ICIQ-FLUTS Long Form

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Module Title

ICIQ-FLUTS Long Form

Full Name of Module

ICIQ-Female Lower Urinary Tract Symptoms Long Form

Purpose of module The ICIQ-FLUTS is a patient-completed questionnaire for evaluating female lower urinary tract symptoms and impact on quality of life (QoL) in research and clinical practice. This questionnaire is a more in-depth assessment than the ICIQ-FLUTS and will be of increased use where a more detailed assessment is required typically in research, although similarly in both primary and secondary care institutions. The ICIQ-FLUTS Long Form provides a detailed summary of the level and impact of urinary symptoms and to facilitate patient-clinician discussions. It is an ideal research tool to assess outcome from various treatment modalities and also can be of use in epidemiological surveys.
Derivation of module BFLUTS
Intended Population Adult females
Number of items 18
Question items

Frequency
Nocturia
Urgency
Urge urinary incontinence
Bladder pain
Frequency of urinary incontinence
Stress urinary incontinence
Unexplained urinary incontinence
Amount of urinary leakage

Hesitancy
Straining to start urination
Intermittency
Nocturnal enuresis
Strength of stream
Urinary retention
Dysuria
Incomplete emptying
Ability to stop urine flow

Lanuage versions available

Danish
Dutch
Dutch for Belgium
French
German

German for Austria
Korean
Norwegian
Swedish
UK English

Associated publications Jackson , S., Donovan, J., Brookes, S., Eckford, S., Swithinbank, L., & Abrams, P. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing. BJU . 1996; 77:805-812.
Level of validation according to ICI grades of recommendation

Grade A
Validity, reliability and responsiveness established with rigour in several data sets

Scoring system

No scoring system

Suggested modules to use in conjuction

ICIQ-FLUTSsex - Gender-specific sexual matters module
ICIQ-LUTSqol - Condition-specific quality of life module

Completion time 10-15 minutes
Request Questionnaire
Post-Treatme

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