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Mahfouz W, Moussa A, Serati M, Balzarro M, Rubilotta E, Gubbiotti M. Linguistic translation and validation of the Arabic version of International Female Coital Incontinence Questionnaire (IFCI-Q). Arab J Urol 2023; 22:48-53. [PMID: 38205389 PMCID: PMC10776051 DOI: 10.1080/2090598x.2023.2242162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Accepted: 07/25/2023] [Indexed: 09/19/2023] Open
Abstract
Objectives Aim of the study was to translate the International Female Coital Incontinence Questionnaire (IFCI-Q) into Arabic (Egyptian) and validate it into among Egyptian population complaining of coital urinary incontinence (CI). Methods Original questionnaire has been translated and back-translated by an expert panel, to produce the Arabic version. A pilot study was performed to make sure the questionnaire was understandable. Sixty patients included in the study were divided into two groups: Group A comprised patients with CI, and Group B comprised females who attended the urology clinic for other complaints, without CI. Reliability of the Arabic IFCI-Q was evaluated for internal consistency using Cronbach alpha coefficient. Test-retest reliability was determined using the Weighted Cohen's k-test. Discrimination validity was evaluated by comparing scores of patients with those of healthy females not complaining of CI using Mann-Whitney test. Results 83.3% of women of both groups (mean age: 43.1 ± 10.6 yrs [Group A], 38.9 ± 8 [Group B] yrs) reported OAB symptoms, 73.3% had stress urinary incontinence and 46.7% reported mixed urinary incontinence. Regarding Group A, 10 patients had CI during penetration, 12 during orgasm and 8 had both forms of CI. The comparison of the responses between Group A and Group B demonstrated a statistically difference (p < 0.00). The content validity was assessed by a panel of expert functional urologists. The Cronbach's alpha coefficients for the total score were high (0.9-1), indicating high internal consistency. The difference between the two groups revealed an internal consistency of IFCI-Q of 0.563-0.851. The test-retest procedure revealed that the k-values of each item are very good. Conclusions The Arabic version will allow utilizing this tool in a large population of Arabic-speaking countries, with different ethnic and demographic backgrounds.
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Affiliation(s)
- Wally Mahfouz
- Urology Department, Alexandria University, Alexandria, Egypt
| | - Ahmed Moussa
- Urology Department, Alexandria University, Alexandria, Egypt
| | - Maurizio Serati
- Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy
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Frigerio M, Barba M, Cola A, Braga A, Celardo A, Munno GM, Schettino MT, Vagnetti P, De Simone F, Di Lucia A, Grassini G, Torella M. Quality of Life, Psychological Wellbeing, and Sexuality in Women with Urinary Incontinence—Where Are We Now: A Narrative Review. Medicina (B Aires) 2022; 58:medicina58040525. [PMID: 35454364 PMCID: PMC9025831 DOI: 10.3390/medicina58040525] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/02/2022] [Accepted: 04/05/2022] [Indexed: 11/16/2022] Open
Abstract
Urinary incontinence (UI) is a very common condition, negatively affecting social, occupational, domestic, and psychophysical wellbeing. In particular, a peculiar and detrimental effect of UI has been described concerning sexual function. However, the impact of UI on quality of life is not fully understood yet, and further investigation into this issue is warranted. With this narrative review, we aimed to report the current evidence from recent literature regarding the quality of life and psychological wellbeing in patients with urinary incontinence, with a special focus on sexual function and its evolution after UI treatment. There is strong evidence that urinary incontinence—in its different forms, including stress urinary incontinence, urge urinary incontinence, mixed urinary incontinence, and coital urinary incontinence—negatively affects female sexual function. Treatments aimed to cure urinary incontinence—including pelvic floor muscles training, medications, and surgery—seem to improve quality of life by recovering, at least in part, sexual function. In conclusion, there is a substantial association between involuntary urinary loss and sex life quality. However, few studies are available and more evidence is needed before consistent conclusions can be made.
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Affiliation(s)
- Matteo Frigerio
- Gynecology Department, San Gerardo Hospital, Milano Bicocca University, ASST Monza—Via Pergolesi 33, 20900 Monza, Italy; (M.B.); (A.C.)
- Correspondence: ; Tel.: +39-039-233-9434
| | - Marta Barba
- Gynecology Department, San Gerardo Hospital, Milano Bicocca University, ASST Monza—Via Pergolesi 33, 20900 Monza, Italy; (M.B.); (A.C.)
| | - Alice Cola
- Gynecology Department, San Gerardo Hospital, Milano Bicocca University, ASST Monza—Via Pergolesi 33, 20900 Monza, Italy; (M.B.); (A.C.)
| | - Andrea Braga
- Ospedale Regionale di Mendrisio Beata Vergine, 6850 Mendrisio, Switzerland;
| | - Angela Celardo
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Gaetano Maria Munno
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Maria Teresa Schettino
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Primo Vagnetti
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Fulvio De Simone
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Alessandra Di Lucia
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Giulia Grassini
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
| | - Marco Torella
- Gynecology Department, Campania Luigi Vanvitelli University, 81100 Naples, Italy; (A.C.); (G.M.M.); (M.T.S.); (P.V.); (F.D.S.); (A.D.L.); (G.G.); (M.T.)
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