To clarify the association between clinically defined simple stress urinary incontinence (SUI) symptoms and urodynamic SUI, we examined the relationship between Valsalva leak point pressure (VLPP) as measured by the Q-tip test and Stamey grade in simple female SUI. Two hundred grade I or II female SUI patients with SUI symptom were examined by reviewing medical history; physical examination; urethral mobility as assessed by Q-tip test; stress test; and cystometry, including VLPP measurement. On the basis of the VLPP, patients were classified into urethral hypermobility [UH, subdivided into anatomical incontinence (AI) and equivocal incontinence (EI)] or intrinsic sphincter deficiency groups for analysis of the relationship between VLPP and Stamey grade and Q-tip angle. Seventy-eight patients were included, and the mean patient age was 54 ± 7.5 years, mean SUI symptom duration 2.8 years (range 0.5-6 years), mean VLPP 103.6 ± 18.4 cm H2O, and mean Q-tip angle 28.6° ± 7.2°. Fifty-three patients were categorized as Stamey grade I, 25 as Stamey grade II, 51 as AI, and 27 as EI. VLPP was found to be negatively correlated with Q-tip angle (Rs = -0.798, Y = -0.313X + 60.95, P < 0.001), and classifications of VLPP and Stamey grade have positive correlation (χ (2) = 4.9130, P = 0.0267). In simple female SUI, VLPP is associated with the Q-tip angle and Stamey grade, which may help to reduce some of urodynamic items.
To clarify the association between clinically defined simple stress urinary incontinence ( SUI ) symptoms and urodynamic SUI , we examined the relationship between Valsalva leak point pressure ( VLPP ) as measured by the Q - tip test and Stamey grade in simple female SUI . Two hundred grade I or II female SUI patients with SUI symptom were examined by reviewing medical history ; physical examination ; urethral mobility as assessed by Q - tip test ; stress test ; and cystometry , including VLPP measurement . On the basis of the VLPP , patients were classified into urethral hypermobility [ UH , subdivided into anatomical incontinence ( AI ) and equivocal incontinence ( EI ) ] or intrinsic sphincter deficiency groups for analysis of the relationship between VLPP and Stamey grade and Q - tip angle . Seventy - eight patients were included , and the mean patient age was 54 ± 7.5 years , mean SUI symptom duration 2.8 years ( range 0.5 - 6 years ) , mean VLPP 103.6 ± 18.4 cm H2O , and mean Q - tip angle 28.6 ° ± 7.2 ° . Fifty - three patients were categorized as Stamey grade I , 25 as Stamey grade II , 51 as AI , and 27 as EI . VLPP was found to be negatively correlated with Q - tip angle ( Rs = -0.798 , Y = -0.313X + 60.95 , P < 0.001 ) , and classifications of VLPP and Stamey grade have positive correlation ( χ ( 2 ) = 4.9130 , P = 0.0267 ) . In simple female SUI , VLPP is associated with the Q - tip angle and Stamey grade , which may help to reduce some of urodynamic items .
Which type of urinary incontinence is diagnosed with the Q tip test?
Which type of urinary incontinence is diagnosed with the Q tip test ?
stress urinary incontinence
stress urinary incontinence