Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires

Levy G,Pansky M,Zaidin A,Zines Y,Shemer O,Beck A,Paz-Levy D

doi:10.36502/2020/asjbccr.6211

Abstract

Aim: In the process of opening a new Pelvic Floor Medicine Unit, we aimed to map the pelvic floor dysfunction and sexual issues using validated quality of life (QOL) questionnaires. Material and Methods: All the patients who attended the Pelvic Floor Medicine Unit clinic in Assuta University Medical Center in Ashdod, Israel, were given a validated Pelvic Floor Distress Inventory 20 (PFDI-20) and Prolapse Urinary Incontinence Sexual Questionnaire 12 (PISQ-12) questionnaires prior to meeting the physician. The patient’s age, parity, and route of delivery were collected from the medical record. All data has been statistically analyzed using Kruskal Wallis Test and Mann-Whitney U Test. Results: 647 patients were included in the study, of them 462 filled out the PFDI-20 questionnaires and 221 completed the PISQ-12 questionnaire filling. In the PFDI-20 results, POPDI-6 higher scores were found to be associated with higher parity (p=0.043) and with higher age (p=0.03). CARD-8 scores were found to be significantly associated with cesarean delivery only in patients’ history (p=0.023) and with higher age (p=0.05). UDI-6 scores were found significantly associated with older age (p<0.01). PISQ-12 scores were found associated with age (p=0.002), but not with either parity or route of delivery. Conclusions: Using validates questionnaires, we could demonstrate a correlation between parity and age, an association between aging and higher rates of bowel and sexual dysfunction, an association between higher parity and pelvic organ prolapse complaints, and an association between previous cesarean deliveries only and higher rates of bowel disfunction. The use of validated QoL questionnaires for describing the population suffering from PFDs presents an important tool in understanding the epidemiology of PFD in different communities.

Highlights

Pelvic floor disorders (PFD) which include urinary incontinence, colorectal dysfunction, and pelvic organ prolapse, affect a substantial proportion of women and involve a significant influence on their quality of life (QoL) [1,2]
Some examples are the Pelvic Floor Distress Inventory (PFDI) - for symptom distress assessment, The Pelvic Floor Impact Questionnaire (PFIQ) for the assessment of symptoms' life impact [9], and the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ) which is focused on sexual function [10]
All patients were asked to fill out a validated Pelvic Floor Distress Inventory 20 (PFDI-20) and the Prolapse Urinary Incontinence Sexual Questionnaire 12 (PISQ-12) questionnaires in their language (Hebrew, Russian or English) at their admission to the clinic, before encountering the physician

Summary

Introduction

Pelvic floor disorders (PFD) which include urinary incontinence, colorectal dysfunction, and pelvic organ prolapse, affect a substantial proportion of women and involve a significant influence on their quality of life (QoL) [1,2]. Since PFD are usually not life-threatening conditions, but disorders of patients' well-being, a relevant tool for measuring their prevalence and their effects on QoL and on sexual function is the assessment of patients' complaints [8] This has been facilitated by the development of disease-specific questionnaires for women with PFD. Some examples are the Pelvic Floor Distress Inventory (PFDI) - for symptom distress assessment, The Pelvic Floor Impact Questionnaire (PFIQ) for the assessment of symptoms' life impact [9], and the Pelvic Organ Prolapse Urinary Incontinence Sexual Questionnaire (PISQ) which is focused on sexual function [10] Shorter versions of these questionnaires that are valid, reliable, and responsive to changes were developed for facilitating their use in the clinical and research settings [9,11]

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