Translation and Validation of Prolapse-Quality of Life Questionnaire into Urdu Version

Background: Pelvic organ prolapse (POP) causes the inner and outer layers of the vagina to descend which can influence female quality of life in physical, social, mental and sexual ways. The Prolapse Quality of Life Questionnaire is a reliable tool for assessing symptom severity and impact, guiding treatment decisions, and evaluating outcomes. Objective: To translate and validate the Prolapse-Quality of Life Questionnaire into the Urdu version. Methodology: The P-QOL was translated and back-translated to and from Urdu, pretested and reviewed by a committee following the Guillemin criteria, and then cross-cultural linguistic validation study was conducted on 150 Urdu-speaking patients with pelvic organ prolapse. The months from June 2023 to December 2023 were the total study duration. Data entry and analysis were done using SPSS. Descriptive analysis was presented in the form of tables and graphs. Results: The average participant was 47.9 years, with a SD of 7.67 years. All participants were between 35 and 60 years old. The Urdu form of the P-QOL questionnaire scored well for internal consistency, showing a Cronbach’s alpha of 0.96. The content validity was strong at 0.87. The high reliability was clear from the value for the intra-class correlation coefficient, ranging from 0.35 to 0.9. Conclusion: The Urdu version of the Prolapse Quality of Life Questionnaire allows us to reliably assess symptoms, Severity of the condition and the quality of life of someone with pelvic organ prolapse. The consistency over time and between different assessments, as well as its content relatedness, is all acceptable. Keywords: Translation, Validation, Reliability, Prolapse-Quality of life, and Pelvic Organ Prolapse