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Translation and validation of ICIQ-FLUTS for Tamil-speaking women

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Abstract

Aims

Research in to lower urinary tract symptoms (LUTS) in women in South Asia is hampered by lack of validated tools. Our aim was to validate the International Consultation on Incontinence Modular Questionnaire on Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) from English to Tamil.

Method

After translation to Tamil, a validation study was carried out among women attending the gynecology clinic at District General Hospital-Mannar.

Results

Content validity assessed by the level of missing data was <2%. Construct validity was assessed by the ability of the questionnaire to identify patients with incontinence (n = 45) from controls (n = 93) using the incontinence score [patients = 7.7 standard deviation (SD) = 4.7, controls = 1.4 SD = 2.2, p < 0.001] and those with symptomatic anterior wall prolapse (n = 16) from controls (n = 93) using voiding symptoms score (patients = 4.8 SD = 2.3, controls = 0.3 SD = 0.8, p < 0.001). Internal consistency was assessed using Cronbach’s coefficient alpha score [0.80 (0.77–0.81)]. Test–retest reliability assessed by weighted kappa (κ) ranged from 0.73 to 0.87. Patients with incontinence (n = 30, pretreatment incontinence score = 7.9, SD = 4.9 versus posttreatment incontinence score = 3.3, SD = 3.1) and symptomatic anterior wall prolapse (n = 14, preoperative voiding symptoms score = 4.9 SD = 2.5 versus postoperative voiding symptoms score = 0.9 SD = 1.5) showed an improvement with treatment (Wilcoxon matched-–pairs signed-rank test p < 0.001 and p < 0.01, respectively). An incontinence score ≥ 3 (sensitivity = 86.7%, specificity = 78.4%) and a voiding symptoms score ≥ 3 (sensitivity = 87.5%, specificity = 96.2%) detected any form of incontinence and symptomatic anterior wall prolapse, respectively.

Conclusion

Tamil translation of ICIQ-FLUTS retained the psychometric properties of the original English questionnaire and will be an invaluable tool to detect LUTS among Tamil-speaking women.

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Acknowledgements

We wish to thank data collectors Dr. Bhathiya Mirando, Dr. GDD Premaratne, and Dr. Abdul Basith. We also acknowledge the efforts of Dr. K. Muhunthan and his team during the translation process and the gynecology ward and clinic staff of District General Hospital Mannar. This study was supported by the National Research Council of Sri Lanka (NRC Grant no. 16–086).

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Authors and Affiliations

  1. District General Hospital-Mannar, Mannar, Sri Lanka

    Chanil D. Ekanayake

  2. Department of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka

    Arunasalam Pathmeswaran

  3. Medical Officer of Health, Biyagama, Sri Lanka

    A. A. Nilanga Nishad

  4. District General Hospital-Vavuniya, Vavuniya, Sri Lanka

    Kanishka U. Samaranayake

  5. Department of Obstetrics & Gynaecology, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka

    Prasantha S. Wijesinghe

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  1. Chanil D. Ekanayake
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  2. Arunasalam Pathmeswaran
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  3. A. A. Nilanga Nishad
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  4. Kanishka U. Samaranayake
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Correspondence to Chanil D. Ekanayake.

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Ekanayake, C.D., Pathmeswaran, A., Nishad, A.A.N. et al. Translation and validation of ICIQ-FLUTS for Tamil-speaking women. Int Urogynecol J 28, 1875–1881 (2017). https://doi.org/10.1007/s00192-017-3316-5

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