Abstract
Abstract Objectives: to assess internal consistency and reliability in providing a Portuguese version of the International Consultation on Incontinence Questionnaire Female Sexual Matters Associated with Lower Urinary Tract Symptoms Module (ICIQ-FLUTSsex). Methods: a validation study was conducted by applying questionnaires for 56 women over 18 years old with active sexual life and presenting urinary incontinence, excluding those who had urinary infection in the past 6 months. Three questionnaires were used, one for personal identification; the International Consultation on Incontinence Questionnaire - Short Form (ICIQ-SF) and the ICIQ-FLUTSsex. SPSS software was used for data analysis. Cronbach's alpha was used to verify reliability of the items on the questionnaires and Kappa coefficient was used to assess the agreement between the questionnaires applied in the test-retest. Results: the median age was 49.1 years old, mostly were mixed colored skin and married, with a high prevalence of mixed urinary incontinence. Cronbach's alpha score was 0.80, which was considered good. Kappa value was moderate, ranging from 0.36 to 0.76. Conclusion: internal consistency was considered good and reliability moderate. The Portuguese version of ICIQ-FLUTSsex was proven to be valid to use on women with urinary incontinence, contributing for clinical practice, as it provides as a quick tool for research on sexual dysfunction.
Highlights
According to the International Continence Society (ICS), Urinary Incontinence (UI) is defined as any involuntary urine loss.[1]
UI is classified in three main types: (1) Stress Urinary Incontinence (SUI), when there is urine loss during some effort that increases intra-abdominal pressure, such as coughing, sneezing or physical exercise; (2) Urge Incontinence or Urgency Urinary Incontinence (UUI), is characterized by urine loss accompanied by a strong sensation of urgency to urinate; (3) Mixed Urinary Incontinence (MUI), is when there is a complaint of loss associated with urgency and physical efforts.[4]
One of the hardest concerns of women with UI is their sexuality, affecting their sexual satisfaction, in which this can reduce their quality of life (QOL)
Summary
According to the International Continence Society (ICS), Urinary Incontinence (UI) is defined as any involuntary urine loss.[1] It has a multifactorial etiology and is more frequent in women. Among the main predisposing factors, there are: number of pregnancies, vaginal childbirth, climacteric, hypoestrogenism, diabetes, obesity and trauma on the pelvic floor muscles.[2,3]. One of the hardest concerns of women with UI is their sexuality, affecting their sexual satisfaction, in which this can reduce their quality of life (QOL). Shame and acceptance are the main emotional problems faced by women with urinary incontinence, directly interfering in the couple's sexual activity.[5]
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