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Q-Tip Test in Female Urinary Incontinence

1986; Lippincott Williams & Wilkins; Volume: 67; Issue: 2 Linguagem: Inglês

10.1097/00006250-198602000-00018

1873-233X

Frederic Montz, S. L. Stanton,

Pelvic floor disorders treatments

The Q-Tip test, an inexpensive and widely used clinical investigative tool, was reevaluated as to diagnostic worth. One hundred patients were investigated with cystometergrams or videocystourethrography, and all patients underwent a standardized Q-Tip test. Thirty-two percent of patients with a positive Q-Tip test had either pure detrusor instability or pure sensory urgency as the diagnosis for urinary incontinence. Twenty-nine percent of patients who had a negative Q-Tip test had a diagnosis of pure genuine stress incontinence. The Q-Tip test was more likely to be positive in younger patients with a cystourethrocele who had undergone less bladder neck surgery. This study demonstrates the limitations of the Q-Tip test and reconfirms the need for more sensitive and specific urodynamic investigations of the incontinent woman.