Cutoff score of the traditional Chinese version of the short form of the pelvic organ prolapse/urinary incontinence sexual questionnaire (PISQ 12)
OBJECTIVE The short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ 12) is a condition specific instrument used to evaluate sexual function in women with pelvic floor disorders. The traditional Chinese version of the PISQ 12 (CVPISQ 12) has been validated, however the cutoff score has yet to be determined. The aim of this study is to establish the cutoff score for the CVPISQ 12 and analyze the risk factors for female sexual dysfunction. MATERIAL AND METHODS A sub analysis of data involving sexually active women who sought consultation for pelvic floor disorders at a medical center in 2016. Based on the known cutoff value of Female Sexual Function Index, the cutoff score of the CVPISQ 12 was analyzed using receiver operating characteristic (ROC) curve analysis. Other assessments included 1 h pad test and incontinence related questionnaires using the short forms of the Urogenital Distress Inventory (UDI 6) and Incontinence Impact Questionnaire (IIQ 7) RESULTS ROC curve analysis showed a cutoff score of 32.5, with a sensitivity of 87% and specificity of 88% The area under the ROC curve was 0.937 (p <0.001; 95% confidence interval: 0.895 0.979) The 1 h pad test (B 0.266; p 0.031) IIQ 7 (B 0.378; p 0.047) and age (B 0.415; p 0.001) were risk factors for sexual dysfunction in women with a score <32.5. However, age was the only significant risk factor for women with a higher score (B 0.384; p 0.035) CONCLUSIONS A CVPISQ 12 score =32.5 suggested normal sexual function. For this patient group, age may be a more important factor associated with sexual function than pelvic floor disorders.
Taiwanese journal of obstetrics gynecology