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International Urogynecology Journal

03-05-2024 | Original Article

The International Female Coital Incontinence Questionnaire: Translation, Validation, and Reliability Study of the Persian Version

Authors: Hanieh Salehi Pourmehr, Tahereh Behroozi-Lak, Safura Hatami-pourdehno, Yasamin Fathzadeh, Reyhaneh Hajebrahimi, Sona Tayebi, Sakineh Hajebrahimi

Published in: International Urogynecology Journal

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Abstract

Introduction and Hypothesis

This study was aimed at validating the Persian version of the International Female Coital Incontinence Questionnaire (IFCI-Q).

Methods

In the current study, 150 sexually active women with complaints of any kind of sexual dysfunction from January 2022 to July 2023, who were referred to urogynecology outpatient clinics, completed the IFCI-Q. Age ≥ 18 years and sexually active women were the inclusion criteria for the study. Quantitative calculations were made to determine the content validity ratio and content validity index. A test–retest procedure was utilized to determine the scale reliability.

Results

The mean (SD) age of participants was 35.66 (7.03) years. Among a total of 150 women, 21 (14.0%) had coital incontinence (CI), and this disorder happened during penetration in 11 cases (7.3%), orgasm in 9 (6.1%), or both conditions in one woman (0.7%). The intraclass correlation coefficient (95% confidence interval) was 0.79 (0.74, 0.84), and the Cronbach's α coefficient was 0.89. A positive association between the Female Sexual Function Index and the IFCI-Q was also demonstrated by the criteria validity (r = 0. 87 and p = 0.001).

Conclusion

Regarding validity and reliability, the Persian version of the IFCI-Q can properly evaluate CI in women with sexual dysfunction or complaining of CI.
Appendix
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Literature
1.
Rogers RG, Pauls RN, Thakar R, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the assessment of sexual health of women with pelvic floor dysfunction. Neurourol Urodyn. 2018;37(4):1220–40.CrossRefPubMed
2.
Serati M, Salvatore S, Uccella S, Nappi RE, Bolis P. Female urinary incontinence during intercourse: a review on an understudied problem for women’s sexuality. J Sex Med. 2009;6(1):40–8.CrossRefPubMed
3.
El-Azab AS, Yousef HA, Seifeldein GS. Coital incontinence: relation to detrusor overactivity and stress incontinence. Neurourol Urodyn. 2011;30(4):520–4.CrossRefPubMed
4.
Jha S, Strelley K, Radley S. Incontinence during intercourse: myths unravelled. Int Urogynecol J. 2012;23(5):633–7.CrossRefPubMed
5.
Salonia A, Zanni G, Nappi RE, Briganti A, Dehò F, Fabbri F, et al. Sexual dysfunction is common in women with lower urinary tract symptoms and urinary incontinence: results of a cross-sectional study. Eur Urol. 2004;45(5):642–8 (discussion 648).CrossRefPubMed
6.
Hilton P. Urinary incontinence during sexual intercourse: a common, but rarely volunteered, symptom. Br J Obstet Gynaecol. 1988;95(4):377–81.CrossRefPubMed
7.
Gubbiotti M, Giannantoni A, Rubilotta E, et al. The International Female Coital Incontinence Questionnaire (IFCI-Q): development, validation and reliability study. J Sex Med. 2022;19(1):158–63.CrossRefPubMed
8.
Serati M, Salvatore S, Uccella S, et al. Urinary incontinence at orgasm: relation to detrusor overactivity and treatment efficacy. Eur Urol. 2008;54(4):911–5.CrossRefPubMed
9.
Madhu C, Hashim H, Enki D, Yassin M, Drake M. Coital incontinence: what can we learn from urodynamic assessment? Urology. 2015;85(5):1034–8.CrossRefPubMed
10.
Moran PA, Dwyer PL, Ziccone SP. Urinary leakage during coitus in women. J Obstet Gynaecol. 1999;19(3):286–8.CrossRefPubMed
11.
Abrams P, Cardozo L, Khoury S, Wein A. Incontinence, 3rd International Consultation on Incontinence. UK: Health Publications Ltd; 2005. p. 545–51.
12.
Dalpiaz O, Kerschbaumer A, Mitterberger M, et al. Female sexual dysfunction: a new urogynaecological research field. BJU Int. 2008;101(6):717–21.CrossRefPubMed
13.
Lawshe CH. A quantitative approach to content validity. Pers Psychol. 1975;28(4):563–75.CrossRef
14.
15.
Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489–97.CrossRefPubMed
16.
Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191–208.CrossRefPubMed
17.
Tinsley HE, Brown SD. Handbook of applied multivariate statistics and mathematical modeling. Cambridge, MA: Academic; 2000.
18.
Kline RB. Principles and practice of structural equation modeling. New York: Guilford; 2023.
19.
Bartko JJ. The intraclass correlation coefficient as a measure of reliability. Psychol Rep. 1966;19(1):3–11.CrossRefPubMed
20.
Bachmann GA, Leiblum SR, Grill J. Brief sexual inquiry in gynecologic practice. Obstet Gynecol. 1989;73(3 Pt 1):425–7.PubMed
21.
Gray T, Li W, Campbell P, Jha S, Radley S. Evaluation of coital incontinence by electronic questionnaire: prevalence, associations and outcomes in women attending a urogynaecology clinic. Int Urogynecol J. 2018;29(7):969–78.CrossRefPubMed
Metadata
Title
The International Female Coital Incontinence Questionnaire: Translation, Validation, and Reliability Study of the Persian Version
Authors
Hanieh Salehi Pourmehr
Tahereh Behroozi-Lak
Safura Hatami-pourdehno
Yasamin Fathzadeh
Reyhaneh Hajebrahimi
Sona Tayebi
Sakineh Hajebrahimi
Publication date
03-05-2024
Publisher
Springer International Publishing
Published in
International Urogynecology Journal
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-024-05784-6