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Q-Tip Test The Q-tip test is a simple procedure that helps the physician to measure the degree of hypermobility (dropping down) that occurs in a patient's urethra and bladder neck during urination. Although subjective and nonspecific, this test may be useful for the diagnosis of stress incontinence. The patient lies on his or her back, and a long, well-lubricated Q-tip is inserted 1 to 2 cm into a cleansed urethra. The patient is asked to strain and perform a Valsalva maneuver (a forced exhale with a closed nose and mouth). An exaggerated, upward deflection of the Q-tip (by an angle of more than 35 degrees) is considered evidence of urethral and bladder neck hypermobility. |
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