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Updated: May 23, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Normative data for commonly used validated pelvic floor disorder questionnaires in women
Jerry L Lowder1, Chiara Ghetti, Sallie S Oliphant
1From the Division of Urogynecology, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh School of Medicine, Pittsburgh, PA.
Objective:
: To report measures of central tendency for Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire (PFIQ), and 12-item short form Pelvic Organ Prolapse-Incontinence-Sexual Function Questionnaire (PISQ-12) in women with POPQ stage ≤I.
Methods:
: An analysis was conducted of 67 women participating as controls in a body image in prolapse study who were recruited from a general gynecology setting. Following are the inclusion criteria: (1) presenting complaint was not prolapse/incontinence symptoms; (2) answered "no" to questions, (a) "Do you usually have a sensation of bulging protrusion from the vaginal area?" and (b) "Do you usually have a bulge or something falling out that you can see or feel in the vaginal area?" (3) POPQ stage ≤I; and (4) no prior surgery for prolapse/incontinence. Descriptive statistics were calculated for PISQ-12 and long and short forms of PFDI and PFIQ.
Results:
: Subjects had a mean age of 54 ± 8 years and a median of POPQ stage I. Median total and subscale scores for long and short forms of PFDI and PFIQ were ≤15. Mean PISQ-12 was 34 ± 3. Reliability testing using Cronbach's α was performed: PFDI (α = 0.930), PFIQ (α = 0.978), and PISQ-12 (α = 0.469).
Conclusions:
: Knowledge of normative data for pelvic floor symptom questionnaires is important to better assess outcomes after reconstructive surgery for pelvic floor disorders.
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