Prospective Randomized Controlled Trial of Modified Hypermobility Test for Urinary Incontinence

Abstract

In Brief Objectives: The Q-tip test is a simple method to quantify urethral mobility, but it is not universally accepted due to discomfort. We sought to lessen this by covering the rough surface with the finger of a latex glove. Methods: The Q-tip test was performed on 60 women presenting for incontinence. Group A consisted of patients who underwent the test using a sterile Q-tip liberally lubricated. Group B patients underwent the procedure using the same type Q-tip covered with a finger cut from a latex examination glove. Results: Patients who underwent the modified Q-tip test experienced on average less than half as much discomfort (mean VAS, 18) as those who had the test performed in traditional fashion (mean VAS, 41, P < 0001). Similar findings were noted in both premenopausal and postmenopausal women. No complications (including urinary tract infection) were identified. Conclusions: The pain associated with this common procedure has never been noted nor quantified in the literature prior to the current report. Although some patients will still experience pain, physicians who use the Q-tip test can significantly reduce roughness and subsequent discomfort by the modification described. Physicians who use the Q-tip test can significantly reduce roughness and subsequent discomfort for most by placing the finger cut from an examination glove over the rough cotton surface.