How is the Q-tip test performed?

Insert lubricated cotton swab into urethra to bladder neck. Measure resting angle and Valsalva/cough angle from horizontal. Deflection >=30 degrees indicates urethrovesical junction hypermobility supporting anatomical SUI diagnosis.

Does the Q-tip test guide treatment selection?

Hypermobility (Q-tip >=30 degrees) supports mid-urethral sling (TVT, TOT) for SUI. Intrinsic sphincter deficiency (no hypermobility, very low leak point pressure) may require bulking agents or pubovaginal sling.

Has the Q-tip test fallen out of favor?

The Q-tip test is less commonly used now due to discomfort and limited therapeutic value. Urodynamics, cough stress test, and patient-reported outcomes guide SUI management in modern practice.

Stress Urinary Incontinence Q-Tip Test

Use the Q-tip test (urethral axis test) to diagnose urethrovesical junction hypermobility in stress urinary incontinence. Deflection >=30 degrees indicates hypermobility.

Use the full interactive calculator below, or

Stress Urinary Incontinence Q-Tip Test

Frequently Asked Questions

How is the Q-tip test performed?

Does the Q-tip test guide treatment selection?

Has the Q-tip test fallen out of favor?