Diagnostic accuracy of visual urethral mobility exam versus Q-Tip test

A randomized crossover trial

Barbara Robinson Henley, Elizabeth Joanne Geller, Brent A Parnell, Andrea Kuntaraf Crane, Mary Lee Jannelli, Ellen Casper Wells, Annamarie Connolly, Catherine Ann Matthews

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVE: The objective of the study was to compare the diagnostic accuracy of a visual urethral mobility examination (VUME) with a Q-Tip test in the assessment of urethral hypermobility. STUDY DESIGN: Subjects were randomized to a VUME or Q-Tip test first, followed by the alternate assessment. Outcomes included hypermobile, not hypermobile, or indeterminate. Hypermobility was defined as 30° or greater from the horizontal. Pain perception and test preference were assessed. RESULTS: For the 54 subjects, 61.1% demonstrated hypermobility on VUME vs 72.2% on the Q-Tip test (P =.39). Assessment of hypermobility was correlated between the 2 tools (ρ = 0.47, P =.001). Positive and negative predictive value, sensitivity, and specificity for VUME were 88%, 56%, 78%, and 71%, respectively, with a Q-Tip test as the reference standard. Mean pain score on visual analog scale was 0.72 for VUME and 3.15 for Q-tip test (P <.001). VUME was preferred by 83% of subjects. CONCLUSION: VUME is a diagnostic alternative to the Q-Tip test for the assessment of urethral hypermobility and is preferred by subjects.

Original languageEnglish (US)
Pages (from-to)528.e1-528.e6
JournalAmerican Journal of Obstetrics and Gynecology
Volume206
Issue number6
DOIs
StatePublished - Jan 1 2012

Fingerprint

Pain Perception
Visual Analog Scale
Cross-Over Studies
Sensitivity and Specificity
Pain

Keywords

  • Q-tip test
  • stress urinary incontinence
  • urethral hypermobility
  • visual urethral mobility examination

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Diagnostic accuracy of visual urethral mobility exam versus Q-Tip test : A randomized crossover trial. / Henley, Barbara Robinson; Geller, Elizabeth Joanne; Parnell, Brent A; Crane, Andrea Kuntaraf; Jannelli, Mary Lee; Wells, Ellen Casper; Connolly, Annamarie; Matthews, Catherine Ann.

In: American Journal of Obstetrics and Gynecology, Vol. 206, No. 6, 01.01.2012, p. 528.e1-528.e6.

Research output: Contribution to journalArticle

Henley, BR, Geller, EJ, Parnell, BA, Crane, AK, Jannelli, ML, Wells, EC, Connolly, A & Matthews, CA 2012, 'Diagnostic accuracy of visual urethral mobility exam versus Q-Tip test: A randomized crossover trial', American Journal of Obstetrics and Gynecology, vol. 206, no. 6, pp. 528.e1-528.e6. https://doi.org/10.1016/j.ajog.2012.02.015
Henley, Barbara Robinson ; Geller, Elizabeth Joanne ; Parnell, Brent A ; Crane, Andrea Kuntaraf ; Jannelli, Mary Lee ; Wells, Ellen Casper ; Connolly, Annamarie ; Matthews, Catherine Ann. / Diagnostic accuracy of visual urethral mobility exam versus Q-Tip test : A randomized crossover trial. In: American Journal of Obstetrics and Gynecology. 2012 ; Vol. 206, No. 6. pp. 528.e1-528.e6.
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