Identification of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire—IUGA Revised (PISQ-IR) Cutoff Scores for Impaired Sexual Function in Women with Pelvic Floor Disorders
Abstract
:1. Introduction
2. Materials and Methods
2.1. The Applied Questionnaires
2.2. Statistical Analysis
3. Results
4. Discussion
5. Concluding Message
Author Contributions
Funding
Conflicts of Interest
References
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Domain | Questions | Minimum Score | Maximum Score |
---|---|---|---|
Desire | 1, 2 | 1.2 | 6.0 |
Arousal | 3, 4, 5, 6 | 0 | 6.0 |
Lubrication | 7, 8, 9, 10 | 0 | 6.0 |
Orgasm | 11, 12, 13 | 0 | 6.0 |
Satisfaction | 14, 15, 16 | 0.8 | 6.0 |
Pain | 17, 18, 19 | 0 | 6.0 |
Sexually Active (SA) Domains | SA–21 Items | Questions | Minimum Score | Maximum Score |
---|---|---|---|---|
Arousal Orgasm | SA-AO, 4 items | Q 7, 8a, 10, 11 | 1 | 5 |
Condition-specific | SA-CS, 3 items | Q 8b, 8c, 9 | 1 | 5 |
Partner-related | SA-PR, 3 items | Q 13, 14a,14b | 1/− * | 4/− * |
Desire | SA-D, 3 items | Q 15, 16, 17 | 1 | 5 |
Condition Impact | SA-CI, 4 items | Q 18, 20b, 20c, 20d | 1 | 4 |
Global Quality | SA-GQ, 4 items | Q 19a, 19b, 19c, 20a | 1 | 4.8 |
Summary Score | 1.545 | 3.909 | ||
1.722 ** | 3.888 ** |
Variable | FSFI < 26.55 (n = 143) | FSFI > 26.55 (n = 83) | p-Value |
---|---|---|---|
Age (years), mean ± SD | 56.8 ± 10.8 | 56.3 ± 10.6 | 0.72 a |
BMI (kg/m2), mean ± SD | 27.8 ± 4.6 | 26.7 ± 4.0 | 0.06 a |
Postmenopausal n (%) | 107 (74.8) | 50 (60.2) | 0.02 b |
Education n (%) | 0.09 b | ||
Primary | 9 (6.3) | 1 (1.2) | |
Secondary | 79 (55.2) | 41 (49.4) | |
Higher | 55 (38.5) | 41 (49.4) | |
Parity, mean ± SD (median) | 2.4 ± 1.0 (2) | 2.1 ± 0.8 (2) | 0.02 a |
Vaginal delivery | 131 (91.6) | 69 (83.1) | 0.09 b |
Cesarean delivery | 2 (1.4) | 4 (4.8) | |
Both | 10 (7.0) | 8 (9.6) | |
None | − | 2 (2.4) | |
Marital status n (%) | 0.54 b | ||
married | 131 (91.6) | 74 (89.2) | |
partnership | 12 (8.4) | 9 (10.8) | |
Previous surgical history | |||
None | 93 (65.0) | 58 (69.9) | 0.47 b |
Hysterectomy | 29 (20.3) | 9 (10.8) | 0.08 b |
Prior prolapse surgery | 35 (24.5) | 17 (20.5) | 0.49 b |
Prior anti-UI surgery | 7 (4.9) | 5 (6.0) | 0.71 b |
Clinical diagnosis n (%) | |||
Only UI | 34 (23.8) | 19 (22.9) | 0.62 b |
Only POP | 56 (39.2) | 32 (38.5) | |
UI and POP | 53 (37.1) | 31 (37.3) | |
FI | 18 (12.6) | 5 (6.0) | 0.11 b |
POP-Q n (%) | 0.08 b | ||
0 | 2 (1.4) | 6 (7.2) | |
I | 7 (4.9) | 7 (8.4) | |
II | 52 (36.4) | 21 (25.3) | |
III | 68 (47.6) | 42 (50.6) | |
IV | 14 (9.8) | 7 (8.4) |
Variable | FSFI < 26.55 (n = 143) | FSFI > 26.55 (n = 83) | p-Value |
---|---|---|---|
PISQ-IR SA Mean ± SD | |||
Arousal Orgasm | 2.77 ± 0.65 | 3.71 ± 0.54 | 0.000 a |
Condition-specific | 4.11 ± 0.97 | 4.38 ± 0.70 | 0.017 a |
Partner-related | 3.21 ± 0.50 | 3.50 ± 0.41 | 0.000 a |
Desire | 2.70 ± 0.68 | 3.29 ± 0.56 | 0.000 a |
Condition Impact | 2.45 ± 0.78 | 2.99 ± 0.77 | 0.000 a |
Global Quality | 2.78 ± 0.90 | 3.64 ± 1.01 | 0.000 a |
PISQ-IR Summary Score | 2.55 ± 0.38 | 3.06 ± 0.31 | 0.000a |
FSFI Mean ± SD | |||
Desire | 2.76 ± 0.91 | 3.84 ± 0.87 | 0.000 a |
Arousal | 3.09 ± 0.96 | 4.74 ± 0.72 | 0.000 a |
Lubrication | 3.56 ± 1.10 | 5.13 ± 0.80 | 0.000 a |
Orgasm | 3.33 ± 1.23 | 5.13 ± 0.70 | 0.000 a |
Satisfaction | 3.98 ± 1.06 | 5.30 ± 0.79 | 0.000 a |
Pain | 3.94 ± 1.34 | 5.44 ± 0.69 | 0.000 a |
Total Score | 20.65 ± 4.34 | 29.58 ± 2.01 | 0.000 a |
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Grzybowska, M.E.; Futyma, K.; Wydra, D. Identification of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire—IUGA Revised (PISQ-IR) Cutoff Scores for Impaired Sexual Function in Women with Pelvic Floor Disorders. J. Clin. Med. 2020, 9, 13. https://doi.org/10.3390/jcm9010013
Grzybowska ME, Futyma K, Wydra D. Identification of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire—IUGA Revised (PISQ-IR) Cutoff Scores for Impaired Sexual Function in Women with Pelvic Floor Disorders. Journal of Clinical Medicine. 2020; 9(1):13. https://doi.org/10.3390/jcm9010013
Chicago/Turabian StyleGrzybowska, Magdalena Emilia, Konrad Futyma, and Dariusz Wydra. 2020. "Identification of the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire—IUGA Revised (PISQ-IR) Cutoff Scores for Impaired Sexual Function in Women with Pelvic Floor Disorders" Journal of Clinical Medicine 9, no. 1: 13. https://doi.org/10.3390/jcm9010013