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ICIQ-UI SF
ICIQ-UI SF: A patient-reported outcome measure. Evaluates frequency, severity, and interference with life (Items 1-3) to generate a score (0-21), and asks about triggers (Item 4) for diagnosis.
Scored Items (1-3)
1. How often do you leak urine?
2. We would like to know how much urine you think leaks.
3. Overall, how much does leaking urine interfere with your everyday life?
0 - Not at all010 - A great deal
4. When does urine leak? (Check all that apply)Diagnostic (Not Scored)
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Screening for urinary incontinence in primary care and geriatric clinics.
Assessing the severity and impact of urinary incontinence on quality of life.
Monitoring response to incontinence treatments (pelvic floor exercises, medications).
Categorising the type of incontinence (stress, urge, mixed) via the diagnostic item.
Patient-Reported Outcome
The ICIQ-UI SF is a highly validated patient-reported outcome measure (PROM) that captures not just the frequency of leakage, but the subjective bother it causes to the patient, which is often the primary driver for treatment.
Section 2
Formula & Logic
Scoring
3 scored items (Frequency, Volume, Interference with life) + 1 unscored diagnostic item.
Total score: 0–21
0: No incontinence.
1–5: Slight severity.
6–12: Moderate severity.
13–18: Severe.
19–21: Very severe.
Scored Items
Frequency of leaking
Never (0) to All the time (5)
Amount of leakage
None (0), Small (2), Moderate (4), Large (6)
Interference with everyday life
Scale from 0 (Not at all) to 10 (A great deal)
Section 3
Pearls/Pitfalls
The Diagnostic 4th Item
While not part of the numeric score, the final question ("When does urine leak?") asks patients to select triggers (e.g., coughing/sneezing = stress; before reaching toilet = urge). This is crucial for guiding pharmacological vs. physical therapy.
Section 4
Next Steps
Management
Section 5
Evidence Appraisal
Primary Reference
ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence.
Avery K et al. • Neurourol Urodyn.. 2004;23(4):322-30. Validated internationally across multiple languages and cultures.
Section 6
Origins
ICIQ Project
Developed by the International Consultation on Incontinence Questionnaire (ICIQ) project group to standardise the assessment of urinary incontinence in research and clinical practice globally, replacing a myriad of unvalidated, ad-hoc questionnaires.