Stress Urinary Incontinence
Conditions
Brief summary
Urethral hypermobility, which can be assessed with Q-tip test, has been considered to be partly responsible for pathogenesis of women with stress urinary incontinence (SUI). Nonetheless, Q-tip test has lost favor due to patient discomfort. Thus, the purpose of this study was to search a surrogate for assessment of urethral hypermobility by correlating the Q-tip angle and the urodynamic variables in women with SUI.
Detailed description
All women with SUI and underwent Q-tip testing were reviewed. Patient characteristics, degree of prolapse determined by Pelvic Organ Prolapse Quantification system, Q-tip angle, the results of urodynamic studies, the Urinary Distress Inventory (UDI-6) Questionnaire and Incontinence Impact (IIQ-7) Questionnaire were reviewed from their medical records. Spearman correlation test, and univariate and multivariate backward stepwise linear regression analysis were performed as appropriate.
Interventions
DIAGNOSTIC_TESTQ-tip test
A Q-Tip lubricated with anesthetic gel is inserted into the urethra, woman is then asked to cough and strain, and the angle of the Q-tip rotates is recorded.
Sponsors
Far Eastern Memorial Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* all women with stress urinary incontinence, who underwent both Q-tip testing and urodynamic study, and completed the Urinary Distress Inventory (UDI-6) Questionnaire and Incontinence Impact (IIQ-7) Questionnaire
Exclusion criteria
* women who had incomplete exam or questionnaires
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Correlations of Q-tip angle with pressure transmission ratio | Between 2014 and 2020 | Correlations of Q-tip angle with pressure transmission ratio at maximum urethral pressure during stress urethral pressure profile testing |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Correlations of Q-tip angle with the other parameters of urodynamic studies | Between 2014 and 2020 | clinical and urodynamic variables include maximum flow rate, voided volume, post-void residual, voiding time, strong desire, PdetQmax, MUCP, functional profile length |
| Correlations of Q-tip angle with pad weight | Between 2014 and 2020 | Correlations of Q-tip angle with 20 min pad testing result |
| Correlations of Q-tip angle with symptoms | Between 2014 and 2020 | Correlations of Q-tip angle with questionnaires of urinary symptoms |
Countries
Taiwan
Outcome results
None listed