Urogynaecology Section, Department of Obstetrics and Gynecology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Rua Isaac Krasilchik, 88. Água Branca, Sao Paulo, SP, 05036-165, Brazil.
Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Sao Paulo, Brazil.
Int Urogynecol J. 2024 Sep;35(9):1857-1872. doi: 10.1007/s00192-024-05889-y. Epub 2024 Aug 17.
Condition-specific sexual questionnaires are important patient-reported outcome measures. The aim of this study was to translate and validate the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association Revised (PISQ-IR) into Brazilian Portuguese and to clinically validate it in a Brazilian Portuguese-speaking population.
Translation and validation of the PISQ-IR was performed according to the International Urogynecological Association-recommended process and guidelines. For external validity, PISQ-IR subscales were compared with the clinical measures, Pelvic Organ Prolapse Quantification system (POP-Q) stage, pelvic floor muscle tone, and Oxford Grading Scale (Pearson correlations). Descriptive statistics, internal consistency (Cronbach's alpha coefficient), and test-retest reliability (interclass correlation coefficient) were calculated for all PISQ-IR subscales.
A total of 120 sexually active and 106 not sexually active women were enrolled in the study between March 2015 and July 2019. Internal consistency was acceptable, with Cronbach's alpha values 0.60-0.80, except for the sexual arousal and orgasm, sexual arousal and partner-related issues, sexual arousal and condition-specific issues, global rating of sexual quality and condition impact subscales. PISQ-IR demonstrated good reliability (α > 0.6, CIC = 0.996). The agreement for each individual questionnaire item also individually presented substantial agreement between the assessments (κ 0.61-0.8). There was a correlation between PISQ-IR and POP, mixed, stress and fecal incontinence diagnosis and a positive correlation with pelvic floor muscle function according to the Oxford Scale in sexually active women. For sexually inactive women there was a correlation between PISQ-IR and mixed urinary symptoms.
The Brazilian Portuguese version of PISQ-IR is a reliable and valid tool that can be easily used for the identification and assessment of sexual function in Brazilian Portuguese-speaking women with pelvic floor disorders.
特定于疾病的性调查问卷是重要的患者报告结局测量工具。本研究的目的是将盆腔器官脱垂/尿失禁性问卷-国际尿控协会修订版（PISQ-IR）翻译并验证为巴西葡萄牙语，并在讲葡萄牙语的巴西人群中进行临床验证。
根据国际尿控协会推荐的流程和指南，对 PISQ-IR 进行翻译和验证。为了评估外部有效性，将 PISQ-IR 子量表与临床测量、盆腔器官脱垂量化系统（POP-Q）分期、盆底肌肉张力和牛津分级量表（皮尔逊相关）进行比较。对所有 PISQ-IR 子量表进行描述性统计、内部一致性（Cronbach's alpha 系数）和测试-重测信度（组内相关系数）。
共有 120 名活跃的性行为和 106 名非活跃的性行为的女性于 2015 年 3 月至 2019 年 7 月参加了该研究。除了性唤起和性高潮、性唤起和伴侣相关问题、性唤起和疾病特异性问题、性健康整体评分和疾病影响子量表外，内部一致性可接受，Cronbach's alpha 值为 0.60-0.80。PISQ-IR 表现出良好的可靠性（α>0.6，CIC=0.996）。每个单独问卷项目的一致性也在评估之间呈现出实质性的一致性（κ 0.61-0.8）。在活跃的性行为女性中，PISQ-IR 与 POP、混合性、压力性和粪失禁诊断以及与牛津量表评估的盆底肌肉功能之间存在相关性。对于非活跃的性行为女性，PISQ-IR 与混合性尿症状之间存在相关性。
巴西葡萄牙语版 PISQ-IR 是一种可靠和有效的工具，可用于识别和评估患有盆底疾病的巴西葡萄牙语女性的性功能。
