ICIQ Structure
Below is a table outlining the ICIQ Modular Structure.
Click on the module to see an analysis of the questionnaire. For information
about using the questionnaires please go to user policy section.
CONDITION |
RECOMMENDED MODULES |
OPTIONAL MODULES |
RECOMMENDED ADD-ON
MODULES |
|||
A) Core Modules
|
QoL
|
Generic QoL |
Sexual Matters |
Post-Treatment |
||
| Urinary Symptoms | SF-12 |
Males: ICIQ-MLUTSsex |
ICIQ-S* (satisfaction) |
|||
| Vaginal Symptoms | ICIQ-VSqol* |
SF-12 |
||||
| Bowel Symptoms | ICIQ-BS* |
ICIQ-BSqol* |
SF-12 |
Males: ICIQ-Bssex* |
||
| Urinary Incontinence | ICIQ-UI
Long Form* |
SF-12 |
||||
CONDITION |
B)
Specific Patient Groups |
QoL |
Generic
QoL |
Sexual
Matters |
||
| Nocturia | SF-12 |
|||||
| Overactive Bladder | SF-12 |
|||||
| Neurogenic | ICIQ-Neuro* |
SF-12 |
||||
| Children | ICIQ-LUTSC* |
ICIQ-LUTSCqol* |
||||
| * Not yet finalised | ||||||

