Pelvic Floor Distress inventory Short Form 20

    Pelvic organ prolapse distress inventory 6 (POPDI-6)

    Usually experience pressure in the lower abdomen?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually experience heaviness or dullness in the pelvic area?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually have a bulge or something falling out that you can see or feel in your vaginal area?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Ever have to push on the vagina or around the rectum to have or complete a bowel movement?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually experience a feeling of incomplete bladder emptying?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Ever have to push up on a bulge in the vaginal area with your fingers to start or complete urination?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Colorectal-anal distress inventory 8 (CRADI-8)

    Feel you need to strain too hard to have a bowl movement?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Feel you have not completely emptied your bowels at the end of a bowel movement?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually lose stool beyound your control if your stool is well formed?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually lose stool beyound your control if your stool is loose?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually lose gas from the rectum beyond your control?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually have pain when you pass your stool?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Experience a strong sense of urgency and have to rush to the bathroom to have a bowel movement?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Does part of your bowel ever pass through the rectum and bulge outside during or after a bowel movement?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Urinary Distress Inventory 6 (UDI-6)

    Usually experience frequent urination?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually experience urine leakage associated with a feeling of urgency, that is, a strong sensation of needing to go to the bathroom?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually experience urine leakage related to coughing, sneezin, or laughing?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually experience small amounts of urine leakage (that is, drops)?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually experience difficulty emptying your bladder?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Usually experience pain or discomfort in the lower abdomen or genital region?

    No
    Yes
    Not at all
    Somewhat
    Moderately
    Quite a bit

    Print Now