric assessment of internal consistency by Cronbach's alpha calculation; (v) Test-retest reliability.
Aim of the questionnaire was to evaluate the presence, severity and type of CI, its impact on quality of sexual intercourse and psychological status and to identify concomitant urinary symptoms. Psychometric properties outcomes: internal consistency and reliability are considered acceptable for Cronbach's α coefficient >0.7 and Cohen's k-test >0.6, respectively. Test-retest reliability was detected by administering the questionnaire twice to the all included women with a time interval of 2 weeks. The content validity was evaluated by a panel of clinical experts.
Thirty women (mean ± SD age: 43.4 ± 17.1 years) complained of CI completed the IFCI-Q. A total of 43.4% of patients had OAB symptoms, 23.3% had mixed urinary incontinence (UI) and 6.6% complained of stress UI. Patients with CI during penetration had a higher prevalence of predominant SUI (7/10), and all women suffering from CI during orgasm had OAB symptoms (11/11). A total of 80% women feel depressed and 56.6% patients reported that CI restricts their sexual activity. Internal consistency and replicability of data were in the adequate range (Cronbach α = 0.737). The test-retest procedure revealed that the k-values of each item are very good.
IFCI-Q is a reliable questionnaire on CI and demonstrated a high level of internal consistency and reliability. Gubbiotti M, Giannantoni A, Rubilotta E, et al. The International Female Coital Incontinence Questionnaire (IFCI-Q): Development, Validation and Reliability Study. J Sex Med 2022;19:158-163.
性交性尿失禁是一种被低估的泌尿系统症状，其特征为性交过程中漏尿，对女性性功能有严重影响，常导致性行为中断。迄今为止，尚无针对性交性尿失禁（CI）的经过验证的特定问卷。
本研究旨在开发并验证一份“国际女性性交性尿失禁问卷”（IFCI-Q），以评估CI的存在情况、严重程度和类型及其对性交质量的影响。
IFCI-Q的验证过程包括以下阶段：（i）问卷编制与专家焦点小组（功能性泌尿学领域的泌尿科和妇科专家）；（ii）通过认知访谈，将IFCI-Q应用于主诉有CI的性活跃女性；（iii）专家焦点小组评估内容效度；（iv）通过计算Cronbach's α系数进行内部一致性的心理测量评估；（v）重测信度。
该问卷的目的是评估CI的存在情况、严重程度和类型，其对性交质量和心理状态的影响，并识别伴随的泌尿系统症状。心理测量学特性结果：当Cronbach's α系数>0.7且Cohen's k检验>0.6时，内部一致性和信度分别被认为是可接受的。通过对所有纳入女性间隔2周进行两次问卷施测来检测重测信度。内容效度由临床专家小组进行评估。
30名主诉有CI的女性（平均±标准差年龄：43.4±17.1岁）完成了IFCI-Q。共有43.4%的患者有膀胱过度活动症（OAB）症状，23.3%有混合性尿失禁（UI），6.6%主诉有压力性UI。性交插入时出现CI的患者中，主要为压力性尿失禁（SUI）的患病率较高（7/10），所有在性高潮时出现CI的女性都有OAB症状（11/11）。共有80%的女性感到抑郁，56.6%的患者报告CI限制了她们的性活动。数据的内部一致性和可重复性处于适当范围（Cronbach α = 0.737）。重测程序显示每个条目的k值都非常好。
IFCI-Q是一份关于CI的可靠问卷，具有较高的内部一致性和信度。古比奥蒂M、詹南托尼A、鲁比洛塔E等。国际女性性交性尿失禁问卷（IFCI-Q）：开发、验证及信度研究。《性医学杂志》2022；19：158 - 163。
