Methods

With permission, the ICIQ-FLUTS and the KHQ were translated in to Sinhala, using standard procedures. Internal consistency was assessed in 59 women having urinary incontinence and or urgency (cases)using Cronhach`s Coefficient Alpha and reliability was assessed by test - retest Pierson`s Correlation Coefficient in a subgroup of 25 cases. The Sinhala translations were then validated among the 59 cases and 118 women presenting with symptoms other than FLUTS (controls). The 59 cases underwent urodynamic studies. ICIQ-FLUTS and the KHQ were also validated as diagnostic tools using the Urodynamic Assessments as the Gold Standard. In the 59 cases, the scores obtained from the Sinhala questionnaires prior to and after treatment, were compared.

Results

The Sinhala questionnaires had good internal consistency (Cronhach`s Coefficient Alphas ranging from 0.74 to 0.84 in the three domains of the ICIQ FLUTS and from 0.68 to 0.95 in the seven domains of the KHQ), and were reliable (Pierson`s (Correlation (xiefficients on test - retest ranging from 0.61 to 0.67 in the three domains of the ICIQ FLUTS and from 0.6 to 0.75 in the seven domains of the KHQ).

The mean scores obtained by the Sinhala questionnaires in the cases and the controls were markedly different. By urodynamic studies Urodynamic Stress Incontinence (UDSI), Detrusor Overactivity (DO) and mixed urinary incontinence were detected in 48 (81%), 2 (3%) and 4 (7%) respectively, and five (8%) had no abnormality, and one of whom was found to have no significant abnormality by the Sinhala translation of ICIQ-FLUTS as well. In the Sinhala translation of ICIQ-FLUTS, all the women with DO and 45 of the 48 women who had only UDSI, reported leakage of urine during coughing and sneezing. On follow up of the cases after treatment, significant improvements in symptoms and quality of life (P < 0.001) were detected by the Sinhala translations of IC1Q-FLUTS and KHQ.

Conclusion The Sinhala translations of the IOQ-FI.UTS and KHQ were valid and reliable in assessing women with urinary incontinence and or urgency before and after treatment.

Stream 10 — Urogynaecology (FC10) - Case Study

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