Kolumban Szilard, Farkas Nelli, Tiringer Istvan, Kovacs Kalman, Nemeth Zoltan, Farkas Balint
Department of Obstetrics and Gynecology, University of Pecs School of Medicine, Pecs, Hungary.
National Laboratory on Human Reproduction, University of Pecs, Pecs, Hungary.
Int Urogynecol J. 2025 Mar 19. doi: 10.1007/s00192-025-06090-5.
Pelvic organ prolapse (POP) significantly affects women's quality of life, making the availability of validated, culturally adapted tools for reliable symptom evaluation essential. In this study, the Pelvic Organ Prolapse Symptom Score (POP-SS) was translated into Hungarian and validated, with the assessment of its psychometric properties for clinical and research use.
In total, 125 women diagnosed with symptomatic POP (Pelvic Organ Prolapse Quantification Score-POP-Q stage ≥ 2) completed the Hungarian POP-SS (POP-SS-H), the Hungarian version of the Australian Pelvic Floor Questionnaire (AFPQ-H), and the short version of the World Health Organization Quality of Life questionnaire (WHOQOL-BREF). Exploratory factor analysis was performed, McDonald's ω was used to assess internal consistency, and intraclass correlation coefficients (ICCs) were used to examine test-retest reliability over a 2-week interval.
The POP-SS-H demonstrated strong psychometric properties (overall ICC = 0.96, p < 0.001). Item ICCs were 0.69-0.99, with "difficulty in emptying the bladder" being the most stable. The scale has a two-factor ("prolapse and urinary distress" and "abdominal strain and bowel discomfort") structure. McDonald's ω was 0.75, confirming its good internal consistency. The scale's convergent validity was demonstrated through correlations with AFPQ-H and WHOQOL-BREF subscale scores.
The POP-SS-H is a reliable and valid instrument for the assessment of prolapse-related symptoms. Its high degrees of test-retest reliability and internal consistency make it suitable for clinical follow-up and research. The tool addresses a significant gap in pelvic-floor disorder management in Hungary, although further research is recommended to assess its sensitivity in the tracking of symptom changes after treatment.
盆腔器官脱垂（POP）严重影响女性生活质量，因此拥有经过验证且适用于特定文化背景的可靠症状评估工具至关重要。在本研究中，盆腔器官脱垂症状评分（POP - SS）被翻译成匈牙利语并进行验证，同时评估其用于临床和研究的心理测量特性。
总共125名被诊断为有症状的盆腔器官脱垂（盆腔器官脱垂定量评分 - POP - Q分期≥2）的女性完成了匈牙利版POP - SS（POP - SS - H）、澳大利亚盆底问卷匈牙利版（AFPQ - H）以及世界卫生组织生活质量问卷简版（WHOQOL - BREF）。进行了探索性因素分析，使用麦克唐纳ω系数评估内部一致性，并使用组内相关系数（ICC）检查两周间隔的重测信度。
POP - SS - H表现出强大的心理测量特性（总体ICC = 0.96，p < 0.001）。项目ICC为0.69 - 0.99，其中“排尿困难”最为稳定。该量表具有双因素结构（“脱垂和泌尿困扰”以及“腹部用力和肠道不适”）。麦克唐纳ω系数为0.75，证实其具有良好的内部一致性。通过与AFPQ - H和WHOQOL - BREF子量表得分的相关性证明了该量表的收敛效度。
POP - SS - H是评估脱垂相关症状的可靠有效工具。其高度的重测信度和内部一致性使其适用于临床随访和研究。尽管建议进一步研究以评估其在跟踪治疗后症状变化方面的敏感性，但该工具填补了匈牙利盆底疾病管理方面的重大空白。
