ICIQ-VS Module

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Module Title


Full Name of Module

ICIQ-Vaginal Symptoms

Purpose of module The ICIQ-VS provides a brief and robust measure to assess the impact of vaginal symptoms and associated sexual matters on quality of life and outcome of treatment. This short and simple questionnaire is also of use to general practitioners and clinicians in both primary and secondary care institutions to screen for vaginal symptoms, to obtain a brief yet comprehensive summary of the level, impact and perceived cause of vaginal symptoms and to facilitate patient-clinician discussions. Its brevity also makes the ICIQ-VS an ideal research tool.
Derivation of module New instrument.
Intended Population Adult females
Number of items 14
Question items

Dragging abdominal pain
Vaginal soreness
Reduced sensation around vagina
Vagina too loose/lax
Lump coming down in vagina
Lump coming out of vagina
Dry vagina
Digitation for bowel opening

Tight vagina
Current sex life
Worries about vagina affect sex life
Sex life spoilt
Overall impact on everyday life

Lanuage versions available

Linguistic validation studies underway

Associated publications (Submitted for publication) Price N, Jackson SR, Avery K, Brookes ST , Abrams P. Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ-VS
Level of validation according to ICI grades of recommendation

Questionnaire finalised following the Third International Consultation on Incontinence, will be reviewed at the next consultation.

Scoring system

0-53 vaginal symptoms subscale
0-58 sexual matters subscale
0-10 overall impact on quality of life subscale
Bother scales are not incorporated in the overall score but indicate impact of individual symptoms for the patient

Suggested modules to use in conjuction

ICIQ-UI Short Form – Brief urinary incontinence assessment module

Completion time 4-5 minutes
Request Questionnaire

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