ICIQ-UIqol Module

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Module Title

ICIQ-UIqol

Full Name of Module

ICIQ- Urinary Incontinence Symptoms Quality of Life

Purpose of module The ICIQ-UIqol is a patient-completed questionnaire for evaluating quality of life (QoL) in patients with urinary incontinence, for use in research and clinical practice. The ICIQ-UIqol provides a detailed and robust measure to assess the impact of urinary incontinence on quality of life with particular reference to emotions and feelings . It is an ideal research tool as it explores in detail the impact on patients’ lives of urinary incontinence and can be used as an outcome measure to assess impact of different treatment modalities.
Derivation of module I-QOL
Intended Population Adult males and females
Number of items 22
Question items

Worry about urgency
Worry about stress incontinence
Careful standing up because incontinence
Toilet location
Depressed
House restriction
Frustration due to activity restriction Smell detection by others
Incontinence on mind
Frequency
Plan activities

Worry about effects of ageing
Inadequate sleep
Embarrassment/humiliation
Feel unhealthy
Helpless
Reduced life enjoyment
Worry about actual incontinence event
No control over bladder
Fluid restriction
Clothing restriction
Sexual activities

Lanuage versions available

Afrikaans
Australian-English
Brazilian-Portuguese
Canadian-English
Danish
Dutch
Dutch for Belgium
Finnish
French
French Canadian
German
Greek
Hebrew
Italian

Japanese
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Mandarin for Tawain
New Zealand-English
Norwegian
Polish
Slovak
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Spanish
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Swedish
UK-English
US-English

Associated publications Wagner, T.H., Patrick, D.L., Bavendam, T.G., Martin, M.L., Buesching, D.P. Quality of life of persons with urinary incontinence: development of a new measure. Urology. 1996; 47(1): 67-71
Level of validation according to ICI grades of recommendation Grade A
Validity, reliability and responsiveness established with rigour in several data sets
Scoring system

22-110 overall score with lower values indicating increased impact on
quality of life

Suggested modules to use in conjuction

ICIQ-UI Short Form - Brief urinary incontinence assessment module
ICIQ-MLUTSsex ; ICIQ-FLUTSsex - Gender-specific sexual matters modules

completion time 5 minutes

Request Questionnaire

Post-Treatment

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