Comparison of Three Quality of Life Questionnaires in Urinary Incontinence

  • Ja Hyeon Ku
  • Seung-June Oh
Reference work entry


Urinary incontinence is not life-threatening, but loss of urinary control can affect the social, psychological, domestic, occupational, physical, and the sexual aspects of patients’ lives. A number of reliable, valid instruments are available for assessing the impact of urinary incontinence on quality of life (QOL). Of these many questionnaires, we selected three, namely, the Bristol Female Lower Urinary Tract Symptoms (BFLUTS) questionnaire, the Incontinence Quality of Life (I-QOL) questionnaire, and the King’s Health Questionnaire (KHQ), and compared the results obtained. These questionnaires have been developed primarily to assess urinary incontinence in women and the impact that urinary incontinence has on aspects of everyday QOL. In the present study, when BFLUTS and I-QOL were compared, the “BFLUTS-IS” and “BFLUTS-QOL” domains were found to correlate inversely with only two and three domains in the I-QOL, respectively. When BFLUTS and the KHQ were compared, the scores of the “BFLUTS-IS” and “BFLUTS-QOL” domains were found to correlate with six domains in the KHQ questionnaire, but these correlations were low to moderate, with correlation coefficients that ranged from 0.412 to 0.649. When I-QOL and the KHQ were compared, “Role limitations” and “Emotional problems” domains in the KHQ were found to correlate with all domains in the I-QOL. Moreover, significant negative correlations were noted between the “Severity measures” domain in the KHQ and all domains in the I-QOL; however, correlations were low to moderate (range: –0.384 to –0.650). Other domains in the three questionnaires showed no correlation with each other. Since a plethora of measurement instruments are available that vary in scope and content, subjective QOL results of urinary incontinence using specific-condition QOL questionnaires may differ. Therefore, before deciding on an instrument, the content on the instrument’s items should be thoroughly reviewed to ensure that a particular aspect of QOL does not need additional assessment.


Urinary Incontinence Stress Urinary Incontinence Urge Urinary Incontinence Urinary Incontinence Patient Bristol Female Lower Urinary Tract Symptom 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


Bristol female lower urinary tract symptoms


BFLUTS filling symptoms


BFLUTS incontinence symptoms


BFLUTS quality of life


BFLUTS sexual function


BFLUTS voiding symptoms


incontinence quality of life


King’s health questionnaire


quality of life


medical outcomes study short form-36


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© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • Ja Hyeon Ku
  • Seung-June Oh

There are no affiliations available

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