Premium
Responsiveness of two sexual function questionnaires: PISQ‐IR and FSFI in women with pelvic floor disorders
Author(s) -
Grzybowska Magdalena Emilia,
Wydra Dariusz
Publication year - 2021
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.24568
Subject(s) - medicine , sexual function , orgasm , pelvic floor , sexual dysfunction , gynecology , physical therapy , quality of life (healthcare) , urology , surgery , nursing
Aims To assess responsiveness of sexual function questionnaires: Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA‐Revised (PISQ‐IR) and Female Sexual Function Index (FSFI) in women with pelvic floor disorders (PFD). Methods The study included 261 subjects who completed PISQ‐IR and FSFI at baseline and after treatment (median: 8 months). Standardized response mean (SRM) and effect size (ES) were calculated for sexually active (SA) and not‐SA (NSA) women. Patient Global Impression of Improvement (PGI‐I) was applied to assess treatment outcomes. Results A total of 184 women reported “very much better”/”much better” on the PGI‐I scale posttreatment and were enrolled for further study. After treatment, 21.7% of the NSA women resumed sexual activity, 13.9% of the initially SA‐abstained, and no change was reported for 152 (82.6%) subjects (87‐SA and 65‐NSA). Significant improvement in PISQ‐IR SA domains was observed, with mild responsiveness for Arousal/Orgasm (SRM = 0.34, ES = 0.29, p = .003) and good responsiveness for Condition Specific, Global Quality and Summary Score (SRM = 0.51, ES = 0.50; SRM = 0.54, ES = 0.47; SRM = 0.75, ES = 0.63, p < .001). The Condition Impact domain demonstrated excellent responsiveness (SRM = 1.13, ES = 1.17, p < .001). In NSA, PISQ‐IR had good responsiveness in Condition Impact (SRM = −0.76, ES = −0.59, p < .001), and mild in Condition Specific (SRM = −0.30, ES = −0.28, p < .03) domains. In FSFI, posttreatment sexual function in SA was improved in Desire, Arousal, Orgasm, Satisfaction, Pain domains and Total score, proving mild responsiveness (SRM, 0.24–0.48; p < .04). In NSA, FSFI proved nonresponsive. Conclusion PISQ‐IR and FSFI are responsive tools, useful to investigate the effects of treatment on sexual function in SA (both questionnaires) and NSA (only PISQ‐IR) women with PFD.