Validation of the Turkish version of the International Consultation on Incontinence Questionnaire-vaginal symptoms (ICIQ-VS)

Int Urogynecol J. 2019 Jul;30(7):1203-1209. doi: 10.1007/s00192-019-03951-8. Epub 2019 Apr 29.


Introduction and hypothesis: The International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS) was developed and validated in 2006 to evaluate vaginal symptoms, sexual matters, and quality of life of patients. This study aimed to validate the Turkish version of ICIQ-VS.

Methods: The English version of the questionnaire was translated into Turkish. On the basis of the pelvic organ prolapse quantification (POP-Q) system, symptomatic women with ≥ 2 grade pelvic organ prolapse (POP) were included in the symptomatic (patient) group and asymptomatic women with ≤ 1 grade POP in the asymptomatic (control) group. The questionnaire was administered three times: after the first examination of the women (T1), 3 weeks after T1 (T2), and 3 months after the POP surgery (T3).

Results: A total of 111 women were included in the study (symptomatic group, n = 53; asymptomatic group, n = 58). The missing data were ˂ 2%; the test-retest reliability was between 0.807 and 0.963, and the differences between the symptomatic and asymptomatic women were significant (p ˂ 0.001). A significant positive correlation existed between POP-Q and the vaginal symptom score, sexual matter score, and quality-of-life score (rs = 0.844, 0.393, and 0.698, respectively; p < 0.001). The Cronbach's alpha was 0.72 for the vaginal symptom score and 0.73 for the sexual matter score. The sensitivity to change was significant (p ˂ 0.05). The effect size values of the vaginal symptom score, sexual matter score, and quality-of-life score were 2.55, 2.33, and 1.56, respectively.

Conclusion: The Turkish version of ICIQ-VS was successfully validated in this study, and a newer version of the questionnaire was made available for assessing vaginal symptoms, sexual matters, and quality of life of patients with POP.

Keywords: ICIQ-VS; Pelvic organ prolapse; Quality of life; Sexual matters; Turkish validation; Vaginal symptoms.

Publication types

  • Multicenter Study
  • Observational Study
  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Pelvic Organ Prolapse / diagnosis*
  • Pelvic Organ Prolapse / psychology
  • Quality of Life*
  • Reproducibility of Results
  • Sexual Dysfunction, Physiological / diagnosis
  • Sexual Dysfunction, Physiological / psychology
  • Surveys and Questionnaires / standards*
  • Translations
  • Turkey
  • Urinary Incontinence / diagnosis
  • Urinary Incontinence / psychology
  • Vaginal Diseases / diagnosis
  • Vaginal Diseases / psychology