International urogynecology journal · 2026
The Adaptation and Validation of the Polish Version of the International Consultation on Incontinence Questionnaire-Satisfaction Among Women After Gynecological Surgery.
СтатьяВалидационное исследованиеМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
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Mazur-Bialy Agnieszka, Tim Sabina, Duszka-Seternus Kinga, Opławski Marcin, Basol Goksuluk Merve
Аннотация
INTRODUCTION AND HYPOTHESIS: Patient satisfaction is a key indicator of the quality of care after urogynecological surgery. The aim of this study was to adapt and validate the Polish version of the International Consultation on Incontinence Questionnaire-Satisfaction (ICIQ-S) among women after urinary incontinence (UI) and/or pelvic organ prolapse (POP) surgery.
METHODS: This was a multicenter, cross-sectional study including 283 women 6-12 months after surgery. Translation was performed according to ICIQ guidelines. Participants completed the ICIQ-S twice via telephone interviews to assess test-retest reliability. Construct validity was analyzed using confirmatory factor analysis (CFA) and group comparisons. Concurrent validity was assessed through correlations with ICIQ lower urinary tract symptoms (LUTS), ICIQ female lower urinary tract symptoms (FLUTS), and the Pelvic Floor Distress Inventory (PFDI-20). Reliability was evaluated using Cronbach's alpha and intraclass correlation coefficients (ICC).
RESULTS: The six-item ICIQ-S core showed strong internal consistency (Cronbach's α = 0.913) and excellent test-retest reliability (ICC = 0.958). CFA confirmed good construct validity (Comparative Fit Index = 0.985, Tucker-Lewis Index = 0.967, Standardized Root Mean Squared Residual = 0.021). The ICIQ-S total score demonstrated a very strong negative correlation with PFDI-20 total score (r = -0.764) and moderate negative correlations with ICIQ-LUTS and ICIQ-FLUTS. Group comparisons showed significant differences in satisfaction between UI, POP, and POP + UI groups.
CONCLUSIONS: The Polish version of the ICIQ-S is a valid and reliable tool for assessing patient satisfaction after surgical treatment of UI and POP. It can be recommended for clinical practice and research to evaluate patient-centered outcomes in urogynecology.
METHODS: This was a multicenter, cross-sectional study including 283 women 6-12 months after surgery. Translation was performed according to ICIQ guidelines. Participants completed the ICIQ-S twice via telephone interviews to assess test-retest reliability. Construct validity was analyzed using confirmatory factor analysis (CFA) and group comparisons. Concurrent validity was assessed through correlations with ICIQ lower urinary tract symptoms (LUTS), ICIQ female lower urinary tract symptoms (FLUTS), and the Pelvic Floor Distress Inventory (PFDI-20). Reliability was evaluated using Cronbach's alpha and intraclass correlation coefficients (ICC).
RESULTS: The six-item ICIQ-S core showed strong internal consistency (Cronbach's α = 0.913) and excellent test-retest reliability (ICC = 0.958). CFA confirmed good construct validity (Comparative Fit Index = 0.985, Tucker-Lewis Index = 0.967, Standardized Root Mean Squared Residual = 0.021). The ICIQ-S total score demonstrated a very strong negative correlation with PFDI-20 total score (r = -0.764) and moderate negative correlations with ICIQ-LUTS and ICIQ-FLUTS. Group comparisons showed significant differences in satisfaction between UI, POP, and POP + UI groups.
CONCLUSIONS: The Polish version of the ICIQ-S is a valid and reliable tool for assessing patient satisfaction after surgical treatment of UI and POP. It can be recommended for clinical practice and research to evaluate patient-centered outcomes in urogynecology.